Post by Admin Horan on Jun 5, 2017 11:30:19 GMT -6
This is a transcription of Dana Wingate's autopsy report:
EXAMINATION RECORD
CASE NO. ADP 81-07
NAME Dana Wingate
DATE 4/13/81
HOUR 9:50 AM
AGE 17
RACE Caucasian
SEX Male
HEIGHT 5'10"
WEIGHT 140 lbs.
IDENTIFICATION BY Detective D. Forcino, Plumas Co. Sheriff' s Office.
GENERAL DESCRIPTION AND EXTERNAL EXAMINATION
1. This is the body of a fairly well developed and nourished young white male of approximately the stated age. Rigor is complete and moderate in amount and breaks readily. The body is cold to the touch. Lividity is marked anteriorly and it no longer blanches and mild non blanching lividity is present posteriorly. The scalp is covered by brown, wavy, medium length hair. The pupils are round and equal. The irides are brownish blue in color. The corneae are very minimally clouded . The nose contains dried blood. The mouth shows multiple fractured teeth over the upper right anterior alveolar ridge . The anterior incisor shows a loss of its lateral 1/8. The cuspid is loose in its socket and removes easily, and the bicuspid shows loss of its anterior one-half and this portion of the tooth is on the table with the subject. The maxilla is markedly fractured through the upper alveolar ridge in the area of the broken teeth. The neck shows no external evidence of injury. The chest is expanded. The abdomen is virtually flat . The penis shows mottled brownish congenital discoloration of the shaft and there is no hemorrhage in the deep tissue under the zones of discoloration. The anus shows no dilatation. The thighs, knees, legs and feet are al1 unremarkable. The arms show no evidence of injury. The antecubital areas are free of needle marks . The wrists bilaterally show ligature marks with some remaining vestiges of adhesive about their peripheries. The hands are free of injury. The right hand shows, on the thumb and forefinger, a white fiber-like material which is placed in an appropriately labeled plastic container.
The posterior aspects of the body are unremarkable except for 2 roughly rectangular zones of bruising over both buttocks. Each is approximately 2 inches in greatest dimension, and on section hemorrhage is present in the underlying fat. Also present on the posterior aspect of the left thigh in its mid upper portion exists another
2 inch zone of roughly rectangular bluish-red oozing which also shows underlying hemorrhage on section.
LIGATURES
Wrapped about the subject's legs, lower one-third, is a single strand of white double electric cord which is tied posteriorly behind the medial aspect of the right 1ower leg. This cord is only modestly tight. Next to the tie posteriorly is a female end of the cord showing two lateral plug in zones of one side covered by a plastic plate and a single pair of plug-in areas on the opposite side . A rectangular-shaped defect is present on the end of the elongated rubber or plastic end. The opposite end of the wire has previously been cut and at this time extends up between the individuals thighs to a distance of approximately 8 inches above the knees. Detective Forcino states that this end of the cord was cut by mortician Andy Anderson and that in fact this cord led to the other male victim.
About the suspect's hiking boots on the left leg is a wrap of adhesive tape. This has the appearance of 3/4 or 1 inch white adhesive. It extends completely around the upper portion of the boot and is not connected to the right boot which in turn shows a portion of similar tape attached to its upper lateral anterior portion. One of the ends of this portion extends down over the heel. It is stuck to the posterior aspect of the heel. The other portion extends upward over the tongue to the anterior area of the underlying sock.
Attached about the right wrist is a mass of adhesive tape, most markedly attached
dorsally and not attached at all ventrally where it extends in a loop about the
Continued on Page 2
proximal hand. Multiple portions of tape are conglomerated in this wrapping, and it
is not tight. It is not attached to the left upper extremity at this time.
The tape on the right hiking boot is firmly attached to the under surface of the heel
for a distance of approximately 2 inches.
The tape that is tightly applied to the upper portion of the left hiking boot
is out on the anteromedial aspect prior to removal of the boot and the tape is left
with the boot.
The lower leg ligature of double white electric cord is cut anteriorly.
The multilayered adhesive right wrist strap is removed and appropriately labeled.
The loop of this wrap is approximately 6 inches across, suggesting that in reality
the wrap had been about the opposite wrist also.
The tape about the left boot is in 2 layers. One of the layers is firmly attached
to the posterior portion of the subject’s pants.
