Alameda County Sheriffs Office
Gregory J. Ahern, Sheriff/ Coroner
Coroner's Bureau, 2901 Peralta Oaks Ct, Oakland, CA 94605
(510) 382-3000 / (510) 382-3033 (fax)

Coroner Investigator's Report
NAME OF DECEASED (LAST, FIRST MIDDLE)

0

TENTATIVE ID

•

SINGH, Swaran

LL

~

REPORTED BY

..J
..J

<C

0

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z i

w
w
0
w

'

REPORTING AGENCY

•

CASE NUMBER

I
I
I

(925) 847-3000

Valley Care Medical Center

CALL DATE AND TIME

CASE TYPE

Anthony Gogna

10/12/2016 11:39

Removal Case

DATE AND TIME OF DEATH

DATE OF BIRTH

AGE

GENDER

10/11/ 1975

41 Years

Male

I I

10/12/2016 9:15
65

WGT

EYE COLOR

HAIR COLOR

OCCUPATION

19.6

Brown

Brown

Host

I

16-017689

I

RACE

Other

I

MARITAL STATUS

Never Married

I•

EMPLOYER

Preliminary
Summary

C

i

LOCATION OF DEATH

LODTYPE

i Valley Care Medical Center
I

Hospital - IP

•

i
I

ADDRES S (STREET, CITY, STATE, ZIP)

I

i

Manner

I

1

<(

w

I

COUNTY

I

.

; 5555 W. Las Positas Boulevard Pleasanton CA 94588

I-

Cause A

Alameda

I Death Certificate Signed

Natural

I
I

I
II

By:

I

Interval

HYPERTENSIVE CARDIOVASCULAR DISEASE

Cause B

Interval

Cause C

Interval

' Cause D
'

Interval

C

Years

I
:
I

I

'
;

z

i

!
!
:

Other Significant
Conditions

'

LEGAL NEXT OF KIN

RELATION SHIP

TELEPHONE NO.

NOTIFIED BY

METHOD

DATE AND TIME

IDENTIFICATION METHOD

DATE AND TIME

Hospital Wrist Band

10/12/201

0

·

j:::
<(
(.)

U:
j:::

0

z

9:15

LOCATION OF INCIDENT

AT WORK

.I-

z

w
0

ADDRESS (STREET, CITY, STATE, ZIP)

COUNTY

INVESTIGATING AGENCY

INV AG ENCY PHONE NUMBER

OFFICER

Alameda County Sheriffs Office-ETS
FUNERAL HOME

BODY RELEASED TO FUNERAL HOME ON

a.

Chapel of The Chimes - Hayward

10/19/2016

i5

Full Autopsy

Parti al Autopsy

Inspecti on

Record Review

~

•

•

•

15:55

Cl)

Inspection w/Specimen

•
Date Printed

•

DATE AND TIME OF INCIDENT

C

~

I

VET?

i

C

:c

I

2016-03035
REFERENCE NUMBER

INVESTIGATOR

HGT

I

I

R. Nesheiwat

I
I-

REPORTED BY PHONE·NO.

l UNIDENTIFIED :

EXAM BY

Michael Ferenc
Friday, January 27, 2017

 .A.famed.a Cou.nty Sheriff' s Office
Gregory J. Ahern, Sheriff / Coroner
Coroner'·s Bureau, 290'1-Peralta Oalu Ct.,
Oakland, CA 94605
{510) 382-3000 I {5l0) 382-3033 (fax)

Decedent:
Case Number:
·Invest!gato·r:

SINGH* Swa,:a,Q:
201 6-03035

Anthony;-Gog n.a

1

First Call Information:
On October 12, 2016, about 1100 hours, Nurse Nesheiwat called and reported the death of Swaran Singh.
Nurse Nesheiwat told me, Singh was a- 41 year oid male, who died in,the Critical Care Unit at Valley Care
Medical Center (VCMC). Singh collapsed at Santa Rita Jail and w as lrnnsported to VCMC in cardiac
arrest. While in the hospital, Singh was placed on a ventilator and his health declined. On October 11,
2016, at 1&JO htlufs, IDsr. M eN al!b'gl'!!trp,rC<uollinced,t~ first brraiH<,death-, ©n,October 1:2, 20d::,6, ati 09115
hours, Dr. Hu pronounced the second brain death. The hospital had not taken Singh off the ventilator and
was trying to wait until family arrived from out of the country to see him and possibly approve organ
donation.
On October 12, WH6, ·about l i 15 hours, ( notified Sergeant Baron, Sergeant Gemmel!, Lieutenant Ibarra,
Lieutenant J. Johnson, and Captain Ditzenberger of the death. (AG#l303)

