Alameda County Coroner?s Bureau {Gregory J. Ahern, Sheriff/Coroner 2901 Peralta Oaks Court, Oakland, CA 94605 (510) 382-3000 Coroner Investigator's Report NAME OF DECEASED (LAST. FIRST MIDDLE) TENTATIVE I UNIDENTIFIED CASE NUMBER 3 WILHITE, Edward Laron 2014-01248 REPORTED BY REPORTED BY PHONE REPORTING AGENCY REFERENCE NUMBER Dep. Bagwell #1020 Alameda County Sheriff's Office?ETS 5 INVESTIGATOR CALL DATE AND TIME CASE TYPE CHARLES FRAZIER, 4/22/2014 0732 Removal Case DATE AND TIME OF DEATH DATE OF BIRTH AGE GENDER RAGE MARITAL STATUS VET 4/22/2014 0726 11/16/1973 40 Years Male African-American Divorced HGT WGT EYE COLOR HAIR COLOR OCCUPATION EMPLOYER Brown Black Never worked 2 Lu 0 LIJ 0 in LOCATION OF DEATH LOC TYPE Valley Care Medical Center HOSP ADDRESS (SI Rtl: l, CITY, STATE, ZIP) COUNTY 5555 W. Lee Positas Boulevard, Pieasanton, CA, 94588 Alameda Manner Accident Death Certificate Signed By R. LORENZANA, DEPUTY CORONER Cause A ACUTE COCAINE TOXICITY Interval Hours 5 Cause Interval ?3 Cause Interval Cause Interval Other HYPERTENSIVE CARDIOVASCULAR DISEASE. SEIZURE DISORDER Significant Conditions LEGAL NEXT OF KIN TELEPHONE NO. NOTIFIED BY METHOD DATE AND TIME Howard Baron Coroner/telephone IDENTIFICATION METHOD 7 7 7' 7' DATE AND TIME Personal Identification 4/22/2014 0726 LOCATION OF INCIDENT AT WORK 1- Santa Rita Jail ADDRESS (STREET, CITY. STATE. ZIP) DATE AND TIME OF 5325 Broader Boulevard, Dublin, CA, 94568 Alameda 4/22/2014 0630 INVESTIGATING AGENCY INV AGENCY PHONE NUMBER OFFICER Alameda County Sheriff?s Office-ETS FUNERAL HOME BODY RELEASE T0 FUNERAL HOME ON a. BAKER ATKINS MORTUARY 4/28/2014 1440 Full Autopsy Partial Autopsy Inspection Record Review Inspection w/Specimen EXAM BY JUDY MELINEK Coroner Investigator's Report - Page 1 of 1 Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) Investigator Narrative Decedent: WILHITE, Edward Laron Case Number: 2014-01248 Investigator: Charles Frazier First Call Information: On Tuesday, April 22, 2014, about 0732 hours, Deputy S. BAGWELL #1020 of the Alameda County Sheriff?s Office, Santa Rita Jail called and reported the undetermined manner of death of 40-year-old male, Edward WILHITE. WILHITE was an in-custody inmate who was transported and pronounced dead at Valley Care Medical Center in Pleasanton. Deputy BAGWELL reported the following: On Tuesday, April 22, 2014, about 0630 hours, inmate WILHITE was found by a deputy unresponsive in an isolation cell. His medical history was unknown at the time of the first call. (CEF1691) Medical Summary: According to the Para medics Plus run sheet, incident #4040204, on Tuesday, April 22, 2014, about 0640 hours, they responded to the Santa Rita Jail in Dublin. Initially they went to the jail infirmary, but were advised inmate WILHITE was located in Housing Unit 33. Alameda County Sheriff's Office Gregory J. Ahern, Sheriff] Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607?3829 (510) 268-7300 (510) 268-7333 (fax) About 0644 hours, Paramedics Plus paramedics arrived at Housing Unit 33 and located Alameda County Fire Paramedics had already arrived and initiated CPR with the Lucas device. They were in the prbcess of intubating and starting an LO. in his right tibia. About 0630 hours, the housing unit deputy found unresponsive, pulseless and not breathing and initiated CPR. blood glucose was 66 had a past medical history of?- Paramedics performed life-saving measures, then placed him in the ambulance and transported him to the Valley Medical Center emergency department in Pleasanton. (CEF1691) According to jail records, had a medical history of- On April 23, 2014, medical records were requested, via fax, and received from Highland Hospital. placed one copy inside the case file and a second copy was placed in the pathology inbox for review. (CEF1691) Description of the Death/ Injury Scene: On Tuesday, April 22, 2014, about 0726 hours, was pronounced dead in the emergency department at Valley Medical Center in Pleasanton. (CEF1691) was found unresponsive in the Housing Unit 33 isolation cell. Two breakfast trays and a small container of milk (opened) was located on a bench inside the cell. Photographs of the cell were taken and