CLOTHING
The subject wears heavy brown above-the-ankle length hiking boots. They show
waffle-type soles and are labeled "Vibrum" on the soles. The subject wears sweat
socks which show thick orange and thinner blue stripes about their tops. He also
wears blue corduroy type Levi jeans and the top button of the jeans is unbuttoned and
the zipper is down approximately 2 inches. The jeans show patch work about the right —
knee, and areas of ripping and holes are present on the right lower leg and in a zone
of patching just below the right knee. He also wears a sweater with long sleeves
and a crew type neck. It is generally red and dark blue colored over the neck, shoulder,
and arm portion down to the level of the elbows, and this blue is separated from the red
of the remainder of the sweater by multiple lines of light blue, green, yellow, orange
and red. The lines are approximately 3/8 of an inch apart. They in turn are separa-
ted by thin 1/8 inch blue lines that occur over the anterior upper portion of the
sweater extending down the anterior arms to the elbow and also occur posteriorly and
laterally. The upper portions of the pants are partly blood soaked, especially poster-
iorly, where the blood is still moist.
The subject also wears an orange-colored T-shirt which is considerably blood soaked
and shows anteriorly a large decoration in red, white and blue stating "Ski, U.S.A."
and about the periphery of this decoration is a pine tree with snow, and above it is a
sun. This covers nearly the entire central portion of the front of the shirt.
The subject also wears about his left wrist a chain type silver metal colored
bracelet with a black identification entity on the dorsal surface. The chain is
quite thick, up to 1/2 inch, and there is no identifiable lettering on the black
identification portion of the bracelet. The clasp on the bracelet states "Speidel".
At 10:30 A.M. the clothing, the tape from the upper right hiking boot, the tape from
about the right wrist, and the electric cord lower leg ligature are all given to
Detective Dennis Forcino. The three ligature entities are labeled with tags.
BLOOD PATTERNS 2:45 P.M.
The subject shows a marked amount of dried blood over the left side of his face and
forehead and a lesser amount over the right side and right lateral and upper neck.
Some dried, smeared blood is present on the dorsum of the right hand, and it does not
involve the area of the tape ligature. The right hand also shows dried blood on its
surface dorsally, and the blood does not involve the area of tape ligature which in
itself shows white adhesive around its periphery on both wrists.
HEAD TRAUMA
The face and scalp show marked trauma. The left side of the head shows extending
from just above the ear and anterior to posterior a dull red rectangle 4 1/4 x 1 inch
in greatest dimension. This mark anteriorly shows a 1/2 circle mark which is 3/4
inch across. The underlying scalp tissues show marked hemorrhage and a deep fracture
line, irregular at its edges, follows roughly the elongated rectangle. It measures
approximately 5 inches in length, and portions of bone have been loosened from this
fracture and dangle from the scalp tissue after reflecting the scalp. Extending upward
from the anterior portion of this rectangle is another rectangle, this one 2-1/2 x 3/4
inch in greatest dimension. Its superior edge is a 5/8 inch semicircle of laceration
in the anterior parietal region. A fracture line extends up to this semicircle
zone from the major previously described fracture.
The left ear is nearly separated in its mid portion with a 1-1/ 2 x 2 inch laceration
which is roughly stellate in configuration. Just anterior to the left ear is a
semicircular abraded mark measuring 3/4 inch across. Inferior to this is a 1/4 inch
abrasion. The near entire left upper cheek shows bruising and swelling. The left
posterior parietal area shows 2 zones of laceration over the convexity. The anterior
one is roughly hockey stick shaped and it is 1-1/2 inches long. The posterior one is
linear and runs anterior to posterior for 1-1/4 inches. The left ear also shows
marked reddish bruising.
The face shows numerous tiny petechiae, and the conjunctivae both show focal
hemorrhages and scattered tiny dotlike petechiae. The upper lip on the left side
shows 3 lacerations. They go through to the mucosa. They vary from 1/2 to 3/8 inch in
greatest dimension. Bruising involves the mid portion of the upper lip. The left
eyelid, upper, shows marked bruising and swelling. The face is generally puffy.
Posterior to the right ear exists a curved, semicircular 3/4 inch laceration and anterior
to it is an abraded ovoid 3/L, inch zone. Above this wound complex is another laceration.
It shows peripheral abrasion up to 3/8 inch in thickness on its right side.
Marked hemorrhage is present about all these zones of laceration, abrasion and bruising
on the deep scalp surface.
