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Anna had an un-diagnosed concentric left ventricular hypertrophy, mild mitral valve prolapse, atherosclerosis, and mild peripheral vascular disease in the left leg. Also, mentioned again, Anna has high glucose levels (280 mg/dL), which can lead to atherosclerosis. Atherosclerosis can lead to an infarction, cardiac arrest, and possibly a stroke.

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Anna had breathing problems, low oxygen levels in her body (in her blood, organs, etc.),  and  spleen sequestration. These complications of sickle cell anemia could have caused her death as they have dire consequences. (death, weakened immune system)

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The blood analyzed contained a low amount of hematocrit (20%). Also, there was an abnormal amount of white blood cells, which indicated that there was some type of foreign substance of virus/bacteria. Another detail included in the autopsy report is that her nails and fingers were discolored. This means that there was a lack of oxygen in the body at that time.

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Anna had complications from Ketoacidosis (DKA), Oral Health Problems, Eye Complications, and Kidney Disease. Ketoacidosis, Oral Health, and Kidney Disease are very fatal. Ketoacidosis happens when energy is coming from fats instead of glucose and it releases deadly ketones. Oral Health can lead bacteria into the bloodstream eventually making the bloodstream toxic. The kidneys filter excess waste and if it is down the bloodstream becomes toxic.

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There was a high level of glucose in the bloodstream. To be exact, the Blood glucose level was 280 mg/dL (normal range 70-125 mg/dL). This means that Anna experienced a case hyperglycemia before she died.

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Anna was not eating the right types of food for a diabetic. She ate sugar high food groups and was missing out on important nutrients. (fruit/proteins)

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Anna has been diagnosed with sickle cell disease when she was younger and is now experiencing signs of diabetes, such as thirst, often urination, fatigue, lost of weight, and most important, excess glucose in the bloodstream. Anna's family has history of high cholesterol diets and heart diseases.

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Her diet contained a lot of fat, carbs, and empty calories. This diet was not appropriate for her condition and may have led to her death.

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1. Boot print: Anna

3. Hair: Anna

7. Blood: B type
~~~~~Alex or Anna

9. Fingerprints: Alex

12. Pills: Acetylsalicylic Acid (Aspirin)

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Toxicology:
Preliminary Blood Results-

No evidence of alcohol - BAC (% by volume), 0.015
Trace amounts of acetylsalicylic acid
No evidence of overdose of non-prescription or prescription drugs

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1. Generalized pallor and evidence of oxygen deprivation.
2. Fingernails and toenails blue/gray color.
3. Evidence of vomit in oral cavity.
4. Blunt trauma to the head, wound indicative of a fall against a solid object, light bleeding suggesting lack of blood flow.
5. Edema of ankles visible.

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General Appearance:
- well developed
- well nourished
- no evidence of post-mortem tampering
- rigor mortis is generalized

Clothing and Valuables:
- ring on right ring finger
- clothes not torn but stained with blood
- small amount of vomit on  shoulder of blouse

Head and Neck:
- head is normally shaped
- medium length black hair
- injury to the right temple
- (open wound with pre-mortem bruising)
- neck shows no sign of injury

Trunk:
- chest and torso are correct size
- no visible sign of trauma
- abdomen is distended

Extremities:
- symmetrical without abnormalities
- ankles are swollen
- signs of edema are positive with moderate fluid accumulation
- fingernails show substantial graying (low oxygen)
- right proximal humerus and left distal tibia shows signs of a recently healed break
- inflamed, red injection sites on left thigh

Injuries:
- head wound at right temple, 2cm in length, 5 mm in depth at the center
- surrounding area bruised, limited bleeding evident
- no skull fracture

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Case # 304
Decedent :   Anna Garcia
Age :  38
Weight :  165
Height :  64 Inches
Race :  Hispanic
Sex :  Female
Date and Time of Autopsy :  August 15 11:00 am
Preformed By :  Dr. Jane King

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Anna's DNA

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Erica Piedmont
New wife of Alex Garcia
Seen sitting in a car parked on the street in front of Anna's house the day before her death
Erica And Alex recently got seen having a heated argument at a diner

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Alex
Alex is Anna's former husband , went through a nasty divorce, remarried, benefiting of Anna's life insurance ,went to Anna's house the night before to do paper work

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She seemed to have dropped a bag and some drinks bought from Mc Donalds. evidence 6 and 8

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The pills found was aspirin

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Dough spoke to Anna the previous morning

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Was Wearing a sweater

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There seems to be some sorts of pills

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Anna is missing another boot but there is foot prints by her. evidence 3 and

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Anna seemed to have vomited vomited by a syringe that seemed to have been used . evidence 5 and 7

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Police and EMT arrived at 9:56 am

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Lucy mentioned Anna was in the hospital recently, she no longer took antibiotics that was prescribed to her. Complained of back pain radiating towards her sides

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Dough  Greene
Neighbor
last saw Anna when she was walking her dog at 6:30 am yesterday morning
Reports recently she's been skipping the morning walk
They were involved romantically, but Anna cut him off last week.

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Anna died at 7 a.m

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The finger prints found

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Anna was lying face down in the hall way

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Was 92f summer morning

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Lucy Leffingwell
Anna's best friend and co worker
Anna and Lucy have been arguing lately about business
Last saw Anna at work yesterday had to take care of something
Debating whether or not to buy Anna out her half of the business

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What pill was she taking

Why did she stop taking antibiotics

Why was there blood by her

Why was there vomit on the ground

What was she using the syringe for

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was walking the dog

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Evidence 4 and 2 had blood splatter number 2 was farther off than 4

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It was hot, 92°F summer morning. The emergency call came in at 9:45 am. A man contacted the police to report that he was worried about his next door neighbor, a woman named Anna Garcia. He informed the police that he had spoken to Anna the previous morning when he saw her walking her dog around 6:30 am. He noted that she was wearing a sweater even though they were currently experiencing a heat wave. He decided to call the police that morning because Anna's dog had been barking excitedly for the last two hours (which is extremely unusual in this normally quiet suburban neighborhood). He tried to call Anna on the telephone, but no one answered. Next he tried ringing her doorbell, but there was no answer. The 911 operator notified the local police and the emergency medical technicians (EMT). Both the police and the EMT arrived at the scene at 9:56 am. The front door had to be broken down. Upon entering the house, they found Anna lying face down in the entry hallway. It was a comfortable 73°F inside the house. The EMT determined that Anna was dead. The police immediately notified your team of crime scene investigators as well as the medical examiner, both of whom were dispatched to the house. Has a crime been committed? The mystery begins!