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If Anna Garcia did not lower her blood pressure by not taking the ACE inhibitors, following her dietary restrictions and recommended exercise, this could lead to complications. Medical file 4.3.1 showed a high blood pressure of 140/72. This high blood pressure could have been an indicator that Anna Garcia had congestive heart failure. With no proper treatment, the results would be fatal.

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Anna Garcia died from a heart murmur. Because her medical files from 4.2.1 indicate she has premature ventricular contractions, her irregular heartbeat could have a fatal consequence. If her heart consistently had irregular heartbeats this could be dangerous to her heart because the blood would be flowing in the other direction making her heart unable to obtain the oxygen needed for the heart to pump blood. Anna Garcia's 4.1.2 autopsy report showed she had a mitral valve prolapse meaning her valve could not close disrupting the direction of the blood flow. If oxygen could not reach her body, this could be the reason she died.

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Anna Garcia died from coronary heart disease. Although her autopsy report in 4.1.2 showed she had a stent for the artery blockage, it was not enough as there was more plaque on top of the stent. She has a buildup of plaque and if this not get the proper treatment like an angioplasty or bypass graft surgery then the result could have been fatal. If this blocked artery did not get treatment, oxygen could not be properly pumped into the heart and the organ would die, ultimately this could have lead to Anna Garcia's death.

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Anna Garcia had a urinary tract infection from the bacteria Serratia Marcescens. This UTI, if not fully treated could have lead to something more fatal. Anna Garcia could have received septicemia, blood poisoning, caused from untreated bacteria in the urine. Septicemia is a serious bloodstream infection in the urine, which is blood poisonous. To treat this infection, it is important to see a doctor immediately. Because it is unknown whether or not Anna Garcia got it treated, this could lead to an infection much worse with grave conditions like death. Evidence to back up this theory can be found in medical history 5.1.1
https://docs.google.com/a/lammersvilleusd.net/document/d/1mqKdyrv3X-kwi_1NnfsIBNtoY-G-TiKZcf9xBVY2Flg/edit?usp=sharing

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Anna Garcia suffered from sickle cell anemia. Red sickle blood cells are sickled shaped, they are curved. Due to the abnormality of the shape, the have a hard time getting through the veins and arteries. With this in mind, Anna could have had a blockage of cells moving through the arteries in the brain. This would cause no blood flow to the brain, because of no oxygen causing death. This is a stroke. Evidence to back this up can be found in the diagnosis in the 3.1.2 medical history doc
https://docs.google.com/a/lammersvilleusd.net/document/d/1mqKdyrv3X-kwi_1NnfsIBNtoY-G-TiKZcf9xBVY2Flg/edit?usp=sharing

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https://docs.google.com/a/lammersvilleusd.net/document/d/1dTedh59xPwVInhH6E62ErqtuT4W_kRuQwva_RKif9lo/edit?usp=sharing
- Anna needs to be eating more proteins ex. Meats, poultry, fish, nuts, eggs.
-  Needs more carbs like pastas and bread
- Need to eat more fruits and vegetables
- Needs to eliminate the unhealthy and fatty foods from her diet like pizza and chips

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Medical History                                                                                                                          3.1.2

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Medical History                                                                                                                          3.1.2

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https://docs.google.com/a/lammersvilleusd.net/document/d/1mqKdyrv3X-kwi_1NnfsIBNtoY-G-TiKZcf9xBVY2Flg/edit?usp=sharing

-This medical history report is from Anna Garcia at 14 months. This report concludes that she was diagnosed with sickle cell anemia at a young age as heart disease duns in her family. The pedigree can show that both Anna's parents are carriers of sickle cell disease. (Ss) This means her parents are heterozygous dominant. The hematocrit shows her blood levels were 20% which is below normal. Her blood oxygen levels were lower then normal. In the CBC Anna's red blood cell count had reduced levels and her white blood cell count increased levels. The CT scan showed an abnormal spleen, and concluding with a diagnosis of sickle cell anemia.