There is no epidural hemorrhage.
Only a small amount of subdural hemorrhage is present, approximately 5 cc. over both
convexities.
The marked zone of fracturing over the left parietal temporal region extends deeply
down into the petrous portion of the temporal bone on the left side as well as through
the left orbital plate and sphenoid wing.
Further fractures extend across the midline to the right petrous ridge forming a
hinge type fracture.
The brain weighs an estimated 14OO grams. Gyri are mildly flattened and sulci
narrowed. The uncal gyri both show small notches. The cerebellum shows minimal
cone. Subarachnoid hemorrhage is present over the undersurface of the left frontal
lobe and its lateral surface and is also present over the right posterior temporal
lobe laterally. A small amount of subarachnoid hemorrhage is present patchily within
the cerebellum. The vessels at the base are unremarkable.
Multiple slices of cerebrum show marked bruising and laceration of the left lateral
parietal temporal region over an area 3 inches in greatest dimension. This extends
for a maximum depth of 1 inch into the parenchyma. It extends from the frontal onto
the temporal lobe on the left.
Occasional tiny petechiae are present on the upper pons on section. The ventricular
system, the lateral ventricles, show approximation of their edges and pink spinal
fluid is present in the ventricles. The right lateral occipital parietal area over
a 1 inch zone shows marked contusion. This occurs roughly under the 2 posterolateral
lacerations described on the right side of the scalp.
NECK ORGANS
The skin of the neck shows no areas of bruising or abrasion at this time. The
deep soft tissues, however, in the midline of the neck, show a large sized area of
hemorrhage in the musculature over the thyroid cartilage, predominantly on the
left side but partially on the right. It is up to 3/4 inch in length, and extends
down to the cartilaginous structures. Further zones of hemorrhage occur in the
soft tissues about the end of the thyroid cartilage, the greater cornua on the right
side. Two such zones of hemorrhage up to 1/4 inch in greatest dimension are present in
this region. The laryngeal lumen contains a small amount of liquid blood, as does
the tracheal lumen. The tongue shows no evident bite marks. The laryngeal cartilages
appear free of fractures as does the hyoid bone.
ORGAN DESCRIPTION
HEART: The heart weighs an estimated 300 grams. The epicardial surface is glistening
and smooth. The coronary vessels are unremarkable. The myocardium is firm and dull
red. The endocardium is glistening. The valves show no lesions.
LUNGS: The left lung weighs approximately 400 grams, the right lung approximately
500 grams. The lungs are generally air containing and fluffy, with only few focal
zones of surface grayish atelectasis. The pulmonary arteries show no premortem clot.
The bronchi contain a small amount of bloody mucus.
LIVER: The liver weighs an estimated 1400 grams. The surface is smooth. The
edge is sharp. On section, the markings are maintained. The extrahepatic ducts and
gallbladder show no features of note.
PANCREAS, SPLEEN, AND ADRENALS: The pancreas is lobulated, firm, and pinkish-yellow
in color. The spleen is approximately I00 grams in weight. It is dull red and firm.
The adrenals are unremarkable.
KIDNEYS: The kidneys weigh approximately l20 grams. The capsules strip readily, leaving
smooth surfaces. On section the cortices are differentiated from the medullas. The
renal pelves are unremarkable. The urinary bladder contains approximately an ounce of
cloudy yellow urine. The prostate is not papably enlarged.
MAJOR VESSELS: The aorta is free of sclerosis. The vena cava contains no premortem
clot.
G. I. TRACT: The esophagus is empty. The stomach contains approximately 2 ounces of
black-greenish thick liquid. The small and large bowels show no significant features.
The appendix is present.
NOTE: The lower rim of the orbit on the left side is fractured in conjunction with
a fracture down through the maxilla and zygoma in this region.
DIAGNOSES:
l. Multiple skull fractures with facial bone fractures and lacerations and
contusions of brain with brain swelling.
2. Meningeal hemorrhage, brain.
3. Multiple fractured teeth and loosened teeth.
4. Aspiration of blood, modest.
5. Ligatures, wrists and ankles.
6. Hemorrhages, deep soft tissue of neck with facial. Petechiae and facial
swelling--strangulation.
MATERIAL TO PATHOLOGY: Representative tissues.
MATERIAL TO CBI. TOXICOLOGY SECTION: Heart blood and urine for toxicology screen.
