REPORT OF INVESTIGATION BY MEDICAL EXAMINER

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1 Central Office 901 N. Stonewall Oklahoma City, Oklahoma (405) Fax (405) BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE OF THE CHIEF MEDICAL EXAMINER Eastern Division 1115 West 17th Tulsa, Oklahoma (918) Fax (918) REPORT OF INVESTIGATION BY MEDICAL EXAMINER Re OFFICE USE ONLY Co I hereby certify that this is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By Date DECEDENT First-Middle-Last Names (Please avoid use of initials) Age Birth Date Race Sex EMILY YEAGER 5 10/27/2000 WHITE F HOME ADDRESS - No. - Street, City, State FILLY DRIVE, OKLAHOMA CITY, OK EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) TIME STEVE A2 MERCY 08/12/ :10 INJURED OR BECAME ILL AT (ADDRESS) FILLY DRIVE CITY OKLAHOMA CITY COUNTY OKLAHOMA TYPE OF PREMISES RESIDENCE 08/12/2006 TIME 16:37 LOCATION OF DEATH MERCY HOSPITAL CITY OKLAHOMA CITY COUNTY OKLAHOMA TYPE OF PREMISES HOSPITAL 08/12/2006 TIME 17:38 BODY VIEWED BY MEDICAL EXAMINER CITY COUNTY TYPE OF PREMISES TIME 901 NORTH STONEWALL OKLAHOMA CITY OKLAHOMA MORGUE 08/14/ :00 IF MOTOR VEHICLE ACCIDENT: DRIVER PASSENGER PEDESTRIAN TYPE OF VEHICLE: AUTOMOBILE LIGHT TRUCK HEAVY TRUCK BICYCLE MOTORCYCLE OTHER: DESCRIPTION OF BODY RIGOR LIVOR EXTERNAL OBSERVATION NOSE MOUTH EARS EXTERNAL PHYSICAL EXAMINATION Jaw Neck Arms Legs Complete Absent Passing Passed Color Lateral Posterior Anterior Beard Eyes: Color Opacities Pupils: R L Hair Mustache BLOOD OTHER Decomposed Regional Body Length Body Weight Significant observations and injury documentations - (Please use space below) SEE AUTOPSY PROTOCOL Probable Cause of Death: DROWNING Other Significant Medical Conditions: Manner of Death: Natural Accident Suicide Homicide Unknown Pending Case disposition: Autopsy Yes No Authorized by Pathologist MEDICAL EXAMINER Not a medical examiner case MEDICAL EXAMINER: Name, Address and Telephone No. I hereby state that, after receiving notice of the death described herein, I conducted an investigation as to the cause and manner of death, as required by law, and that the facts contained herein regarding such death are true and correct to the best of my knowledge. 901 N. STONEWALL OKLAHOMA CITY, OK /14/2006 Signature of Medical Examiner Computer generated report Date CME-1 (REV 7-98)

2 Board of Medicolegal Investigations Office of the Chief Medical Examiner 901 N. Stonewall Oklahoma City, Oklahoma (405) Voice (405) Fax CERTIFICATION I hereby certify that this document is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By Date REPORT OF AUTOPSY Decedent Age Birth Date Race Sex Autopsy No Case No EMILY YEAGER 5 10/27/2000 WH F Type of Death Means ID By Authority for Autopsy Violent, unusual or unnatural TOE TAG CHAI S. CHOI, M.D. Present at Autopsy MIKE GRIFFIN PATHOLOGICAL DIAGNOSIS I. Acute visceral congestion with acute pulmonary edema with frequent intraalveolar hemorrhages II. Small scalp contusion, on top of the head on the left (approximately 1 cm) III. Multiple cutaneous contusions, abrasions, acute and recent Comment: This 5 year old white female was found in the water under the cover of the swimming pool. The pool is a soft side inflatable pool that is 2 ft. deep and approximately 7 to 10 ft. across with a cover. The decedent was in the water approximately 25 to 30 minutes. Scene investigation revealed the decedent had been trying to swim between the liner and the water, and got caught up in the liner, which trapped her. A complete autopsy showed no anatomical cause of death other than pulmonary edema with intraalveolar hemorrhages. There are minor skin injuries. Postmortem toxicological studies are negative for blood alcohol. It is felt that the cause of death is consistent with drowning. The manner of death is accident. CAUSE OF DEATH: DROWNING The facts stated herein are true and correct to the best of my knowledge and belief. OCME Central Division 8/14/2006 9:00 AM CHAI S. CHOI, M.D. Pathologist Location of Autopsy Date and Time of Autopsy CME-2 Page 1

