Paul Correia death certificate and autopsy

24978 The ofMassachurem mmuik 355v Mame" cum 2013-11123 389 awe "mums" snrzussmlu 7 rim:ch m: Palfl A. Cotraia An . 26. 2013 .. 4L I mammiav rm. Tnunton hrisml Morton Hospital 7 I 7 wt,me WW 2mm )tmuv-Lm mm mm". mm. 028--58-5859 . M's mum "Emmi-M mm" mm>> Bristol 10 MW mm "mm mmvzorlkalm um Hmmw,m.r..m.cm, my "as m. A) Jun. 31, 1968 ran River, MA mama, I Mmeuwmcen never married -- disabled none 44: rinww mw'rmwunymmu wuwm River Bristol MA 02121 Mama>>.va "ammumean John A. sol-rem Portugal Carmena Carvalho Portugal zuu mamas: Carmelia Correia 17311 River, MA 02m Mocha W. 7 1 Paul F. Sim WM, unadiawn No. Purchagg Cranmzory Actleboro, MA 7 :1 me; my}; mm Sept. 3 2013 Silva Funeral Home, 730 Bedford sc.. Fall River, um, 7 . \mz'm-cww ELL kn}. PULMONARY Hows WW mucan v51" c! was 7 momma ruux nas'xmm'r IN THE . wwt'mnfifi'fin or ACUTE vwcnosrs 1m: 55'" >16 0F mm>> (mm-v - 3.1mm um mm Yes a mammal>> W. monk mun-I nM'IMul CIGukk'a {Inuurdmhuflamnm NA >7 3" mm"..sz 'szucicrwnumu 1' 7 -- . .m "(mm *Investigatixm Complete In." 155525 1 avi- .rmmw Piawwzmaucx . INK DNLV Fir-91M szdm'fllfim 221 MD 1 RON) RUZZARDS BAY, MA M542 1.:16 AW m/ in <ity Clerk 57w Canmwmueaet? a? Mmoac?u/Jettn Office of the Chief Medical Examiner Headquarters Deva! L. Patrick Henry M. Nields, MD, Govemor Chief Medical Examiner 720 Albany Street low nera I um ers Andrea J. Cabral 021 1 8 eTei: (61732676767 Secretary of Public Safety Tel: (800) 962_7877 Fax: (617) 266?6763 May 20, 2014 Carmela M. Correia 353 Grinnell Street Fall River, MA 02721 Dear Mrs. Correia: am writing in response to your request for records relating to OCME 2013-11123, Paul Correia. As requested please find enclosed: Complete autopsy report Toxicology report only No autopsy performed External Examination Only No reports generated If you have any further questions, please do not hesitate to contact me at 617-267?6767 ext.213. Sincerely, a McNeil Administrative Assistant @116 Commonwealth of massacbu?ctts Office of the Chief Medical Examiner REPORT OF AUTOPSY Name of Decadent: Paul Corrcia ME. Case 2013-11123 Autopsy Performed by: Dr. William M. Zane Date of Autopsy: 8/28! 13 FINAL DIAGNOSES I. DEEP VENOUS THROMBOSIS OF THE LEGS A. SADDLE EMBOLUS OF THE RIGHT AND LEFT PULMONARY ARTERIES B. FOUR POINT RESTRAINT FOR TREATMENT OF ACUTE ANAMNESTIC C. EMBOLI IN LEFT LUNG D. NON-ADHERENT CLOT 1N VESSELS OF BOTH CALVES II. OCCUPANT OF A MOTOR VEHICLE THAT STRUCK A GUARDRAIL A. ANAMNESTIC B. OCCURENCE PRIOR TO HOSPITALIZATION OBESITY - IV. ABRASIONS AND CONTUSIONS OF THE EXTREMITIES V. HYPERTENSIVE CARDIOVASCULAR DISEASE A. HEART WEIGHT: 600 GRAMS. B. NEPHROSCLEROSIS CAUSE OF BILATERAL PULMONARY THROMBOEMBOLI DUE TO DEEP VEIN THROMBOSIS OF THE LOWER EXTREMITIES COMPLICATING PROLONGED FOUR POINT RESTRAINT IN THE MANAGEMENT OF ACUTE IN THE SETTING 0F MORBID OEESITY - MANNER OF DEATH: THERAPEUTIC COMPLICATION COMMONWEALTH OF MASSACHUSETTS OFFICE OF THE CHIEF MEDICAL EXAMINER REPORT OF AUTOPSY CASE NO. 2013?] 1123 I, William M. Zane, M.D., Medical Examiner, hereby certify that have performed an autopsy on the body of Paul Correia on August 28, 2013 in the Cape Cod Of?ce of the Chief Medical Examiner of the Commonwealth of Massachusetts. EXTERNAL EXAMINATION: The body is that of a 67 inch, obese, white male appearing the reported age of 45 years and weighing 263 pounds. The scalp hair is brown, A beard and mustache are present. The irides are brown and the conjunctivas are congested. The corneas are cloudy. The natural facial ori?ces are clear. The gums are edentulous. The neck, torso, back, external