depict partially eaten food including grits, potatoes, bread, milk and honey. (HLB4733) Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) Body Identification: On Tuesday, April 22, 2014, (FRAZIER) identified WILHITE by comparing his likeness to the photo on his booking printout; it was a match. PFN (person file number) is I searched the Cal PHOTO database and located his California Driver License ?lth rs Image and personal description. compared the photo and description to eness, was a match. While at the Valley Medical Center conducting the removal, I used the hospital wristband to identify WILHITE. (CEF1691) On April 24, 2014, about 0630 hours, I received a fax from the Central Identification Bureau (03) regarding the identification of WILHITE. The fax stated 08 compared fingerprints to the fingerprints associated with personal file number (PFN) -CIB determined the fingerprints were made by the same subject. (E31879) Next of Kin Investigation: next of kin were unknown at time of removal. WILHITE was also listed as a transient. On Tuesday, I (FRAZIER) searched the Accurint database and located a possible ex?wife named ar-resident. Alameda County Sheriff's Office Gregory J. Ahern, Sheriff] Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) On Wednesday, April 23, 2014, at 1030 hours, (BARON) spoke with on the telephone. -told me she was married to but they were divorced in 1999. tated she still had periodic contact with and last saw him approximately one month ago. -stated mother and grandmother are deceased and he has been estranged from all family for a very long time. -stated the only family she was aware of for was an aunt who possibly lives in the City of but stated she did not know her name or address-stated might also have an adult child (daughter) with whom he has had no contact with, but again she could not provide me with a name or address. -stated she has continually been contacted over the years in situations regarding because he would often list her as his contact information-tated she would make some telephone cal-ls and attempt to locate information on the name or address of aunt. (HLB4733) On Wednesday, April 23, 2014, about 1900 hours, (WILLIAMS) received a telephone call from Lt. NOBRIGA of Santa Rita Jail. Lt. NOBRIGA said she received a call from who claimed to be the brother of She requested our office contac bout the death. About 1910 hours, I called and spoke with--told me his brother did not have any children, and said he had been divorced from or several years-said both their parents are deceased, thus making him-the legal next of kin. (AJW3829) About 2100 hours, i (WILLIAMS) received a telephone call how?who identified herself as daughter. -said she had been informed of the deat rough family friends, and she wanted to know why no one from the jail had contacted her. I informed I had spoken earlier with?ndhe was informed about her father. -informed me has two daughters, her sister and herself. I informed-that she and her sister are considered the legal next of kin for her father. (AJW3829) Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner ki?'?dqm! Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) Other Agency Reports: Refer to Alameda County Sheriff?s Office report number 14-006922, written by Deputy 2. JARVIS #2148. Refer to Paramedics Plus Run Sheet incident #4040204. (CEF1691) Property and Evidence: On Tuesday, April 22, 2014, about 0951 hours, Sergeant H. BARON and removed WILHITE from the Emergency Department of Valley Care Medical Center in Pleasanton. Sergeant BARON took digital pictures of WILHITE and we placed paper bags over both hands to protect trace evidence; we secured the bags with plastic zip ties. issued Coroner?s receipt number 34659 and documented the inmate clothing, which was left on his body for autopsy. (CEF1691) Coroners Fees: At the time of removal, Coroner?s fees were $67.00 for body preparation. If foul play is ruled out after further investigation and autopsy, an additional body removal fee will apply (5254). Nothing suspicious was found at the time of autopsy. Coroner?s fees are $321.00 for body removal and body preparation. (CEF1691) Other Investigative