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Diabetes:
- Original Symptoms were inability to complete actions in daily life, constant thirst, and needs to use he bathroom more. She is also losing weight
-Diagnosis is that she has Type 1 Diabetes.
-Explanation of Symptoms is the elevated glucose levels in her blood, with low insulin levels. Salt in cells release water into the blood making her hypertonic and needing to get rid of water.

Sickle Cell:
- Patient is a baby, not growing and showing physical signs of underdevelopment, splenic sequestration due to gathering of blood
-Diagnosis is that she has Sickle Cell disease
- Explanation of Symptoms is that she has low red and white blood cell counts, and low blood oxygen, leading to the cells she has sickling and clotting in various parts of her body.

Heart Disease
- Anna is 37, history of heart disease o=in the family, struggling with fitness and has chest-pain
- Diagnosis is that she has stage one hypertension, elevated blood pressure
-Explanation of Symptoms:
- High Blood Pressure, 140/72
- Low heart rate(Bradycardic) resting from 18-45, max 190/110, slight heart murmur present
-EKG shows mitral valve regurgitation
- premature ventricular contraction- abnormal heartbeats in the longer chambers
-ST elevation- heart attack
- ventricular tachycardia- lower chambers beating too quickly
-Vasotec- high blood pressure diabetic kidney disease
-bad heart valves, either weakened or bad in the beginning
-ventricular hypertrophy- enlargement and thickening of blood vessels
-congenital heart disease

Infectious disease
-Sickle cell crisis, in the hospital for 5 days
-Contacted a urinary Tract Infection
-Urinalysis indicated a bacterial infection
-Gross examination of colony morphology indicated large colonies with wavy/irregular margins
-Gram staining results negative, with bacillus morphology
-Biochemical tests shoe the presence of Serratia marscenscens
-Diagnosis: Urinary tract infection of caused by the bacteria S. marcenscens
Treatment: antibiotics, specifically aminoglycide and antioseudonimal beta-lactam, and sometimes cefepime, pain medication containing phenazopyridine

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We used a wet lab to see whether the blood samples would clump or not to determine the type. Both Erica Piedmont and Anna Garcia matched with the Crime Scene blood, meaning that it could not be determined, but it was narrowed down to them. This is called a presumptive blood typing test.

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We used an experiment to determine the height and angle at which the blood fell from. We found that the largest diameter was 16mm and the height from which it fell was 54cm, meaning she was not standing up.

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We looked at the hair in the microscope, and found that it belonged to Lucy Leffingwell. It looked similar to Erica Piedmonts, but Lucy's had a less orange cuticle, matching the crime scene hair.

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After doing a visual comparison to the shoe print at the crime scene, it was found that the shoe print belonged Anna Garcia. She had the same shoes as Lucy Leffingwell, but her soles were more worn down and it showed in the shoe print.

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After doing a visual comparison to the crime scene fingerprint, it was found that the fingerprint belonged to Alex Garcia.

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-sickle cell anemia
---infection
---acute chest syndrome
---pulmonary hypertension
---stroke
---kidney problems
-diabetes
---renal disease
---heart disease
---stroke
---certain cancers
-heart problems
---heart failure due to high blood pressure
---sugar levels too high
---heart valves unable to close
--athersclerosis, plaque buildup causing lack of blood flow
-kidney failure, exasperating diabetes
-sepsis
-death by exasperated QT interval, prescribed medication taken(Macrolides or Fluoroquinolones) that caused sudden cardiac death
-She accidentally took her dogs medication, killing her

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Examination Results: Diabetes
-Pallor and evidence of oxygen deprivation
-Fingernails and toenails blue/gray color
-Vomit in oral cavity
-Blunt trauma to the head, would shows a fall against a solid object, light bleeding suggesting lack of blood flow
-edema in ankles
-ketones and significant protein in the urine
-lens of right eye cloudy, blood vessels swollen, vision was probably compromised
-left kidney has necrosis, the beginnings of necrosis
-hydroxyurea found in the blood
-low hematocrit
-lowered white blood cell count
Possible Cause of Death: Disease

Examination Results: Sickle Cell
-low hematocrit, 33.3%, which is lower than normal
-lowered white blood cell count, sickle shaped red blood cells
Possible Causes of Death: Sickle Cell Disease- lack of medication, not regulating the body leading to too many cells sickling and causing clotting, infection from sickle cell, oxygen deprivation due to clotting.

Examination Results: Heart Disease + Atherosclerosis
-bad heart vapes, either weakened or bad in the beginning.
-hypertrophy in the walls of the heart due to overworking
-atherosclerosis, build up of fats in blood vessels. results from high cholesterol causing the buildup of fats.
-the arteries have less space in them, causing the heart to have to pump harder. this makes the heart muscles grow, making the heart bigger and less functional.
Possible Causes of Death: high blood pressure causing heart failure, heart valves couldn't close correctly, bad distribution of oxygenated blood, atherosclerosis causing a block of blood flow. The heart became too big, and stop functioning. High cholesterol led to too much buildup of fats causing lack of blood flow.

