Autopsy Report Terry Battle Died at Cca Tn Jail 2008
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./ ENVIRONM~ TENNEssL iPARTMENT OF HEALTH AND OFFICE OF THE MEDICAL EXAMINER 850 R.S. Gass Blvd., Nashville TN 37216-2640 (615)743.1800 REPORT OF INVESTIGATION BY COUNTY MEDICAL EXAMINER MEC 08-1988 State Number: 08-19·1376 DECEDENT: Terry Battle RACE: Black SEX: Male AGE: 55 Years MARITAL STATUS: Single HOME ADDRESS: Corrections Corporation of America 5115 Harding Place; Nashville, TN OCCUPATION: TYPE OF DEATH: DATE OF BIRTH: 05104/53 = = Apparent NaturallUnattended Casualty -= Homicide/Suspected Homicide = LJ Molor Vehicle Other Cremation: N '=J Suddenly when in apparent health In Prison ' I Suicide COMMENT: Sudden AGENCY INVESTIGATOR AND COMPLAINT#: City Police Dept. 08-372092 DESCRIPTION OF BODY: L] Clothed Eyes: Hair: Mustache: Beard: Weight: (Lbs.) Length: (In.) Body Temp: Rigor? Livor Color: Fixed? 0 Unclothed [ J Partly Clothed Circumcised? Marks & Wounds ." • _Il= J .' ~ , Probable Cause of Death Manner of Death I~ Accident neumonia Homidde Suicide Disposition Of Case Natural Could Not Be Determined Pending Investigation ~edical Examiner Jurisdiction: Accept8' ~utopsy Ordered: Autopsy oxicology: Y ~~sponsible for Death Certificate: Medical Examiner Other Physician ~remation Approved: N uneral Home: Lewis and Wright Funer I hereby declare that after receiving notice of death descnbed herein, I took charge of the body and made Inquiries regarding the cause of death in accordance with Section 38-7-101-117 Tennessee Code Annotated and that the information contained herein regarding such death is true and correct to th best of my knowledge and belief. Davidson July 01, 2008 Date County of Appointment • n Medical Examiner -. I ME Reoort Form for MEC08·198&. _.rv Battle Paae 2 Last Seen Injury or Death Alive Illness Discovery Medical Examiner View of Body Police Notified Notified ate Ime poIU3J2008 """,312008 111:31 AM p.Jnknown 312008 312008 111:32 AM UOJU4I2OO8 p1:37 PM City or County Location Type of Premises (hospital, hotel, highway, etc.) 115 Harding Place outhem Hills Medical Center orensic Medical njury or onset of illness Death .ewing of body by Medical rison ospital Center For Forensic Medicine ashville, TN ashville ashville ~xaminer MEDICAL ATTENTION AND HOSPITAL, INSTITUTIONAL CARE OR HOME HEALTH CARE Name of Physician or Institution pr Steven Turner Address Diagnoses ~edical Staff Southern Hills Medical Center; Nashville, TN Dates ransported by EMS CPR in Prooress 10 ER 00/0312008 • 06/0312008 (35) CIRCUMSTANCES OF DEATH Name ouod Dead By ast Seen Alive By Address pr Steven Turner ~edical Staff Southern Hills Medical Center, Nashville, TN ~tness to Injury or Illness fJVilness to Death pr Steven Turner (Pronounced) ~ledical Staff Southern Hills Medical ~ext of Kin Ctydine Battle ~~mmy Williams (sister) 248-47().3007 ; enter, Nashville, TN ashville, TN (36) NARRATIVE SUMMARY OF CIRCUMSTANCES SURROUNDING DEATH Reportedly this 55 ylo blm was found unresponsive by corrections personnel in the floor of a medical segregation cell on 6-3-2006. EMS transported the decedent to Southern Hills Medical Center where despite ACLS efforts death was pronounced in the ER by Dr Steven Turner at 11:32am on 6-3-2008. The decedent has a medical history of hepatitis C, hypertension, gastroenteritis and was blind in his right eye. The decedent reportedly saw a doctor 6-2-2008 for diarrhea. No signs of foul play, overdose, suicide, falls, trauma or signs of drug history were reported. The body was transported by MTRS to the Center of Forensic Medicine for further investigation. Final disposition arrangements were not known at the lime of this report.