X-RAYS BY: Sacramento Portable X-ray Service.
MATERIAL TO DETECTIVE DENNIS FORCINO
AT @:00 P.M.: Head hair, pubic hair, right and left hand
fingernail scrapings, oral and rectal swabs,
one tube of heart blood, white fiber from
hand.
PHOTOGRAPHS BY: Detective Forcino and by Dr. Rooney.
PATHOLOGY ASSISTANT: Louise Nichols.
ASSISTING PATHOLOGIST: Rick Baier, M. D.
FORM Microscopic
PAGE 1
DATE 4/17/81
NAME Dana Wingate
NUMBER ADP 81-07
HEART: The epicardium and coronary vessels are unremarkable. The
myocardial fibers are uniform and the endocardium shows no features
of note.
LUNG: Sections of large bronchi show scattered epithelial cells within
the lumen. The parenchyma shows pink staining edema fluid or red
cells within alveoli and a mild degree of decomposition is present
with loss of architecture of alveolar septae in some instances.
NECK ORGANS: Sections from the zones of hemorrhage within the neck
shows extravasation of red cells into voluntary muscle and into the
muscular interstices. Hemorrhages also occur into the regional fat.
LIVER: The liver architecture is essentially well preserved.
BRAIN: The cerebral sections show numerous zones of contusion
hemorrhage of the cortex and areas of subarachnoid hemorrhage are
present. Lacerations of the brain are present with jagged edges which
frequently show attached and nearby red cells. Petechiae are sometimes
noted in the white matter.
ORAL SMEAR: The oral smear is composed of mature squamous cells and
few scattered bacteria are noted in the background.
RECTAL SMEAR: The rectal smear shows uniform epithelial cells
along with some amorphous debris.
FINAL DIAGNOSES:
l. Multiple skull fractures with facial bone fractures and
lacerations and contusions of brain with brain swelling.
2. Hemorrhages, deep soft tissues of neck with facial petechiae
and facial swelling—— strangulation.
3. Meningeal hemorrhage, brain.
4. Multiple fractured teeth and loosened teeth.
5. Aspiration of blood, modest.
6. Ligatures of wrists and ankles.
CAUSE OE DEATH:
CRANIOCEREBRAL TRAUMA AND STRANGULATION.
EXAMINATION RECORD
CASE NO. ADP 81-07
NAME Dana Wingate
DATE 4/13/81
HOUR 9:50 AM
AGE 17
RACE Caucasian
SEX Male
HEIGHT 5'10"
WEIGHT 140 lbs.
IDENTIFICATION BY Detective D. Forcino, Plumas Co. Sheriff' s Office.
GENERAL DESCRIPTION AND EXTERNAL EXAMINATION
1. This is the body of a fairly well developed and nourished young white male of approximately the stated age. Rigor is complete and moderate in amount and breaks readily. The body is cold to the touch. Lividity is marked anteriorly and it no longer blanches and mild non blanching lividity is present posteriorly. The scalp is covered by brown, wavy, medium length hair. The pupils are round and equal. The irides are brownish blue in color. The corneae are very minimally clouded . The nose contains dried blood. The mouth shows multiple fractured teeth over the upper right anterior alveolar ridge . The anterior incisor shows a loss of its lateral 1/8. The cuspid is loose in its socket and removes easily, and the bicuspid shows loss of its anterior one-half and this portion of the tooth is on the table with the subject. The maxilla is markedly fractured through the upper alveolar ridge in the area of the broken teeth. The neck shows no external evidence of injury. The chest is expanded. The abdomen is virtually flat . The penis shows mottled brownish congenital discoloration of the shaft and there is no hemorrhage in the deep tissue under the zones of discoloration. The anus shows no dilatation. The thighs, knees, legs and feet are al1 unremarkable. The arms show no evidence of injury. The antecubital areas are free of needle marks . The wrists bilaterally show ligature marks with some remaining vestiges of adhesive about their peripheries. The hands are free of injury. The right hand shows, on the thumb and forefinger, a white fiber-like material which is placed in an appropriately labeled plastic container.
The posterior aspects of the body are unremarkable except for 2 roughly rectangular zones of bruising over both buttocks. Each is approximately 2 inches in greatest dimension, and on section hemorrhage is present in the underlying fat. Also present on the posterior aspect of the left thigh in its mid upper portion exists another
2 inch zone of roughly rectangular bluish-red oozing which also shows underlying hemorrhage on section.