5.1.1
https://docs.google.com/a/lammersvilleusd.net/document/d/1mqKdyrv3X-kwi_1NnfsIBNtoY-G-TiKZcf9xBVY2Flg/edit?usp=sharing
- After taking a look at Anna's medical history, it can be diagnosed that Anna had a urinary tract infection from the bacteria Serratia Marcescens. Her symptoms included a feeling of a persistent urge to urinate often and her urine appeared cloudy and slightly pink in color. This was an indicator of a UTI which was tested to identify the bacteria. The urinalysis showed positive results for a bacteria infection. The gram stain indicated gram positive and the gross  morphology test indicated bacillus.
4.2.1
https://docs.google.com/a/lammersvilleusd.net/document/d/1C2PeBj5ETreBW9EWBDZMb1X3pSjn-M3rX8-3x5D1zjM/edit?usp=sharing
- Anna Garcia is diagnosed with tachycardia, this means she has a faster heart beat. Because of her high systolic blood pressure (140/72) she has been diagnosed with stage one hypertension. She has premature ventricular contractions meaning she has an irregular heartbeat, this can create complications if they are consistent. In order to lower her blood pressure she must have healthier dietary habits and increase her amount of exercise. This can ease her risk of coronary heart disease or heart attack.
4.3.1
https://docs.google.com/a/lammersvilleusd.net/document/d/16VelgrtD2jPVaQcEdYy9aTZb9RDnDXzHc3cbfSjTpDg/edit?usp=sharing
Anna Garcia had familial cholesterolemia, this is hereditary as she has a family history of hypertension and heart disease. This disease makes you unable to excrete LDL. Because of this genetic disease, with precaution and a healthy lifestyle she can continue to live normally.

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Autopsy Report                         1.3

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Autopsy Report                         1.3

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https://docs.google.com/a/lammersvilleusd.net/document/d/1vhl0A_o6Wm5w6lyj9MTYbm0bJGSF250WBR3b1MFk7zA/edit?usp=sharing
- manner of death: natural
- edema
2.3
https://docs.google.com/a/lammersvilleusd.net/document/d/1RatDagtc7ilH6FAU0EW_SXAek7fjYWafP8ec5680Iho/edit?usp=sharing
-  ketones found
- no sign of overdose
3.1.1
https://docs.google.com/a/lammersvilleusd.net/document/d/16e87FAchi428U2rjxhcZic9zoZdsDcxe1johp23uVmA/edit?usp=sharing
-In Anna Garcia's autopsy report it could be concluded that red sickle cells were found in her blood. This was found from the microscopic analysis. The laboratory results showed trace amounts of hydroxyurea which is used to treat sickle cell anemia. After conducting the hematocrit lab, the blood was measured at 27 mm which 7.26%. Because it was less than 35% it can be concluded that Anna was indeed suffering from anemia.
4.1.2
https://docs.google.com/a/lammersvilleusd.net/document/d/1cRZds162mI1rx7sUh7OlfQfDigj1FudA4FS8KPLozjs/edit?usp=sharing
- In Anna Garcia's autopsy report it was concluded that she had a blocked coronary artery. Because of this, further complications like coronary heart disease and a heart attack could occur. Anna Garcia had left ventricular hypertrophy, meaning the left ventricle is enlarged. She also had mild mitral valve prolapse meaning her mitral valve was not closing properly.

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Anna Garcia could have died form natural causes. Because Anna Garcia  had type 2 diabetes - she is introduced to more disease and she easily could have died from a high level of glucose. She rushed to inject her insulin, but failed, injecting herself too late. Her
high levels of sugar could have triggered a faint making her hit her head.

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I believe that Anna Garcia died from a heat stroke. People with diabetes are at an increased risk for strokes caused by blood clots. Furthermore, she could even have had an aneurysm . An aneurysm is when there is a break in blood vessels which can occur as a result of high blood pressure or a weak spot in a blood vessel wall. Strokes are more common with diabetes which can explain how she died. After getting a stroke she could have fallen and hit her head.

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After analyzing the DNA found at the crime scene we can come to the conclusion the blood found at the scene of the crime was in fact Anna Garcia's.

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Anna Garcia died at approximately at 7:00 am

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Finger Prints
Blood Smear
Vomit
Hair
Orange Juice
Muddy Shoe Print
Syringe
A white powder was found at the crime scene- which we soon uncovered was aspirin.

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- Footprints were caked in mud
Victim lay facedown, directly opposite of couch
- unknown mush next to body; must test further