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Anna Garcia ate a lot of things that she shouldn't have. These things may have led to her death. She ate a lot of white bread. This contains a lot of carbohydrates which is not good for her diabetes. She also did not chose healthy drink options. She drank sodas such as coke and sprite. These beverages have a high sugar content which is not good for her diabetes. She also ate Ritz crackers which are high in carbohydrates. On the last night of the food diary, Garcia had ice cream with marshmallows and she also had 5 Oreo cookies. In that whole dessert, there were 72 grams of sugar. All of this food is not healthy or safe for diabetics. As you can see, Anna Garcia made very poor diet choices which may have been a key factor to her death.

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https://docs.google.com/document/d/19pZ83GvYM1NqzL2fk31gQhbt7YW3gyBaNMF1GkVpT8E/edit?usp=sharing

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https://docs.google.com/document/d/120UjVqoYM3Ac7CtXba7FKulkcARndE5vtdczwzpFysQ/edit?usp=sharing

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Another cause of death could be diabetic ketoacidosis. Diabetic Ketoacidosis is the condition where the body produces excess blood acids. (ketones). This is evidenced by the ketones found in the urine of Anna Garcia. Symptoms of Diabetic Ketoacidosis were also shown by patient. As evidenced by the Medical History of Anna Garcia, she showed signs of fatigue, excessive thirst and urination, and had lost almost 10 lbs since she visited last.

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A possible cause of death could be kidney disease or proteinuria. Proteinuria is the condition when diabetes or high blood pressure cause damage to kidneys, which in turn will cause proteins to leak into the urine.This is evidenced by the necrosis and pallor of the left kidney. Also upon analysis of the urine, protein was found.

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https://docs.google.com/document/d/16hiWsdK_q0w1OVPOsDifX6ZWp313W10UVSIXxIax5p0/edit?usp=sharing

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https://docs.google.com/a/lammersvilleusd.net/document/d/1WtbjVGwi3x213t_aQggkEniZNclxtd5GzkRfXkGbOxI/edit?usp=sharing

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This patient had untreated diabetes. The symptoms of this are frequent urination, as evidenced at the hospital, Increased thirst, this is explained by the orange drink at the scene of the crime, nausea and vomiting, which explains the vomit found at the scene, and fever, which is why the patients was wearing a sweater while walking her dog. She was most likely experiencing chills.

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The patient was infected with S. Marcescens during her hospital stay as mentioned in Case History. This condition id evidenced by the symptoms which the patient also suffered from. The patient had UTI evidenced by pink color of urine. The patient had to urinate frequently at the hospital.

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S. Marcescens is a rod shaped, gram-negative bacteria. It is mainly transfer by hand-to-hand contact by medical personnel. The subject may have contracted this bacteria during her stay in the hospital. A UTI is one of the main symptoms of S. Marcescens. Other symptoms include fever, which may induce shivers, frequent urination, and pain upon urination. The patient has shown all of these symptoms.

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S. Marcescens

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These results indicate that the bacteria was indeed Serratia Marcescens

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The results of the Gram Stain test indicated that if the bacteria is gram negative or positive and the bacteria's shape and size.

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Anna's sample matched that of a bacteria called Serratia Marcescens. It matched in color size and elevation.

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Positive for Bacterial Infection. Further tests need to be performed.

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Urinalysis
Gross Examination of Colony Morphology
Gram Stain
Biochemical

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Anna is a 38 year-old woman. She has a history sickle cell anemia, diabetes, heart disease, and hypercholesterolmia. She was admitted in to the hospital for extreme pain due to her sickle cell disorder. She had fatigue and pain in her exetremities. (hand, foot). During her stay, pain in legs was so bad that she admitted to a bed. And also needed a urinary catheter to urinate. She had to urinate frequently and only small amounts were passed. The urine was slightly pink in color indicating a UTI.

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https://docs.google.com/a/lammersvilleusd.net/document/d/1gTu5GGYbbqR23MFWTssTnGD0rgwNBNWBKBmuClvGpkU/edit?usp=sharing

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She died of natural causes. Hypoxia caused by a pulmonary edema. Evidenced by grayish blue tone of fingernails and toe nails.

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She died of natural causes. Congestive Heart Failure (CHF) Evidenced by edema of ankles

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Shoe print found at crime scene belonged to Anna Garcia

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Hair found at crime scene belonged to Anna Garcia

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Lucy Leffingwell

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Doug Greene

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Erica Piedmont

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Alex Garcia

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Blood found at crime scene belonged to Anna Garcia

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1. Pale Face
2. Blue/Gray fingernails
3. Bloated Chest/Trunk