Spring Harbor- The Death of Rachelle Ramira


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Evidence: Autopsy Report

 

Evidence: Autopsy Report OFFICE OF THE CORONER OF COOK COUNTY

AUTOPSY REPORT
NAME: Rachelle Ramira
DOB: 11/30/92
AGE: 26
SEX: F
HEIGHT: 5'6"
WEIGHT: 132 lbs
PATH MD: J. Johnson
TYPE: COR
AUTOPSY NO: 129345
AUTOPSY D/T: 1/3/18
AUTOPSY TIME: 8:04 AM

 

External Examination
The body is that of young, fit 26 year old white female measuring about 5'6" in length and weighing about 132 pounds. Rigor mortis is present and equal in all joints. The hair is light blond in color, the eyes are green. The nose and ears are unremarkable. The teeth are natural with the exception of a crown implant. The chest is symmetrical, the abdomen is unremarkable. The upper and lower extremities show no other deformities. There is a slight laceration on subject's right tibia. Clothing is blue cotton pajamas. White clothing fibers were found along the underside of the tongue and gums. A small incision was found along the side of the tongue, apparently caused by the subject biting her own tongue.  The contusion along posterior occipital bone distinctive of contact with blunt force trauma.

Evidence of Injury:

U-shaped laceration (25 mm) on on right tibia. Incision on tongue.  Fibers and skin cells removed from underside of victim's fingernails.  Contusion on posterior occipital bone. Two small contusions on right and left clavicle (35 mm) showing slight hematoma of tissue.  Shapes appear to be oval, possibly caused by compression by right and left pollex.

Estimated Time of Death

Body had been found along shoreline. External body temp was below 0 C.  No entomological evidence present. Death occurred between 4-12 hours after last eating.  Removal of vitreous humor completed and sent to lab for further analysis.

Internal Examination
Central Nervous System:
The brain weighs 1,303 grams and is within normal limits.
Skeletal System: No broken or fractured structures in skeletal system.
Respiratory system: The oral cavity shows slight incision (5 mm) on tongue. 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 lungs weigh: right, 355 grams; left 362 grams. The lungs filled with fluid (water) that was collected for later analysis. 
Cardiovascular system: The heart weighs 253 grams, and has a normal size and configuration.
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 (8-10 g) of partially digested semisolid food is found in the stomach.
Urinary System: The kidneys weigh: left, 115 grams; right, 113 grams. The kidneys are anatomic in size, shape and location and are without lesions.
Reproductive organs: Examination of the pelvic area indicates the victim had no abnormalities, had not given birth and was not pregnant at the time of death.

Toxicologic Studies: Upon admission, gastric contents were disgorged, collected, and sent to the State Crime Lab for analysis. (Report). Laboratory analysis of the gastric contents shows 8-10 grams of chicken and bread or breading. Alcoholic fluids co-joined with the food substances. Items consumed approximately 4-12 hours before death. Stomach contents collected and sent for further analysis. 

Upon admission, local law enforcement officers informed emergency room personnel that a criminal investigation involving the victim was possible. In accordance with evidence gathering procedures, hospital staff took routine samples from underneath the victim's fingernails at that time and submitted the samples to the State Crime Lab. Fibers from below the fingernails were obtained and will be made available for future comparison.

//Jennifer Johnson, M.D.

Coroner 1/3/18

 

 

 


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