•• See Investigator Note·· Candice M Sexton Investigator , ( l TENNESSEE DEPART ENT OF HEALTH AND ENVIRONMENT OFFICE OF THE STATE EDICAL EXAMINER Center to Forensic Medicine 850 R.S. Ga$$ Blvd. as Tennessee 37216-2640 CASE: MECQS·1988 County: DAVIDSO AUTOPSY REPORT NAMEOF : ED~ HO EAOORESS DATE SATIlE. TERRY RACE: B AGE: 55 CCA, 5115 Harding Place; Nashville, TN 'D TIME OF DEATH: June 3, 2008 at 11:32 a.m. DATE AND TIME OF AUTOPSY: June 4, 2008 at 9:00 a.m. FORENSIC PATHOLOGIST: Staci A. Tumer, M.D. COUNTY MEDICAL EXAMINER: Bruce P. Levy, M.D. ADDRESS: SEX: M 850 R.S. Gass Blvd., Nashville TN 37216 DISTRICT ATTORNEY GENERAL: Honorable Victor S. Johnson ADDRESS: Washington Square, Suite 500, 222 2nd Avenue North, Nashville, TN 37201 FINAL ANATOMIC DIAGNOSES 1. Pneumonia: A. B. 2. Fibrinopurulent exudate, right and left visceral pleura. Diffuse consolidation and purulent exudate, all lobes of both lungs. Hypertensive cardiovascular disease: A. B. 3. Clinical history of hypertension. Nephrosclerosis. Hepatic steatosis and fibrosis. CAUSE OF DEATH: Pneumonia MANNER OF DEATH: Natural • BATTLE, TERRY MEC08-1988 PAGE 2\4 I hereby certify that I, Staci A. Turner, M.D. have performed an autopsy on the body of Terry Battle on June 4, 2008 at 9:00 a.m. at the State of Tennessee Center for Forensic Medicine. The purpose of this report is to provide a certified opinion to the County Medical Examiner and District Attorney General. The facts and findings to supporl these conclusions are filed with the Tennessee Department of Health. EXTERNAL EXAMINATION The body is Identified by an ankle bracelet. Photographs and fingerprints are taken. The body is that of a well-developed, well-nourished black man whose appearance is compatible with the sta ed age of 55 years. His body, when nude, weighs 171 pounds and is 64 inches long. The body is cool, rigor is fully developed, and the posterior red-purple lividity is fixed. The scalp hair is black. The irides are brown, and arcus senilis is prominent in the left eye. The right cornea is diffusely cloudy. Facial hair consists of a mustache and beard. The ears, nose and lips are normally formed. The teeth are natural; a yellow metal partial cap is on the right first upper incisor. The neck, chest, and breasts are symmetrical. The abdomen is flat. The external genitalia, anus, and perineum are unremarkable. The testicles are descended into the scrotum. The extremities are well developed and symmetrical. The back and buttocks are atraumatic. IDENTIFYING MARKS AND SCARS: Linear scars are on the forehead, the right side of the chest, the right side of the abdomen, and the right anterior wrist. Irregular scars are on the left and right upper arms, the left and right forearms, and the left and right knees and lower legs. EVIDENCE OF THERAPY: An endotracheal tube is in the mouth. Multiple EKG pads are on the body. Multiple defibrillator pads are on the body. An intravascular catheter is in the right side of the neck. EVIDENCE OF INJURY: None. INTERNAL EXAMINATION BODY CAVITIES: The thoracic and abdominal organs are in their normal anatomic positions. The body cavities contain no adhesions or abnormal collections of fluid. HEAD: The brain weighs 1350 grams. The scalp and skull are unremarkable. The dura and dural sinuses are unremarkable. There are no epidural, subdural, or subarachnoid hemorrhages. The leptomeninges are thin and delicate. The