Detail's/ Supplemental Information: On Tuesday, April 22, 2014, about 0951 hours, Sergeant H. BARON and arrived to the Emergency Department at Valley Care Medical Center in Pleasanton to investigate and complete the removal. We met with Registered Nurse Joy PAYNE. She escorted us to body. I completed Alameda County Sheriff's Office Gregory J. Ahern, Sheriff Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) a limited external examination. WHILHITE was face up on the hospital gurney; his shirt was removed and his chest was exposed. Medical therapy was present consisting of intubation tubing, defibrillator pads, and cardiac monitoring pads. WILHITE was wearing inmate clothing consisting of pants, boxers, and socks. His jail-issued and hospital-issued identification bands were located on his left wrist. His eyes were bloodshot red. Several digital photographs were taken of WHILHITE at the hospital. issued Coroner?s receipt number 34659 for the body and clothing. No admit blood specimens were available. I placed paper bags over hands and secured them in place with plastic zip lock ties. We transported WILHITE to the Coroner?s Bureau, took intake photographs and processed his body into the morgue. (CEF1691) On Sunday, April 20, 2014, about 1655 hours, WILHITE was arrested. On Monday, April 21, 2014, about 0354 hours, he was booked into the Santa Rita Jail. (CEF1691) On Tuesday, April 22, 2014, about 1010 hours, Sergeant BARON and (FRAZIER) went to Santa Rita Jail to continue our investigation of this incident in Housing Unit 33. (CEF1691) On Tuesday, April 22, 2014, about 1100 hours, I (BARON) was present when Deputy FRAZIER and Deputy JARVIS discussed the last time Deputy JARVIS had contact with WILHITE prior to him being found unresponsive. Deputy JARVIS stated he arrived to work in Housing Unit 33, about 0530 hours, and looked inside the isolation cell as he does every day at the start of his shift. Deputy JARVIS stated he saw an inmate, who he later identified as WILHITE, sitting on the cell bench with his knees propped up. Deputy JARVIS stated WILHITE did not seem to be exhibiting any signs of distress such as drug or alcohol withdrawal body tremors, or shaking. Deputy JARVIS stated he greeted WILHITE Alameda County Sheriff's Office Gregory J. Ahern, Sheriff Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) and asked him if he was Deputy JARVIS stated WILHITE waved his hand at him and said, ?I?m good.? Deputy JARVIS stated he then asked his partner (Deputy SLAUGHTER), who was working the midnight shift (1900?0700 hours) in Housing Unit 33, why WILHITE was inside the isolation cell. Deputy stated Deputy SLAUGHTER told him he was placing in the multi-purpose room to be picked up for his scheduled court appointment when WILHITE asked if he could go into the isolation cell to use the restroom. viewed Deputy incident report and it states, at 0450 hours, Deputy SLAUGHTER placed WILHITE in the isolation cell, alone, to use the restroom. Deputy SLAUGHTER stated WILHITE did not appear to be in distress and walked into the isolation cell under his own power. Deputy SLAUGHTER said he checked on WHILHITE and saw him seated on the toilet. At 0625 hours, Deputy went to remove WILHITE from the isolation cell to join the other inmates for court, and he found WILHITE unresponsive on the cell bench. (HLB4733) During the pathologist?s review of medical records from Santa Rita Jail, it was noted WILHITE had possible? When I (BARON) spoke to ex-wife- asked her if she was aware of any time WILHITE had sustained head trauma or had he possibly been victim to a gunshot wound. -stated she continued to have contact with WILHITE since their divorce in 1999 and she was unaware of any time WHILHITE had been the victim of any gunshot wounds. She did state he may have been hit on the head with a stick but could not recall any major head trauma. She said he took-medication, but not all the time like he should have. (HLB4733) On Wednesday, April 23, 2014, about 1910 hours, i (WILLIAMS) spoke wit- brother, and legal next of kin. Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) -described his brother?s health as terrible. He said that although the news of his brother?s death was a surprise, he did not find it shocking. - said his brother had a lot of issues, and constantly used illicit drugs. -said he would work on making some sort of arrangements for his brother, and would contact our office with further information. (AJW3829) On Tuesday, October 28, 2014, about 0900 hours, i reviewed jail records and movement history and it showed the following: Per jail records, on Tuesday April 22,2014, about 0450 hours, prior to going to court, was instructed to go to the Housing Unit 33 Multipurpose Room and wait for the movement deputy. During this process, asked if he could use the restroom. The housing unit deputy placed him inside the isolation cell, temporarily, so he could use the toilet. Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) About 0625 hours, a deputy went to check on WILHITE and found him unresponsive. (CEF1691) Findings: On Monday, October 27, 2014, about 1000 hours, I (FRAZIER) reviewed this case for the purpose of establishing a manner of death. A full autopsy with toxicology was completed by Coroner?s Pathologist, Dr. J. She determined the cause of death was After reviewing the cause of death and CVT toxicology report, I find this death to be an accident. My finding was also based on interviews with Housing Unit 33 deputies and family members who indicated WILHITE constantly abused illicit drugs. (CEF1691) Supervisor Review: On Monday, November 24, 2014, (Sergeant P. GRAVES) reviewed this report and concur with the finding. I approve this case for closure. Alameda County Sheriffs Of?ce Coroner?s Bureau 480 Street, Oakland, CA 94607-3829 DATE: FROM: TO: SUBJECT: Autopsy Coroner' Gregory]. Ahern, Sheriff Director of Emergency Services Coroner - Marshal A April 23, 2014 Judy Melinek, M.D. Case File 2014?01248 AUTOPSY PROTOCOL performed upon the body of Edward Wilhite at the 5 Bureau, 480 4th Street, Oakland, California, on April 23, 2014, at 9:30 a.m. II. IV. AUTOPSY FINDINGS ACUTE AND CHRONIC SUBSTANCE ABUSE: A. HISTORY OF ALCOHOL AND HEROIN ABUSE 1. NO REPORTED OF WITHDRAWAL 2. SEE TOXICOLOGY REPORT a. COCAINE 0.01 b. BENZOYLECGONINE 0.03 C. ECGONINE METHYL ESTER PRESENT B. MILD HEPATITIS 1. PORTAL C. SEVERE PULMONARY ANTHRACOSIS AND CHANGES 1. RIGHT VENTRICULAR HYPERTROPHY (0.7 CM) 2. PLEURAL ADHESIONS, BILATERAL 3. PULMONARY HILAR HYPERTENSIVE CARDIOVASCULAR DISEASE (CLINICAL): A. 450 GRAM HEART WITHOUT SIGNIFICANT ATHEROSCLEROSIS OR GROSS HYPERTENSIVE CHANGES 1. MYOFIBER HYPERTROPHY SEE MICROSCOPIC DESCRIPTION. SEIZURE DISORDER: A. HISTORY OF SEIZURES B. NO APPARENT BRAIN INJURY C. INTRAMUSCULAR HEMORRHAGE, TONGUE. HISTORY OF REMOTE GUNSHOT WOUNDS (2004, 2012): A. NO APPARENT VITAL INJURY. Page 2 Sheriff?Coroner Alameda County Body of EDWARD WILHITE CAUSE OF DEATH: ACUTE COCAINE TOXICITY. . Other conditions: DISEASE, SEIZURE DISORDER. CC: EMS Di?trict Attorney Investigations Bureau Page 3 Sheriff?Coroner Alameda County - Body of EDWARD WILHITE PRELIMINARY EXAMINATION: The body is identified by a Coroner?s label affixed the left great toe. When first viewed, the decedent is clad in blue elastic?waist pants, orange boxer Underpants, and two gray socks with brown paper bags encircling both hands. 'The clothing is retained as evidence. There are no accompanying valuables or effects. EXTERNAL EXAMINATION: The body is of a well developed, thin and muscular; well, nourished. adult black man. whose appearance is consistent with the reported age of 40 years. The body is Cold (refrigerated). Rigor mortis is marked and symmetric. Unfixed purple livor mortis is minimally evident over the posterior surfaces of the body, except in areas exposed to pressure. The face is unremarkable without visible injury. The head is atraumatic, symmetric, and normocephalic. rThe scalp is intact and atraumatic. The scalp hair is dark brown, 'curly and measures approximately 2 inches in length over the crown, where it is styled in an ?Afro? hair style. The eyelids are atraumatic, intact, and 'unremarkable. The irides are Ibrown. The pupils are obscured by cmmneal clouding. The sclerae and conjunctivae are .unremarkable without petechiae, jaundice or Page?4 Sheriff?Coroner Alameda County