Examination Results: Metabolic Syndrome
-Metabolic syndrome is not present
-Obesity and high blood pressure are present, but not enough to diagnose
-behavior risks include a diet high in both calories and fat, three glasses of wine each day after work, and lack of exercise
-behavior benefits include non-smoker, daily aspirin, yoga to lower stress

Urinary Tract Infection
-presence of a bacterial urinary tract infection
-bacteria present in Serratia Marcenscens
-Given pain medication and medication with phenazopyridine(aminoglycide or anti-pseudomonal beta-lactam)
-also given antibiotics

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The blood sample found at the crime scene matches the blood of Anna Garcia.

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-Blood spatter
- Anna got hit from behind, leaving her to fall and hit her head on the table and going face first onto the ground.
-she fell unconscious and hit her head on the table, leaving her to bleed out on the ground.

Persons of interest(Murder)
-Alex is struggling financially and would benefit from her life insurance plan
-Erica Piedmont could be suspicious that Alex is cheating on her with Anna.
-Lucy might want to cut off her ties with Anna because of their business

- Possible drug overdose- used either pills or syringe, either by accident, force, or suicide
-Heart attack, history of heart problems may have led to a heart attack because of poor care.

-Hyperglycemia- High blood sugar, lack of using insulin and poor dietary choices led led to blood sugar getting too high.

Manner of death: Natural or Accidental
This manner was chosen because after the autopsy was done and more experiments had been conducted, it was confirmed that it was not another person(homocide). It was not accidental or suicide, because she did not fall or do something wrong on accident, because of the levels or drugs in her blood, and nothing physical or in the blood showed signs of suicide. She died from something going on internally, so it was natural because it was caused by the body.

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-Anna’s best friend and co-owner of a local bakery.
-Business has been doing very well lately, but Anna and Lucy have been arguing over whether or not to expand the business  or not.
-Lucy really wants to expand, but Anna refuses.
-Last saw Anna at work yesterday. Anna left work a little early because she said she had something to take care of.
-The conflict with their business has caused a lot of struggles in their friendship.
-Lucy said Anna had been in the hospital recently, but though that she was feeling better because Anna told her that she was no longer taking the antibiotics prescribed. Anna did say that she had been having some back pain out towards her sides.

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-Doug is Anna’s neighbor and friend who called the police.
-Doug last saw Anna when she was walking her dog at 6:30am yesterday morning.
-Doug reports that Anna usually walks her dog every morning, but that recently she’s been skipping the morning walk. He stated that Anna lives alone, has no family that lives close by, and her closest companion is her dog.
-Doug and Anna recently were involved romantically, but Anna abruptly ended the relationship last week.

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-Erica is the new wife of Alex Garcia.
-Erica was seen in a car parked on the street in front of Anna’s house the day before her death.
-Erica and Alex were seen at a diner recently having an argument.

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-Alex is Anna’s former husband.
-Alex and Anna went through a nasty divorce last year. As soon as the divorce was finalized, Alex quickly remarried a much younger woman.
-Alex and his new wife are currently expecting a baby.
-Alex is rumored to be having financial difficulties and is still the beneficiary on Anna’s life insurance plan.
-Alex last saw Anna last night when he went to her house to discuss some paperwork.

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-Anna Garcia is a hispanic woman who is 38 years old, and 64 inches tall.
-Brown hair
-found lying face down in the entry hallway
-has a dog that she walks in the morning
-split from her husband Alex Garcia
-has back pain
-used to take antibiotics
-has type 1 diabetes, sickle cell anemia
-had to get hip replaced due to deterioration of bones caused by sickle cell

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-Blood spatter on floor and cabinet, she was not standing up when she began bleeding.
-Two pills and a syringe found at the scene.
-Found a footprint, fingerprint on a cup, and a hair.
-A gun was found at the scene, we do not know if it was fired or not.
-The death occurred in Anna's house, in the main entrance.
-A lamp was laying on the floor near where Anna died.

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-August 25th, 2017 at 10:20am at her home in Chapel Hill, North Carolina.
-Her time of death was about 7am using the glister of her temperature changing with the ambient temperature.
-92*F outside temperature
-Call came in at 9:45am
-She was wearing a sweater outside, even though they were experiencing a heat wave
- Her door was locked when the police and emt arrived at the house at 9:56am
-Found Anna laying face down in entry hallway
-The house was 73*F inside
-Unknown Drug: We found that the Unknown drug was Aspirin by doing various tests to narrow the options down.