cerebral hemispheres are symmetrical with an unremarkable 9yral pattern. The cranial nerves and blood vessels are unremarkable. Sections through the cerebral hemispheres, brainstem and cerebellum are unremarkable. There are no hemorrhages in the deep white matter or the basal ganglia. The cerebral ventricles contain no blood. NECK: The soft tissues and prevertebral fascia are unremarkable. The hyoid bone and larynx are intact. CARDIOVASCULAR SYSTEM: The heart weighs 380 grams. The intimal surface of the abdominal aorta is free of atherosclerosis. The aorta and its major branches and the great veins are normally distributed. The pericardium, epicardium and endocardium are smooth, glistening • MEC08-1988 BATTLE, TERRY ( PAGE 3\4 and unremarkable. There are no thrombi in the atria or ventricles. The foramen ovaIe is closed. The coronary arterial system is right predominant and free of atherosclerosis. The atrial and ventricular septa are intact. The cardiac valves are unremarkable. The myocardium is dark redbrown and firm, and there are no focal abnormalities. RESPIRATORY SYSTEM: The right lung weighs 1510 grams and the left lung weighs 1040 grams. The upper airway is unobstructed. The laryngeal mucosa is smooth and unremarkable without petechiae. Yellow-green fibrinopurulent exudate is on the pleural surfaces. The pulmonary arteries contain no emboli. The major bronchi contain yellow-green froth. Sectioning of the lungs discloses a dark red, diffusely consolidated parenchyma oozing yellow-green purulent material. HEPATOBILIARY SYSTEM: The liver weighs 2350 grams and is covered by an intact capsule. The parenchyma is yellow, diffusely fibrotic, and vaguely micronodular. The gallbladder contains no calculi. The extrahepatic biliary ducts are unremarkable. DIGESTIVE SYSTEM: The esophageal mucosa is gray, smooth, and unremarkable. The stomach contains approximately 300 mL. of green and tan solid and liquid. There are no tablets or capsules. The gastric mucosa has normal rugal folds and there are no ulcers. The small and large intestines are unremarkable. The appendix is surgically absent. The pancreas is unremarkable externally and on sectioning. GENITOURINARY SYSTEM: The right kidney weighs 160 grams and the left kidney weighs 170 grams. The renal subcapsular sulfaces are granular. The cortices are of normal thickness. The calyces, pelves and ureters are unremarkable. The urinary bladder contains approximately 190 mL of cloudy yellow urine. The mucosa is gray, smooth and unremarkable. The prostate gland is unremarkable. ENDOCRtNE SYSTEM: upon sectioning. The thyroid and adrenal glands are unremarkable externally and RETICULOENDOTHELIAL SYSTEM: The spleen weighs 300 grams and is covered by a smooth, blue-gray, intact capsule. The parenchyma is dark red. The lymph nodes are unremarkable. MUSCULOSKELETAL SYSTEM: The clavicles, ribs, sternum, pelvis and vertebral column have no fractures. The diaphragm is intact. TOXICOLOGY: Blood and vitreous are submitted (see separate report). SUMMARY OF CASE This 55-year-old black man, with a history of hepatitis C, hypertension, gastroenteritis, and right eye blindness, reportedly was found unresponsive in his prison cell. Autopsy reveals severe, bilateral pneumonia, hypertensive cardiovascular disease, and hepatic steatosis and fibrosis . • MEC08-1988 SATTLE, TERRY PAGE 4\4 In my opinion, the cause of death is pneumonia. The manner of death is natural. ~'GkV0'(} Staci A. Tumer, M.D. Signature: Assistant Medical Examiner SAT/pc 617108 • Dale: _9-'-!-1=J"--!--'-lo-,-3"'_ _