genitalia and anus are unremarkable. The upper and lower extremities are symmetrical and are. normally developed. POST MORTEM QHAE Post mortem changes consist of full rigor and ?xed posterior lividity. CLOTHINQ: No clothing accompanies the body. THERAEEUTIQ An endotracheal tube is in the mouth. An LV. catheter is in the right shin. INJURIES EXTE LA INTER AL: RIGHT UPPER EXTREMITY: At the right axilla there is a l? by purple contusion. On the right lateral arm there are three contusions. The contusions are by purple and green in color, 1" by Vi" purple in color and 1" across purple in color. On the dorsum of the right 3rd and 4th ?ngers there are contusions measuring 1" by and across. Both contusions are purple. 0n the radial surface of the right forearm there is a faint purple contusion measuring 3" by At the base of the right thumb there is a 3/8" by 1/8" abrasion. 2013-1 1 123 Paul Correia 3 LEFT UPPER EXTREMITY: On the dorsum of the left 31rd ?nger is a 3/16? by 1/8" abrasion. At the nail of the left ?nger there is a 1/8" healing abrasion. 0n the dorsum of thele? hand there is a it? by 1/16" abrasion. On the dorsum of the left wrist there is a 3/8" by 1/8" abrasion. 0n the ulna surface of the left forearm there is a red?purple contusion measuring 3" by 1 RIGHT LOWER EXTREMITY: Overlying the right knee and right anterior leg are a cluster of faint purple and purple contusions in an area measuring 6" by On the right lateral thigh there is faint indistinct green contusion. LEFT LOWER EXTREMITY: On the left knee there is a healing abrasion measuring in?" across and on the anterior left shin there are punetate abrasions measuring up to On the medial left ankle there is a faint red contusion measuring 1 Vi" with a linear abrasion. There is no penetrating or blunt force injury of the head, neck, or torso. There are no petechial hemorrhages of the eyes or laryngeal mucosa. INTERNAL EXAMINATIQN: BODY CAVITIES: The lungs are expanded and the organs are in their usual anatomic locations. There are no adhesions or signi?cant fluid accumulations. HEAD: The scalp is without subcutaneous and subgaleal hemorrhage. The calvarium and basal skull are - intact. The external meninges are unremarkable, without epidural or subdural hemorrhage. The cerebrospinal ?uid is clear. The brain shows normal external symmetry and weighs 1300 grams. The brain is without old traumatic injury or natural disease processes. The vessels at the base of the brain are patent and pursue the usual courses. NECK: The lumen of the larynx and trachea are without of foreign material or abnormal secretions. The mucosa is congested and without petechial hemorrhages. CARDIOVASCULAR SYSTEM: The heart weighs 600 grams and the epicardial surface is smooth. The coronary ostia and coronary arteries are patent and the vessels pursue their usual courses. The myocardium is red-brown, ?rm and without focal abnormality. The endocardiuin and valves are unremarkable. The inferior vena cava, pulmonary artery and its major branches are without thrombus. The aorta is unremarkable. 