LIGATURES
Wrapped about the subject's legs, lower one-third, is a single strand of white double electric cord which is tied posteriorly behind the medial aspect of the right 1ower leg. This cord is only modestly tight. Next to the tie posteriorly is a female end of the cord showing two lateral plug in zones of one side covered by a plastic plate and a single pair of plug-in areas on the opposite side . A rectangular-shaped defect is present on the end of the elongated rubber or plastic end. The opposite end of the wire has previously been cut and at this time extends up between the individuals thighs to a distance of approximately 8 inches above the knees. Detective Forcino states that this end of the cord was cut by mortician Andy Anderson and that in fact this cord led to the other male victim.
About the suspect's hiking boots on the left leg is a wrap of adhesive tape. This has the appearance of 3/4 or 1 inch white adhesive. It extends completely around the upper portion of the boot and is not connected to the right boot which in turn shows a portion of similar tape attached to its upper lateral anterior portion. One of the ends of this portion extends down over the heel. It is stuck to the posterior aspect of the heel. The other portion extends upward over the tongue to the anterior area of the underlying sock.
Attached about the right wrist is a mass of adhesive tape, most markedly attached
dorsally and not attached at all ventrally where it extends in a loop about the
Continued on Page 2
proximal hand. Multiple portions of tape are conglomerated in this wrapping, and it
is not tight. It is not attached to the left upper extremity at this time.
The tape on the right hiking boot is firmly attached to the under surface of the heel
for a distance of approximately 2 inches.
The tape that is tightly applied to the upper portion of the left hiking boot
is out on the anteromedial aspect prior to removal of the boot and the tape is left
with the boot.
The lower leg ligature of double white electric cord is cut anteriorly.
The multilayered adhesive right wrist strap is removed and appropriately labeled.
The loop of this wrap is approximately 6 inches across, suggesting that in reality
the wrap had been about the opposite wrist also.
The tape about the left boot is in 2 layers. One of the layers is firmly attached
to the posterior portion of the subject’s pants.
CLOTHING
The subject wears heavy brown above-the-ankle length hiking boots. They show
waffle-type soles and are labeled "Vibrum" on the soles. The subject wears sweat
socks which show thick orange and thinner blue stripes about their tops. He also
wears blue corduroy type Levi jeans and the top button of the jeans is unbuttoned and
the zipper is down approximately 2 inches. The jeans show patch work about the right —
knee, and areas of ripping and holes are present on the right lower leg and in a zone
of patching just below the right knee. He also wears a sweater with long sleeves
and a crew type neck. It is generally red and dark blue colored over the neck, shoulder,
and arm portion down to the level of the elbows, and this blue is separated from the red
of the remainder of the sweater by multiple lines of light blue, green, yellow, orange
and red. The lines are approximately 3/8 of an inch apart. They in turn are separa-
ted by thin 1/8 inch blue lines that occur over the anterior upper portion of the
sweater extending down the anterior arms to the elbow and also occur posteriorly and
laterally. The upper portions of the pants are partly blood soaked, especially poster-
iorly, where the blood is still moist.
The subject also wears an orange-colored T-shirt which is considerably blood soaked
and shows anteriorly a large decoration in red, white and blue stating "Ski, U.S.A."
and about the periphery of this decoration is a pine tree with snow, and above it is a
sun. This covers nearly the entire central portion of the front of the shirt.
The subject also wears about his left wrist a chain type silver metal colored
bracelet with a black identification entity on the dorsal surface. The chain is
quite thick, up to 1/2 inch, and there is no identifiable lettering on the black
identification portion of the bracelet. The clasp on the bracelet states "Speidel".
At 10:30 A.M. the clothing, the tape from the upper right hiking boot, the tape from
about the right wrist, and the electric cord lower leg ligature are all given to
Detective Dennis Forcino. The three ligature entities are labeled with tags.
BLOOD PATTERNS 2:45 P.M.
The subject shows a marked amount of dried blood over the left side of his face and
forehead and a lesser amount over the right side and right lateral and upper neck.
Some dried, smeared blood is present on the dorsum of the right hand, and it does not
involve the area of the tape ligature. The right hand also shows dried blood on its
surface dorsally, and the blood does not involve the area of tape ligature which in
itself shows white adhesive around its periphery on both wrists.