Body of EDWARD WILHITE hemorrhage. No petechial hemorrhages are identified on the palpebral conjunctivae, bulbar conjunctivae, facial skin or oral mucosa. The nose and ears are not unusual except for one pierce mark in the left earlobe. The decedent wears a 1/8 inch stubble in a mustache and beard distribution. The teeth are natural and in good condition. The neck is unremarkable. The trachea is palpable and midline. The thorax is well developed and symmetrical. The abdomen is flat. The anus and back are unremarkable. The .penis is circumcised. The testes are bilaterally descended in the scrotum. The upper and lower extremities are well developed and symmetrical, without absence of digits. There is no clubbing or edema. EVIDENCE OF MEDICAL THERAPY: Evidence of acute medical therapy includes an endotracheal tube (secured with positioner and strap and properly positioned on internal examination), eight electrocardiogram patches on the. chest and abdomen, defibrillator patches on the chest and back, and a single?lumen intravenous catheter at the left tibia. An Ambu bag accompanies the body. Injuries associated with resuscitation include a Page 5 Sheriff?Coroner Alameda County Body of EDWARD WILHITE 45 2-1/2 by 1 inch curvilinear tan abrasion at the lower midline 46 cheSt, overlying the sternum. 47 48 IDENTIFYING MARKS AND SCARS: - A professional 49 tattoo depicting two ihearts witkl a banner- and indecipherable 50 writing is on the upper left chest.' A 3 inch diagonal linear 51 well-healed scar is at the_midline upper chest. A monochromatic 52 professional tattoo depicting a clown holdimg a gun, inscribed 53 ?West -Oakland,? is on the cvolar right arm. A. monochromatic 54 professional tattoo inscribed. possibly, ?Stacey" is on the 55 upper outer left arm. Track marks (scars overlying subcutaneous 56 'Veins) include: a 2 inch diagonal linear well-healed scar at the 57 right antecubital fossa; two diagonal linear well-healed scars 58 Heasuring 2 inches and 3 inches at the back outer lower right 59 arm, belOW' the elbow; and. two ?well?healed. scars at the left 60 lower arm and antecubital fossa, measuring 3/4 'inch and _2 61 inches. Additional identifying marks and scars are not readily 62 identified. 63 64 EVIDENCE OF INJURY: A inch aggregate of crusted punctate red 65 abrasions is at the inner right elbow. There are no acute fatal 66 traumatic injuries. There is no additional evidence of injury. Page?6 Sheriff?Coroner Alameda County Body of EDWARD WILHITE INTERNAL The body is opened in the usual manner with. a 'Y-Shaped incision. There are right anterior pleural adhesions and focal left posterior pleural adhesions. There is approximately 15 ml of serous fluid in the pericardial sac. No other adhesions or abnormal collections of fluid are in any of the body cavities. All body organs are in normal and anatomic position. The serous surfaces are smooth and glistening. The Subcutaneous 'fat measures approximately 1/4 inch in maximum thickness at the level of the umbilicus. There is diffuse visceral congestion.' HEAD AND CENTRAL NERVOUS SYSTEM: Reflection of the scalp shows the usual scattered reflection petechiae. The calvarium is intact. The brain weighs 1,400 grams. The dura mater and falx cerebri are unremarkable and the leptomeninges are thin and delicate. The cerebral hemispheres are symmetrical with diffuse cerebral edema, characterized by widening of the gyri and effacement of the sulci. The structures at the base of the brain, including cranial nerves and blood vessels, are free of abnormality. Page 7 Sheriff?Coroner Alameda County Body of EDWARD WILHITE 89 Sections through the cerebral hemispheres reveal no lesions 90 within the cortex, subcortical white matter or deep 91. of either? hemisphere. The cerebral 'ventricles .are c?f normal 92 caliber. Sections through. the Ibrain. stem auxi cerebellunl are 93 unremarkable. The first portion of the spinal cord, viewed 94 through the foramen magnum, is unremarkable. 