Office of the Chief Medical ExaminerCB # 7580 Chapel Hill, NC 27599-7580

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REPORT OF AUTOPSY EXAMINATION

DECEDENTDocument Identifier B200902369Autopsy Type ME AutopsyName Sanford L. Reed, Jr.Age 29 yrsRace BlackSex M

AUTHORIZATIONAuthorized By Jennifer G. Phillips RN Received From Person

ENVIRONMENTDate of Exam 05/03/2009 Time of Exam 12:10Autopsy Facility Office of the Chief Medical Examiner Persons Present Ms. Molly Hupp, Mr. KevinGerity, Mr. Bill Holloman, Dr. Jonathan Privette

CERTIFICATIONCause of DeathEthanol and 1-benzylpiperazine intoxication

The facts stated herein are correct to the best of my knowledge and belief.Digitally signed byJohn D. Butts MD 21 July 2009 22:36

DIAGNOSESPulmonary congestion and edema, focal intra-alveolar hemorrhageLeft ventricular myocardial hypertrophy, mild

IDENTIFICATIONBody Identified ByPapers/ID Tag

EXTERNAL DESCRIPTIONLength 69.5 inchesWeight 211 poundsBody Condition IntactRigor MinimalLivor PosteriorHair Dark in corn rowsEyes Brown, 4 mm pupilsTeeth NaturalThese are the remains of a well developed, well nourished appearing male. He is clothed in a white tee shirt, white Nikeshoes with white socks, dark jeans with a belt at mid-thigh and a pair of dark green knit boxer shorts in place. In thepockets of the jeans is a book of matches, a penney and leather wallet that contains a number of miscellaneous papersand cards, some of which bear his name. EKG electrodes are present on the body. When received there are envelopesover each hand. He is circumcised. There is an oval scar in the anterolateral left lower leg. There are number of similarcircular to oval scars on the lateral left thigh and over the posterior iliac crest also on the left. He has a tattoo "MOE" onthe left lateral upper arm.

INJURIESThere is some very minor epidermal abrasions of the anterior surface of the right lower leg. Some scratches are notedon the back of the left arm in the elbow region.

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The hands are examained. They are dirty but without evidence of injury. The nails are intact.

There is no evidence of internal trauma.

DISPOSITION OF CLOTHING AND PERSONAL EFFECTSThe following items are released with the bodyNone

The following items are preserved as evidenceAll

PROCEDURESSpecial Evidence CollectionBlood stain sample made. That plus clothing and personal effects to be turned over to law enforcement.

INTERNAL EXAMINATIONBody CavitiesThe pleural, peritoneal and pericardial cavities are unremarkable without evidence of inflammation, exudation orhemorrhage. There is slight discoloration and softening consistent with early decompositional change.

Cardiovascular SystemHeart Weight 430 gramsThe coronaries show normal distribution and no atherosclerosis. The myocardium is reddish-brown without areas ofdiscoloration or thinning. There is mild concentric left ventricular hypertrophy. The valves are normally formed. Theaorta and its major branches are intact without atherosclerosis.

Respiratory SystemRight Lung Weight 590 gramsLeft Lung Weight 470 gramsThe lungs show some congestion and edema. No areas of consolidation are noted. The bronchi are clear. The trachea isclear. There is no edema of the epiglottis or larynx. The hyoid bone and thyroid cartilages are intact. There nohemorrhages in the strap muscles of the neck. The tongue is unremarkable.

Gastrointestinal SystemThe GI tract is intact throughout its length. The appendix is present. The stomach contains a small amount of reddishfluid. The gastric mucosa is slightly congested in appearance. There is no particulate or solid material present within theduodenum or proximal jejunum and nothing is palpated more distally. Stool is present in the large bowel.

LiverLiver Weight 1680 gramsThe liver is reddish-brown without accentuation of the lobular architecture. The gallbladder contains bile and theextrahepatic system is intact.

SpleenSpleen Weight 240 gramsSoft, otherwise unremarkable.

PancreasAutolyzed, otherwise unremarkable.

UrinaryRight Kidney Weight 170 gramsLeft Kidney Weight 170 gramsThe cortical surfaces of both kidneys are smooth. The ureters are intact. The bladder contains approximately 60 cc ofurine.

ReproductiveThe prostate is unremarkable.

Endocrine

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The thyroid gland is normal in size and configuration.

The adrenals are unremarkable.

NeurologicBrain Weight 1360 gramsThe meninges are thin and delicate. There is no blood in the subdural, epidural, or subarachnoid compartments. Noscalp hemorrhages are noted. The brain is slightly dusky. The vasculature at the base of the brain is intact andunremarkable. Multiple coronal sections reveal symmetrical internal structures. No areas of hemorrhage are noted. Thebrainstem and cerebellum are unremarkable.

SkinAbnormalities as noted.

Immunologic SystemNo lymphadenopathy noted.

Musculoskeletal SystemIntact.

MICROSCOPIC EXAMINATIONCardiovascularHeart sections are unremarkable.

RespiratoryLung shows vascular congestion and some focal intra-alveolar hemorrhage.

LiverThere is minimal to mild fatty change.

GenitourinaryKidney is unremarkable.

NeurologicBrain sections are unremarkable.

SUMMARY AND INTERPRETATIONThis was a 35-year-old man who allegedly was chased by police and abandoned his car running into the darkness. Hisbody was found the next morning not a great distance from where his car was abandoned at the edge of some woodsnext to a parking lot.

Autopsy examination revealed no evidence of any significant trauma. The internal organs were in a generally good stateof health. The lungs showed pulmonary congestion, edema and focal hemorrhage. The heart was mildly hypertrophied.Toxicological studies were significant for the presence of ethanol in a concentration of 110 mg/dL in aortic blood and1-benzylpiperazine at concentrations of 1.0 and 1.3 mg/L in aortic and iliac vein blood respectively. Benzylpiperazine isa stimulant drug with presumed potential toxicity similar to amphetamines. In my opinion this mans death was mostlikely the result of ethanol and benzylpiperazine intoxication.

DIAGRAMS1. 1. Adult (front/back)

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