HEAD TRAUMA
The face and scalp show marked trauma. The left side of the head shows extending
from just above the ear and anterior to posterior a dull red rectangle 4 1/4 x 1 inch
in greatest dimension. This mark anteriorly shows a 1/2 circle mark which is 3/4
inch across. The underlying scalp tissues show marked hemorrhage and a deep fracture
line, irregular at its edges, follows roughly the elongated rectangle. It measures
approximately 5 inches in length, and portions of bone have been loosened from this
fracture and dangle from the scalp tissue after reflecting the scalp. Extending upward
from the anterior portion of this rectangle is another rectangle, this one 2-1/2 x 3/4
inch in greatest dimension. Its superior edge is a 5/8 inch semicircle of laceration
in the anterior parietal region. A fracture line extends up to this semicircle
zone from the major previously described fracture.
The left ear is nearly separated in its mid portion with a 1-1/ 2 x 2 inch laceration
which is roughly stellate in configuration. Just anterior to the left ear is a
semicircular abraded mark measuring 3/4 inch across. Inferior to this is a 1/4 inch
abrasion. The near entire left upper cheek shows bruising and swelling. The left
posterior parietal area shows 2 zones of laceration over the convexity. The anterior
one is roughly hockey stick shaped and it is 1-1/2 inches long. The posterior one is
linear and runs anterior to posterior for 1-1/4 inches. The left ear also shows
marked reddish bruising.
The face shows numerous tiny petechiae, and the conjunctivae both show focal
hemorrhages and scattered tiny dotlike petechiae. The upper lip on the left side
shows 3 lacerations. They go through to the mucosa. They vary from 1/2 to 3/8 inch in
greatest dimension. Bruising involves the mid portion of the upper lip. The left
eyelid, upper, shows marked bruising and swelling. The face is generally puffy.
Posterior to the right ear exists a curved, semicircular 3/4 inch laceration and anterior
to it is an abraded ovoid 3/L, inch zone. Above this wound complex is another laceration.
It shows peripheral abrasion up to 3/8 inch in thickness on its right side.
Marked hemorrhage is present about all these zones of laceration, abrasion and bruising
on the deep scalp surface.
There is no epidural hemorrhage.
Only a small amount of subdural hemorrhage is present, approximately 5 cc. over both
convexities.
The marked zone of fracturing over the left parietal temporal region extends deeply
down into the petrous portion of the temporal bone on the left side as well as through
the left orbital plate and sphenoid wing.
Further fractures extend across the midline to the right petrous ridge forming a
hinge type fracture.
The brain weighs an estimated 14OO grams. Gyri are mildly flattened and sulci
narrowed. The uncal gyri both show small notches. The cerebellum shows minimal
cone. Subarachnoid hemorrhage is present over the undersurface of the left frontal
lobe and its lateral surface and is also present over the right posterior temporal
lobe laterally. A small amount of subarachnoid hemorrhage is present patchily within
the cerebellum. The vessels at the base are unremarkable.
Multiple slices of cerebrum show marked bruising and laceration of the left lateral
parietal temporal region over an area 3 inches in greatest dimension. This extends
for a maximum depth of 1 inch into the parenchyma. It extends from the frontal onto
the temporal lobe on the left.
Occasional tiny petechiae are present on the upper pons on section. The ventricular
system, the lateral ventricles, show approximation of their edges and pink spinal
fluid is present in the ventricles. The right lateral occipital parietal area over
a 1 inch zone shows marked contusion. This occurs roughly under the 2 posterolateral
lacerations described on the right side of the scalp.
NECK ORGANS
The skin of the neck shows no areas of bruising or abrasion at this time. The
deep soft tissues, however, in the midline of the neck, show a large sized area of
hemorrhage in the musculature over the thyroid cartilage, predominantly on the
left side but partially on the right. It is up to 3/4 inch in length, and extends
down to the cartilaginous structures. Further zones of hemorrhage occur in the
soft tissues about the end of the thyroid cartilage, the greater cornua on the right
side. Two such zones of hemorrhage up to 1/4 inch in greatest dimension are present in
this region. The laryngeal lumen contains a small amount of liquid blood, as does
the tracheal lumen. The tongue shows no evident bite marks. The laryngeal cartilages
appear free of fractures as does the hyoid bone.