95 96 NECK: 'The neck is dissected after the thoracoabdominal and 97 cranial contents are removed. Examination of the soft tissues 98 of the neck, including large vessels and strap muscles, reveals 99 no abnormalities. The superficial and deep muscles of the neck 100 are firm, red?brown, intact, and unremarkable without hemorrhage 101 or laceraticmL The hyoid. bone and larynx are intact.? The 102 tongue is normal except for a possible 0.5 cm faint abraded area 103 on the right side of the tongue. 104 105 CARDIOVASCULAR SYSTEM: The heart weighs 450 grams. The 106 epicardial surfaces are smooth, glistening, ?and 'unremarkable. 107 The coronary arteries arise normally and follow the distribution 108 of a right dominant pattern with no significant atherosclerosis. 109 The chambers demonstrate right ventricular hypertrophy, and the 110 'valves bear the usual size/position relationship, are 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 Page'8 Sheriff?Coroner Alameda County Body of EDWARD WILHITE morphologically' normal and. are unremarkable. The 'valves are free (If vegetations. The nyocardium 1&3 dark red?brown, firm, and unremarkable. The atrial and ventricular septa are intact, and the septum and free walls are free of muscular bulges. There is no focal or regional fibrosis, erythema, pallor or softening; 'The left ventricle measures 1.4 and. the right ventricle measures 0.7 mm in thickness as measured 1 cm below the reSpective atrioventricular valve annulus. The interventricular septum measures 1.3 cm in thickness. The aorta and its major branches arise normally and follow the usual course with no significant atherosclerosis. The orifices of the major aortic vascular branches are patent. The vena cava and its major tributaries return to the heart in the usual distribution and are unremarkable. RESPIRATORY SYSTEM: The right and left lungs weigh 420 and 350 grams, respectively. .The upper and lower airways are patent and the mucosal surfaces are smooth and remarkable for marked anthracotic- pigmentation of the subpleural The pleural surfaces are smooth, glistening, and unremarkable. The pulmonary" is black and red, and the cut surfaces exude marked amounts of blood and frothy fluid. There are no Page 9 Sheriff-Coroner Alameda County Body of EDWARD WILHITE 133 'masses, hemorrhages, consolidations, obstructions or destructive 134 The pulmonary arteries are normally developed and 135 jpatent. There is 1K) saddle embolus (H1 in situ examination of- 136 the pulmonary trunk. 137 138 HEPATOBILIARY SYSTEM: The liver TWeighs 1,970 grams. The 139 hepatic capsule ?is intact, Ismooth and glistening, covering 140 tan?brown The gallbladder contains 141- approximately 5 ml of green, viscid bile without stones. The 142 extrahepatic biliary tree appears to be patent. 143 144 HEMATOPOIETIC SYSTEM: The spleen weighs 190 grams and has a 145 smooth intact capsule covering red?purple, moderately firm 146 The splenic white pulp :us grossly? unremarkable. 147 The regional nodes are remarkable for slight enlargement 148 of the nodes at the porta. hepatis, anthracotic 149 pigmentation and slight enlargement of the bilateral pulmonary 150 hilar nodes. The bone marrow (rib) is red?purple. 151 152 ENDOCRINE SYSTEM: The pituitary gland is intact, normally 153 developed, and is meemarkable without laceration, hemorrhage, 154 or mass lesion. The thyroid gland is symmetric and unremarkable 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 Page 10 Sheriff-Coroner Alameda County Body of EDWARD WILHITE firm, red?brown, granular and no cyst, hemorrhage, fibrosis, or Kass lesion. The adrenal glands are normally situated and have soft, yellow cortices and soft, gray? brown medullae. The pancreas has a soft, tan with a normal lobular architecture and 1K) saponification, pseudocyst, neoplasm, fibrosis, hemorrhage, or mineralization. GASTROINTESTINAL SYSTEM: The esophagus is lined by gray?white, smooth. mucosa. 'The gastric mucoSa is arranged in the usual rugal folds, and the lumen contains approximately 25 ml of brown fluid with chunk of white granular material (consistent with grits). There are no pill fragments or foreign bodies identified. The small and large bowels are unremarkable. The appendix is.unremarkable. The colon contains soft, brown stool. GENITOURINARY SYSTEM: 'The right and left kidneys weigh 190 grams, each. The renal capsules are smooth, thin, semitransparent, and strip with ease from the underlying, smooth, red?brown, firm, cortical surfaces. The cortices are of normal pyramids. thickness and well?delineated from the medullary The calyces, pelves, and ureters are unremarkable. 