3 EXTERNAL EXAMINATION AUTOPSY NO. ML CASE NO DESCRIPTION Height Weight Eyes Pupils Opacities, Etc. Hair Beard Mustache Circumcised 45 in. 23 kg. HAZEL R 8 mm L 7 mm BROWN RIGOR (jaw, neck, back, legs, arm, chest, abd., complete) LIVOR (color, anterior, posterior, lateral, regional) Body Heat COMPLETE PURPLE-POSTERIOR COOL The body is that of a well developed and well nourished white female child. The conjunctivae are white and show no petechiae. There is naso and endotracheal tube intubation through the nose and mouth respectively. The inside of the mouth is intact. There is no blood in the nose, mouth or ear canals. The neck is unremarkable other than a cervical collar around the neck. The chest is of normal contour and shows two monitor pads and electropads attached. The abdomen is slightly elevated and shows an irregular semi-circular depigmented area over the left lower quadrant measuring 3 x 2 cm. The genitalia are those of a normal female for this age and are intact. The extremities are symmetric and show two monitor pads over the lower legs, along with needle placement over the right antecubital fossa. There is an identification band around the left ankle. There are two linear scars over the dorsum of the right foot measuring 1.5 and 1 cm. Over the dorsum of the left foot, there is a linear reddish scab measuring 1.2 cm. There are multiple red contusions over the shins and left thigh, along with around the knees. There are multiple needle puncture marks over the left groin. There are small red abrasions over both forearms. The back is unremarkable other than a linear scar, approximately 1 cm, over the left back. There is a brownish contusion, approximately 1 cm over the back of the right thigh. There are small red abrasions over the right shoulder and left chest near the axilla. The decedent is clothed in a blue swimming suit with pink stripes, Sand and Sun, size small 6/6X.

4 GROSS EXAMINATION AUTOPSY NO. ML CASE NO The body is opened through the customary Y shaped incision. Subcutaneous fat is normally distributed, moist, and bright yellow. The musculature through the chest and abdomen is rubbery, maroon, and shows no gross abnormality. The sternum is removed in the customary fashion. The organs of the chest and abdomen are in normal position and relationship. The liver edge extends 2.5 cm below the right costal margin at the midclavicular line. The diaphragms are intact bilaterally. PARIETAL PLEURA: Smooth, glistening membrane without associated adhesions or abnormal effusions. PERICARDIUM: Is a smooth, glistening, intact membrane, and the pericardial cavity, itself, contains the normal amount of clear, straw-colored fluid. PERITONEUM: Smooth, glistening membrane in both the abdominal and pelvic cavities. The peritoneal cavity contains no abnormal fluid or adhesions. HEART: Weighs 120 gm. It has a normal configuration and location. There are no adhesions between the parietal and visceral pericardium, and the latter is a smooth, glistening, fat laden characteristic membrane. The coronary arteries arise and distribute normally with no congenital malformation. The coronary ostia are normally located and widely patent. The chambers and atrial appendages are unremarkable. The valves are normally formed and measure as follows: tricuspid 6.5 cm, pulmonic 4.2 cm, mitral 6.5 cm, and aortic 4.2 cm. The endocardium is a smooth, gray, glistening, translucent membrane uniformly. The myocardium is intact, rubbery, and red-tan, with the left ventricle measuring 1.0 cm, the septum measuring 1.2 cm, and the right ventricle measuring 0.2 cm. The papillary muscles and chordae tendineae are intact and unremarkable. The arch of the aorta is classically formed with no atherosclerosis. Other great vessels also arise and distribute normally and are widely patent. NECK ORGANS: Musculature is normal, rubbery, and maroon, and the organs are freely movable in a midline position. The tongue is intact and normally papillated, without evidence of tumor or hemorrhage. The hyoid bone is intact. The thyroid cartilage is intact and without abnormality. The thyroid gland is symmetric, rubbery, light tan to maroon and its normal position without evidence of neoplasm and weighs 8 gm. The epiglottis is a characteristic plate-like structure which shows no evidence of edema, trauma, or other gross pathology. The larynx is comprised of unremarkable vocal cords and folds, is widely patent without foreign material, and is lined by a smooth, glistening membrane. There are no petechiae of the epiglottis, laryngeal mucosa, or thyroid capsule.

