Autopsy

BEGIN TRANSCRIPTION

Autopsy Protocol
Orleans Parish Coroner’s Office
No. S63-8-152
Name: Lonzy Haywood Minshew
Age: 45
Color: W
Sex: M

Date & Time of Death: 8-17-63 at 7:49 A.M.
Date & Time of Autopsy: 8-17-63 at 9:00 A.M.

Final Diagnoses

1. Massive subarachnoid hemorrhage with extension to ventricles.
2. Fracture of thyroid cartilage of larynx on right with hemorrhage into strap muscles.
3. Small hemorrhage, left side of 1st cervical vertebra, posteriorly.
4. Multiple abrasions.
5. Laryngeal edema and hemorrhage.
6. Pulmonary edema.
7. Laceration of chin.

Classification of Death: Homicide

Lloyd F. LoCascio, M.D. Asst. Coroner

Autopsy Protocol
Lonzy Haywood Mienshew [sic] (Unknown)
45 W/M

EXTERNAL EXAMINATION: The body is tagged with New Orleans Police Department Identification tag # 459, which is removed by Dr. Lloyd F. LoCascio, Assistant Coroner, who is present at the autopsy. The body is that of a middle aged white male appearing around the stated age of 45 to 50 years of age. The body measures 5 ft. 11 in. in height and weighs 137 lbs. External examination shows the hair over the head to be short and gray to brown in color. The eyes are bluish and there are areas of subconjunctival hemorrhage noted in both the right and left conjunctive. The hemorrhage is most marked on the left side. There is an oblique scar on the left chest 11 cm in length which extends from the sternum at the level of the 2nd costal cartilage to the level of the 5th rib 3 cm to the left of the sternum. There is an 8 cm vertical scar in the right lower quadrant of the abdomen. Rigor mortis is well marked. There is moderate dependent lividity over the posterior portion of the body. There is a 2 cm laceration of the chin which is vertical in nature. There is a 2 1/2 by 2 cm abrasion over the lateral aspect of the left eyebrow. There are multiple diffuse lacerations involving the entire left side of the face extending from the malar eminence down to the angle of the mouth on the left side. There is a small amount of blood noted in the left external ear. Examination of the mouth shows numerous small contusions of the lips. There is an upper plate present in the mouth with a recent break along the left upper margin of the plate. After removal of the plate examination of the oral cavity shows the presence of a small amount of dirt and there are no teeth noted in either the upper or lower jaw. There is an abrasion at the undersurface of the chin around the area of the previously mentioned laceration and there is also a small abrasion on the lower aspect of the left side of the mouth. There is a 3 by 2 cm abrasion on the dorsum of the left shoulder. There is a 2 by 3 cm abrasion on the dorsum of the right knee. There are multiple small abrasions on the patella of the left knee, and also contusions present on the patella in this area above and below on the left knee. There are multiple small punctate reddish lesions, which have the appearance of recently healing punctate injuries located in the pretibial regions of both the right and left leg. There are multiple superficial abrasions noted on the right forearm. There is a 4 by 3 cm abrasion behind the right elbow. There is an abrasion on the dorsum of the left wrist. There appears to be a small pressure mark located in the 4th rib on the left side anteriorly.

INCISION: The body is opened with the usual Y-shaped autopsy incision. On reflecting the skin from the anterior neck there is seen to be diffuse hemorrhage into the strap muscles of the neck, most marked on the right side. Dissection of the strap muscles shows the hemorrhage around them and also around the thyroid gland and the larynx. The hemorrhage extends around posterior to the larynx and is most marked on on the right side. Examination of the body cavities shows them to be normal except for the presence of several small scattered adhesions at the apex of the left lung. The abdominal cavity also shows a few small adhesions in the region of the cecum. The pericardial cavity is normal.

HEART: Examination of the heart in situ shows the epicardial surface to be smooth and glistening. The pulmonary artery shows no evidence of embolus. The heart is removed and weighs 280 grams. The coronary arteries are patent throughout. The myocardium is brown and slightly flabby in consistency but shows no lesions. The endocardium is smooth and the cardiac valves are normal.

