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REPUBLIC OF THE PHILIPPINES

PHILIPPINE NATIONAL POLICE

CRIME LAB

BAGUIO CITY
DATE and HOUR AUTOPSY PERFORMED:
01/24/2015; 8:45 A.M. by Assistant:
Julia Montez, M.D.
Anne Curtis, M.D.
Kayang Street, Baguio City, Benguet Full Autopsy Performed
662-234-XXXX (FAX 662-234-XXXX)

SUMMARY REPORT OF AUTOPSY


Name: Coroner's Case #:
DELA CRUZ, John 2016-277

Date of Birth: Age:


8/22/1981 34

Race: Sex:
Asian Male

Date of Death: Body Identified by:


01/22/2016 Juana Dela Cruz, wife of the deceased

Case # Investigative Agency:


001294-23E-2016 PNP

EVIDENCE OF TREATMENT:

N/A

EXTERNAL EXAMINATION:

The autopsy is begun at 8:45 A.M. on January 24, 2016. The body is presented in a black
body bag. The victim is wearing a brown jacket and red tee shirt and a blue camouflage
pants.

The body is that of a normally developed Asian male measuring 5’ 6” and weighing 150
pounds, and appearing generally consistent with the stated age of thirty-four years.
The body is cold and un-embalmed. Lividity is fixed in the distal portions of the
limbs. The eyes are open. The irises are brown and corneas are cloudy. Petechial
hemorrhaging is present in the conjuctival surfaces of the eyes. The pupils measure 0.3
cm. The hair is black, straight, layered and approximately 3 inches in length at the
longest point.

The gunshot wound is located on the head located approximately at the center on the
back of the head; it is 3/4” diameter oval perforation with a 1/4” circumferential rim
of ragged red abrasion. Powder residue is present in the wound track indicating point-
blank range.

The genitalia are that of an adult male and there is no evidence of injury. Limbs are
equal, symmetrically developed and show no evidence of injury. The fingernails are
medium length and fingernail beds are blue. There are no residual scars, markings or
tattoos.

INTERNAL EXAMINATION:

HEAD--CENTRAL NERVOUS SYSTEM: Subsequent autopsy shows a bullet penetration in the back
of the head due to a gunshot wound. The brain weighs 1,303 grams and within normal
limits. The brain is damaged due to a bullet.

SKELETAL SYSTEM: There is a hole at the back of the skull due to a bullet penetration.

RESPIRATORY SYSTEM--THROAT STRUCTURES: The oral cavity shows no lesions. Petechial


hemorrhaging is present in the mucosa of the lips and the interior of the mouth.
Otherwise, the mucosa is intact and there are no injuries to the lips, teeth or gums.
There is no obstruction of the airway. The mucosa of the epiglottis, glottis, piriform
sinuses, trachea and major bronchi are anatomic. No injuries are seen and there are no
mucosal lesions. The hyoid bone, the thyroid, and the cricoid cartilages are intact.

The lungs weigh: right, 355 grams; left 362 grams. The lungs are unremarkable.

CARDIOVASCULAR SYSTEM: The heart weighs 253 grams, and has a normal size and
configuration. No evidence of atherosclerosis is present.

GASTROINTESTINAL SYSTEM: The mucosa and wall of the esophagus are intact and gray-pink,
without lesions or injuries. The gastric mucosa is intact and pink without injury.
Approximately 125 ml of partially digested semisolid food is found in the stomach. The
mucosa of the duodenum, jejunum, ileum, colon and rectum are intact.

URINARY SYSTEM: The kidneys weigh: left, 115 grams; right, 113 grams. The kidneys are
anatomic in size, shape and location and are without lesions.

MALE GENITAL SYSTEM: The structures are within normal limits.

TOXICOLOGY: Sample of right pleural blood and bile are submitted for toxicologic
analysis. Stomach contents are saved.

SEROLOGY: A sample of right pleural blood is submitted in the EDTA tube. Routine
toxicologic studies were ordered.

LABORATORY DATA

Cerebrospinal fluid culture and sensitivity:

Gram stain: Unremarkable


Culture: No growth after 72 hours

Cerebrospinal fluid bacterial antigens:

Hemophilus influenza B: Negative


Streptococcus pneumoniae: Negative
N. Meningitidis: Negative
Neiserria meningitidis B/E. Coli K1: Negative

Drug Screen Results:

Urine screen {Immunoassay} was NEGATIVE.


Ethanol: 0 gm/dl, Blood (Heart)
Ethanol: 0 gm/dl, Vitreous

Johnny Bravo, Ph.D.


Chief Toxicologist
January 24, 2016

EVIDENCE COLLECTED:

1. One (1) red short sleeve tee shirt, size medium.

2. One (1) pair blue camouflage pants, size medium.

3. one (1) brown jacket

4. Samples of Blood (type O+), Bile, and Tissue (heart, lung, brain, kidney, liver,
spleen).

5. Fifteen (15) swabs from various body locations, to be tested for presence of
hypochlorite.

6. Eleven (11) autopsy photographs.


7. one (1) bullet fragment recovered from the brain

OPINION

Time of Death: Body temperature, rigor and livor mortis, and stomach contents
approximate the time of death between 10:00 and 11:00 P.M. on 01/23/2016.

Immediate Cause of Death: Point-blank gunshot wound to the back of the head penetrating
the skull and wounding the brain.

Remarks: Decedent originally presented to this office as homicide victim. Baguio City
detectives were notified of this finding immediately upon conclusion of examination.

//Anne Curtis, M.D.


PNP Coroner's Office
January 24, 2016

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