ORGAN DESCRIPTION
HEART: The heart weighs an estimated 300 grams. The epicardial surface is glistening
and smooth. The coronary vessels are unremarkable. The myocardium is firm and dull
red. The endocardium is glistening. The valves show no lesions.
LUNGS: The left lung weighs approximately 400 grams, the right lung approximately
500 grams. The lungs are generally air containing and fluffy, with only few focal
zones of surface grayish atelectasis. The pulmonary arteries show no premortem clot.
The bronchi contain a small amount of bloody mucus.
LIVER: The liver weighs an estimated 1400 grams. The surface is smooth. The
edge is sharp. On section, the markings are maintained. The extrahepatic ducts and
gallbladder show no features of note.
PANCREAS, SPLEEN, AND ADRENALS: The pancreas is lobulated, firm, and pinkish-yellow
in color. The spleen is approximately I00 grams in weight. It is dull red and firm.
The adrenals are unremarkable.
KIDNEYS: The kidneys weigh approximately l20 grams. The capsules strip readily, leaving
smooth surfaces. On section the cortices are differentiated from the medullas. The
renal pelves are unremarkable. The urinary bladder contains approximately an ounce of
cloudy yellow urine. The prostate is not papably enlarged.
MAJOR VESSELS: The aorta is free of sclerosis. The vena cava contains no premortem
clot.
G. I. TRACT: The esophagus is empty. The stomach contains approximately 2 ounces of
black-greenish thick liquid. The small and large bowels show no significant features.
The appendix is present.
NOTE: The lower rim of the orbit on the left side is fractured in conjunction with
a fracture down through the maxilla and zygoma in this region.
DIAGNOSES:
l. Multiple skull fractures with facial bone fractures and lacerations and
contusions of brain with brain swelling.
2. Meningeal hemorrhage, brain.
3. Multiple fractured teeth and loosened teeth.
4. Aspiration of blood, modest.
5. Ligatures, wrists and ankles.
6. Hemorrhages, deep soft tissue of neck with facial. Petechiae and facial
swelling--strangulation.
MATERIAL TO PATHOLOGY: Representative tissues.
MATERIAL TO CBI. TOXICOLOGY SECTION: Heart blood and urine for toxicology screen.
X-RAYS BY: Sacramento Portable X-ray Service.
MATERIAL TO DETECTIVE DENNIS FORCINO
AT @:00 P.M.: Head hair, pubic hair, right and left hand
fingernail scrapings, oral and rectal swabs,
one tube of heart blood, white fiber from
hand.
PHOTOGRAPHS BY: Detective Forcino and by Dr. Rooney.
PATHOLOGY ASSISTANT: Louise Nichols.
ASSISTING PATHOLOGIST: Rick Baier, M. D.
FORM Microscopic
PAGE 1
DATE 4/17/81
NAME Dana Wingate
NUMBER ADP 81-07
HEART: The epicardium and coronary vessels are unremarkable. The
myocardial fibers are uniform and the endocardium shows no features
of note.
LUNG: Sections of large bronchi show scattered epithelial cells within
the lumen. The parenchyma shows pink staining edema fluid or red
cells within alveoli and a mild degree of decomposition is present
with loss of architecture of alveolar septae in some instances.
NECK ORGANS: Sections from the zones of hemorrhage within the neck
shows extravasation of red cells into voluntary muscle and into the
muscular interstices. Hemorrhages also occur into the regional fat.
LIVER: The liver architecture is essentially well preserved.
BRAIN: The cerebral sections show numerous zones of contusion
hemorrhage of the cortex and areas of subarachnoid hemorrhage are
present. Lacerations of the brain are present with jagged edges which
frequently show attached and nearby red cells. Petechiae are sometimes
noted in the white matter.
ORAL SMEAR: The oral smear is composed of mature squamous cells and
few scattered bacteria are noted in the background.
RECTAL SMEAR: The rectal smear shows uniform epithelial cells
along with some amorphous debris.
FINAL DIAGNOSES:
l. Multiple skull fractures with facial bone fractures and
lacerations and contusions of brain with brain swelling.
2. Hemorrhages, deep soft tissues of neck with facial petechiae
and facial swelling—— strangulation.
3. Meningeal hemorrhage, brain.
4. Multiple fractured teeth and loosened teeth.
5. Aspiration of blood, modest.
6. Ligatures of wrists and ankles.
CAUSE OE DEATH:
CRANIOCEREBRAL TRAUMA AND STRANGULATION.