RESPIRATORY TRACT: Examination of the larynx shows very marked edema in the region of the aryepiglottic fold and cuneiform tubercle. The edema is present on both the right and left side but is most marked on the right. The larynx shows a fracture on the right side in the region of the inferior tubercle of the larynx on the right anterior lateral aspect of the larynx. There is a small amount of hemorrhage noted in this area. On opening the larynx there is seen to be extensive submucosal hemorrhage on the right side immediately beneath the vestibular fold of the vocal cord and extending down to the ruffle of the 1st tracheal ring. A similar amount of hemorrhage is noted on the left side but it is not quite extensive. Examination of the hyoid bone shows it to be intact. The trachea itself appears normal. Both lungs together weigh 1170 grams. The pleural surfaces are smooth except for the previously mentioned adhesions of the apex of the left lung. On palpation a moderate decrease in crepitancy is noted. Examination of the major bronchi show them to be normal. The pulmonary arteries are normal. On cut section the cut surface of the lung shows normal pulmonary markings and pressure on the lung causes a moderate exudation of bloody frothy fluid from the cut surface. No discreet areas of consolidation are noted.

LIVER: Weighs 1490 grams. The capsule is smooth and brown in color. On cut section normal hepatic parenchymal markings are noted. The gall bladder and extra hepatic biliary passages are normal. The liver is found to weigh 1490 grams.

PANCREAS: The pancreas show moderate autolysis but is otherwise normal.

ADRENALS: Normal.

SPLEEN: Weighs 170 grams. The capsule is smooth and purplish bluish color. On cut section no lesions are noted.

KIDNEYS: Both kidneys together weigh 300 grams. The capsules strip with ease. The cortical surface is smooth. On cut section normal renal marking are noted.

LOWER URINARY TRACT: The ureters are normal. The bladder contains approximate 400 cc of urine and is distended to a point approximately 3 cm above the symphysis pubis. Palpation of the prostate gland shows it to be essentially normal.

GASTRO-INTESTINAL TRACT: The esophagus is normal. The stomach contains approximately 10 cc of grayish mucoid material. The mucosa of the stomach is normal. Examination fo the small bowel shows no lesions. Examination of the large bowel shows operative absence of the appendix, but the large bowel is otherwise normal.

HEAD: On reflecting the scalp there is seen to be hemorrhage into the right temporalis muscle and a small amount of hemorrhage noted on the undersurface of the scalp in the region of the left temple. On removing the calvarium there is seen to be a moderate amount of subarachnoid hemorrhage located over the lower aspects of the left cerebral hemisphere and right cerebral hemisphere. On removing the brain there is seen to be extensive hemorrhage of the undersurface of the brain in the subarachnoid space involving the entire basal cisternal system and extending down around the foramen magnum to the cervical portion of the cord. The brain weighs 1330 grams. Examination of the brain shows diffuse hemorrhage on the undersurface of the brain in the subarahnoid space involving the undersurface of both temporal lobes and surrounding the entire basil portion of the pons and undersurface of the cerebellum. The hemorrhage is localized to the subarachnoid space and there is no hemorrhage noted in the subdural space. Multiple coronal sections through the cerebral hemispheres show the presence of blood clots within the entire ventricular system, however there are no lesions of the cerebral substance noted. Multiple sections through the cerebellum and brainstem shows the presence of blood within the 4th ventricle but the brain itself shows no intrinsic lesions, except for the previously mentioned subarachnoid hemorrhage. Examination of the base of the skull and the calvarium after removal of the dura shows no evidence of any fracture. Examination of the cervical vertebra by means of a posterior incision on the back of the neck and extending up to the base of the skull shows the presence of a small amount of hemorrhage on the left posterior aspect of the 1st cervical vertebra. Examination of the cervical vertebra in this region shows no evidence of fracture nor is there any evidence of abnormal mobility in this area. The cervical and thoracic cord is removed and there is noted to be a small amount of hemorrhage on the posterior aspect of the cervical cord most marked in its upper aspect and a small amount of blood is noted in the subarachnoid space in the lowermost portion of the thoracic cord. Multiple sections throughout the cord at different levels show no involvement of the cord itself.

PROVISIONAL ANATOMICAL DIAGNOSIS:

1. Massive subarachnoid hemorrhage with extension to ventricles.
2. Fracture of thyroid cartilage of larynx on right with hemorrhage into strap muscles.
2. Small hemorrhage, left side of 1st cervical vertebra, posteriorly.
4. Multiple abrasions.
5. Laryngeal edema and hemorrhage.
6. Pulmonary edema.
7. Laceration of chin.

Monroe S. Samuels, M. D.
Pathologist
smk

Lloyd F. LoCascio, M.D.
Assistant coroner
Parish of Orleans

END TRANSCRIPTION

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