5 Gross - 2 Case No THYMUS: The thymus is identified grossly and weighs 30 gm. LUNGS: The right lung weighs 380 gm, and the left weighs 250 gm. Visceral pleurae are smooth, glistening, and intact with no anthracosis and no bleb formation. The overall configuration is normal. The trachea is widely patent and lined by characteristic pink membrane. Likewise, the major bronchi and bronchioles bilaterally are patent, normally formed, and contain no significant occlusive material. The pulmonary arterial tree is free of emboli or thrombi. The parenchyma of the left upper lobe is uniformly spongy, varies from pink-tan to dark purple. The parenchyma of the left lower lobe and all three lobes of the right lung appear congested and dark purple. There is no evidence of consolidation, granulomatous, or neoplastic disease. Hilar lymph nodes are within normal limits with relation to size, color, and consistency. G.I. TRACT: The esophagus shows an unremarkable mucosa, a patent lumen, and no evidence of gross pathology. There are some food particles remaining in the esophagus. The esophagogastric junction is unremarkable. The stomach is of normal configuration, is lined by a smooth, glistening, intact mucosa, has an unremarkable wall and serosa, and contains undigested food, which looks like pasta. The duodenum, itself, is patent, shows an unremarkable mucosa and no evidence of acute or chronic ulceration. Jejunum and ileum are unremarkable and contain soft brown fecal material. There is no Meckel s diverticulum. The ileocecal valve is intact and unremarkable. The appendix is present. The colon is examined segmentally and shows no evidence of neoplasm or trauma. There are no diverticula. Anus and rectum are unremarkable. LIVER: Weighs 760 gm. It is of normal configuration, rubbery, tan, and intact. Cut surface shows no pathology. GALLBLADDER: Lies in its usual position, contains liquid bile, no calculi, and shows a normal mucosa. The biliary tree is intact and patent without evidence of neoplasm or calculi. PANCREAS: Lies in its normal position, shows a normal configuration, and is pink-tan and characteristically lobulated with no apparent gross pathology. It weighs 55 gm. SPLEEN: Weighs 90 gm. The capsule is intact. The organ is rubbery, maroon, and shows characteristic follicular pattern. ADRENALS: Have a combined weight of 10 gm. Lie in their usual location, show yellow cortices and tan to gray medullae.

6 Gross - 3 Case No KIDNEYS: The right kidney weighs 65 gm and the left weighs 70 gm. Both are configurated normally with no abnormality. Sections show the organs to be moderately congested with unremarkable cortices, medullae and pelves. Ureters and blood vessels are patent and unremarkable. URINARY BLADDER: Contains not dictated. Its serosa and mucosa are unremarkable. FEMALE GENITALIA: The vagina is intact and shows no gross pathology. The uterus has a symmetrical overall unremarkable configuration. Bilateral adnexa are unremarkable. BRAIN AND MENINGES: The scalp is opened through the customary intermastoid incision and shows a 1 cm contusion on the superior aspect of the scalp, just left of the midline. The calvarium is removed through the use of an oscillating saw and is intact without evidence of osseous disease. The brain weighs 390 gm and appears diffusely swollen. Dura and leptomeninges are smooth, glistening, translucent, and unremarkable without evidence of trauma. Cranial nerves and circle of Willis arise and distribute normally and show no significant pathology. Externally the brain is normally configurated and symmetric, and multiple serial sections of cerebral hemispheres, pons, medulla, and cerebellum show no gross pathological change apart from moderate congestion. The ventricular system is also symmetric and unremarkable. The base of the skull is intact without osseous abnormality. RIBS: Intact. PELVIS: Intact. VERTEBRAE: Intact. BONE MARROW: Moist and dark red. Unremarkable.

7 . MICROSCOPIC EXAMINATION AUTOPSY NO. ML CASE NO Sections confirm the gross diagnosis with no significant microscopic findings other than vascular congestion with frequent intraalveolar hemorrhages and a single focus of aspiration of clear fluid-like material, in which there is no tissue response. The scalp contusion shows acute hemorrhages in which there is no acute inflammation. October 31, 2006 CSC/ns CHAI S. CHOI, M.D.

8 BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE OF THE CHIEF MEDICAL EXAMINER 901 N.Stonewall Oklahoma City, Oklahoma REPORT OF LABORATORY ANALYSIS OFFICE USE ONLY Re. Co. I hereby certify that this is a true and correct copy of the original document. Valid only when copy bear im-print by the office seal. By Date ME CASE NUMBER: LABORATORY NUMBER: DECEDENT'S NAME: MATERIAL SUBMITTE EMILY YEAGER BLOOD, VITREOUS, LIVER RECEIVED: 08/14/2006 HOLD STATUS: 30 DAYS SUBMITTED BY: MEDICAL EXAMINER: NOTES: ETHYL ALCOHOL: Blood: NEGATIVE (HEART) Vitreous: Other: CARBON MONOXIDE Blood: TESTS PERFORMED: NO OTHER TESTS PERFORMED RESULTS: 08/22/2006 BYRON CURTIS, Ph.D., Deputy Chief Forensic Toxicologist

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