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 Page 11 Sheriff?Coroner Alameda County Body of EDWARD WILHITE The urinary bladder is empty. The mucosa is gray?tan and smooth. The bilaterally descended testes are unremarkable. The prostate is unremarkable. MUSCULOSKELETAL SYSTEM: The skeleton is well developed and without deformity osteoporosis. The vertebrae, clavicles, sternum, ribs, and pelvis are without fracture. The supporting musculature and soft tissues are not unusual. The firm, red? brown muscles are well hydrated and free of focal lesions. The cervical spinal column is stable on internal palpation. Spec. to Pathology: Portions of all major organs are fixed in formalin and retained. Spec. to Histology: Heart, lung, liver, spleen, adrenal, pancreas, brain, and right tongue. Spec. to Toxicology: Peripheral blood, central (heart, right ventricle) blood, bile, brain, gastric contents, liver, and vitreous humor. Physicians Present: Drs. Judy Melinek and Paul Herrmann. 199 200 201 202 203 204 205 206 207 208 209 Sheriff?Coroner Alameda County Forensic Techs: Evidence: JM/cah Page 12 Body Of EDWARD WILHITE Jesika Grubaugh, Odette Pe?a, and Herminia Gutierrez. Blood spot on filter paper for DNA. CENTRAL VALLEY TOXICOLOGY, INC. Case Name: TOXICOLOGY NUMBER: Wilhite, Edward 32 ml peripheral blood labeled "Wilhite, Edward; 2014?01248; 04/23/2014? Specimen Description: Delivered by Tricor Date 24?Apr?14 Received by Bill Posey Date 24?Apr?14 Raquestz Complete Drug Screen Agency Case 2014-01248 Requesting Agency Report To Alameda Co. Coroner's Of?ce Alameda Co. Coroner's Office Attn: Acct's Payable Attn: Dr. Melinek 480 4th Street 480 4th Street Oakland CA 94607 Oakland CA 94607 Specimen: Peripheral Blood Sample RESULTS Complete Drug Screen: Cocaine detected. No other common acidic, neutral or basic drugs detected. No Ethyl Alcohol detected. .. . . Cocaine 0.01 mg/L in Benzoylecgonine 0.03 mg/L C315 jl Ecgonine Methyl Ester Present .. Blood Cocaine Ranges Blood Benzoylecgonine Ranges Effective Level: (0.05 -0.3 mg/L) Effective Level: Non Active Potentially Toxic: (0.25 5.0 mg/L) Potentially Toxic: (1-10 mg/L) B.L. POSEV KIMBLE Directors I . i580 Tollhouse Road Clovis. California 93611 B. L. osey May 01, 2014 Phone (559) 323-9940 Fax {55m 323?7502 Al am ed a County Sherill?s Of?ce Coroner?s Bureau 480 Street, Oakland, CA 94607-3829 Gregory]. Ahern, Sheriff Director of Emergency Services Coroner - Marshal CASE NUMBER: CASE NAME: 2014-01248 Edward Wilhite PATHOLOGIST: Judy Melinek, MD HISTOLOGICAL EXAMINATION Tissue or Organ of fragments and/or levels (slide ID) BRAIN 6 (1, 2, 6, 9): Sections of cervical cord, medulla, choroid plexus, cerebellum and hippocampus are unremarkable Without speci?c pathologic changes. There is no hippocampal sclerosis noted or anoxic- ischemic changes. HEART 4 (3, 4, 7, 10): hypertrophied myocardium with myo?ber hypertrophy, and nuclear enlargement; otherwise Without infarct or in?ammation. Unremarkable coronary arteries. LIVER 1 (5): Architecturally normal hepatic with increased within the portal tracts with focal spillage past the limiting plate and piecemeal necrosis. There is no steatosis, Mallory?s hyaline and there is a slight increase in portal ?brosis Without bridging. SPLEEN 1 (5): Normal splenic without speci?c pathologic changes. KIDNEY 1 (6): One sclerotic glomerulus with associated chronic in?ammatory changes surrounding it. Otherwise normal glomerular and tubular architecture. No speci?c pathologic changes. ADRENAL 1 (6): Normal adrenal cortex and medullary architecture and cytology with no speci?c pathologic changes. TONGUE (7): Focal intramuscular hemorrhage. PANCREAS 1 (7): Except for mild autolysis, normal endocrine and exocrine architecture and cytology with no speci?c pathologic changes. LUNG 3 (8, 10): Pulmonary anthracosis and changes. Tracheal mucosa is denuded but has no surrounding in?ammation. No polarizable identi?ed. Olwki A. .on MD. Date Signature