2013-11 123 Paul Correia 4 SADDLE EMBOLUS OF THE RIGHT AND LEFT PULMONARY ARTERIES: There is a thrombus involving the right and left pulmonary arteries measuring cm. There are small clots in the vasculature of the left lung. Non-adherent blood clot is present in the vessel of the right and left calves. RESPIRATORY SYSTEM: The left lung weighs 430 grams; the right lung weighs 520 grams. The pleural surfaces are smooth and glistening. The has minimal congestion and edema without focal lesions. The bronchi are congested. LIVER, GALLBLADDER, PANCREAS: The liver weighs 2650 grams and has a smooth capsular surface with sharp anterior margins. The is red-brown, of the usual consistency and without focal abnormality. The gallbladder contains approximately 20 mL of green bile and the biliary passages are patent. The pancreas is unremarkable. AND SYSTEMS: The spleen weighs 240 grams and has an intact capsule. Its is purple and soft. There is no - GENITOURINARY SYSTEM: The left kidney weighs 200 grams; the right kidney weighs 190 grams. The cortical surfaces are granular. The kidneys have good corticomedullary de?nition and calyces and ureters are unremarkable. The bladder contains 2 mL of urine and the mucosa is unremarkable. The prostate gland is enlarged. ENDOCRINE SYSTEM: The thyroid and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The tongue and esophagus are unremarkable. The stomach contains 20 mL of thick red ?uid and the mucosa is autolyzed. The duodenum and remainder of the small and large bowel are unremarkable. The appendix is present. MUSCULOSKELETAL SYSTEM: The skeletal muscle is red/brown, without focal abnormality. The long bones of the extremities, bony thorax, pelvis and vertebral column are without palpable fracture. 2013-1] 123 Paul Ccrreia HISTOPATHOLQGY: HEART: No acute signi?cant pathological processes seen. Myocyte ltypet'trOphy. LIVER: No acute signi?cant pathological processes seen. LUNG: Acute congestion with acute pulmonary thromboembolism. KIDNEY: Scattered sclerosed glomeruli. No acute signi?cant pathological processes seen. THROMBUS: Acute thromboembolus with no organization. Tissue is retained and preserved in formalin. TOXICOLOGY: Blood, urine, vitreous ?uid, bile and gastric contents are submitted for analysis. ww?m M. Zar?fMD. Medical Examiner 4/2/1 4/wz/fnl DEVAL L. FATRIGK ANDREA J. CABHAL COLONEL P. ALBEN The Commonwealth of Masseousetis Department of State Police Forensic Services Group One innovation Drive Biotech 3 Suite 330 Worcester, MA 01605 Telephone: (508) 793-6113 Facsimile: (508) 793-6285 GOVERNOR POSTMORTEM TOXICOLOGY REPORT Ce'ee Information: Date of Report: January 21. 2014 Laboratory No.: 1349534 Date of Death: August 26, 2013 Medical Examiner Case No.: 13-41123 Medical Examiner: William Zeno. MD Decadent: Paul Correla Specimens Received: item Number item Type miscellaneous Information 14?01 14-02 "131-03 1?1-04 1.1.05 Hoe Head Blood Vitreous Humor Femoral Blood Bile Gastric Contents Urine Sample Detailed Findings: lte?ni: 1-1 -01 Heart Blood Ethenol None Defected Methanol None Detected leopropanol None Detected Acetone: None Detected Buprenorphine Screen :?None Detected None Detected Benzodlegzepln?g?Soreen Positive Ce?neblnoid Screen None Detected Cocaine metabolite Screen None Detected Methamphetamine Screen None Detected Oxycodone Screen None Detected Opiates Screen None Detected Organic Bases and Neutrals Chlordiazepoxide, diazepem, nordlezepam, lemotrigine, ohlorpromazine, trazodone and detected. Possible metabolite, loratedine, Item: chlorcyolizlne and metabolite detected 1 ~1-02 Vitreous Humor Ethanol None Detected Methanol None Detected Isopropenol None Detected Page 1 ol 2 Weave 0,99: 8pm?e morg? We? apathetic 1349534 RESULTS OF EXAMINATION: Pag Of 2 Item: 1-1-02 Vltreous Humor None Detected 0% M. ?sslca LOIeba-Smuh DATE SIGNED This report reflects the test results, conoiusions, Interpretations andior the findings of the analyst as indicated by the signature above. ALL BIOLOGICAL SPECIMENS WILL BE DISPOSED OF 5 MONTHS AFTER DATE OF REPORT. UNLESS WRITTEN REQUEST FOR RETURN OF SAMPLES Is RECEIVED. Page 2 of 2 gem/(moo 0,09: 89m Wyaa?