Medical Summary:
According to medical records from VCMC, Singh had a past medical history of
and
). On October 6th, 2016, the patient reportedly developed acute
. The patient was resuscitated with return of spontaneous
circulation. Admission chest x-ray was clear and his: CT head scan showed
Singh was diagnosed with a
. The medical records were
downloaded to a CD-R and were induded mtllie case :fil'e. Admission specimens were collected and ·
brought to the Coroner' s Bureau.
According to Santa Rita Jail Medical Screening Form, it listed mood disorder and Singh was on
medication for
. A co_py of the jail medical records were downloaded to a CD-Rand

indluded in ·,t;he case 'ifi1e. ·-(AG#J. 3'03)

:scene:

.D esc.i'iJJtion (i)f-)th.e ]).ea.th/ 'Jin}Uiry
Singh died in the Critical Care Unit at Valley Care Medical Center at 5555 West Las Positas Boulevard.
(AG#l303)

Body Identification:
l compared the decedent to a photo.graph on Singlt ' s.California d'river' s licen se (

) a11d,

they matched. A copy of the license was included in the case file. (AG#I303)
On Sunday, October I-6, 2016, at 0905 homs, I (\VHson) Feceived a can from Cortney Emerson of the
Central Identification Bureau (CIB) who told me they got a positive hit on Singh' s identification via his
personal file number (PFN:
). (dlw29)

 2

Alameda County Sheriff's Office
Gregory J. Ahern, Sheriff/ Coroner
Coroner~s Bureau, 2901 Peralta o ·aks Ct.,
Oakland, CA 94605
(510) 382-3000 / (510) 382-3033 (fax)
Next of Kin lnvest'igation:
According to Nurse Nesheiwat, Singh had a brother, she identified as
and said their
mothet· was stilt. tivi;ng but b:er naline was u1t1.k1;i.ow0, and was believed to be flyiug fa1 frolllil:
. TI.1e
hospital staff advised they will notify them of the death when they arrive at the hospital. (AG#1303)

I (Bordi) spoke with Singh's brother,

at the hospital and he told me his brother was
married but he did not know the wife's name or contact information. A family friend on scene told me
Singh's wife was named
and she lived in
but her contact information was unknown.

On October 14, 2016, about 090& hm1rs, I- (Meidr.um} swoke 1lo,
wh~ tofdme she was. Iega:My
divorced from Singh.
said she and Singh had a minor chitdnamed
I
explained the coroner's involvement and told
she was the property guardian for her son.
told
me Singh's father was d'eceased, but. his mother,
Uved:,mtdidJ. :not have
contact information. (MMJ\11859)
On October 14, 2016, about 1006 hours, I (Meldrum) attempted to call Singh's brother,
but there was no answer. I left a voice message requesting a call back. (MMMl-859)
On October 14, 2016, about 1400 hours, I (Meldrum) spoke to

,involveme»t and·told him li'isanother, :

,

. I explained the coroner's

was,t1te legalnex:t ·ofkiili1 a;iad wo1ll'.ld be mcharge of
told me his mother was on an airplane and would arrive in

authorizing funeral arrangements.
the United States, on October 15, 2016, about 2000 hours.
arrangements when she arrived. (MMJ\11859)

said his mother would make funeral

Othe.r Agency Re110rts:
A copy ofOakfand Police Report#' 16-052332was mcfnded mthe ccfse fife. (AG#BOJ)
Property and Evidence:
None
Coroners Fees:
As of Januacy 21, 2017, the Coroner fees of $400 for body removal and body preparation are stiH
outstanding. (AG#l303)
·

.In vestiga-tive Details:

. A copy of the report was
downloaded to a CD-R and pl:aced in the case file.
According to the Alameda County Sheriffs Offr-ce ShiftActiwity Report, Singh was having trouble
breathing, he was sitting up on hiis bunk, alert, androriented<inside his cert Smgh was able to walk
unassisted from his cell to the sick call room to see a nurse. The nurse determined Singh's condition had

 3

AJameda County Sheriffs Office
Gregory J. Ahern, Sheriff/ Coroner
Coroner's Bureau, 2901 Peralta Oaks Ct.,
Oakland, CA 94605
(510) 382-3000 / (510) 382-3033 (fax)
worsened and "Code 3" medical was called. A copy of.the activity report was included in the case file.
(AG#B03)
On October 13, 20:]6, about 0629 h:mws, I (B011di,),ca.Ued Valley Care Medical (:era,te11and spoke with
Nursing Supervisor Linda. I advised her that Coroner Pathologist Dr. Michael Ferenc denied Donor
Network West's ,req1.'lest for orgaa .harvesti:ng. I :also adv.ised Liru:laito.,please 1have Sangh removed from the
ventilator and have him moved to the morgue. Dr. Ferenc said Singh rieeded to be brought to the
Coroner's Bureau so a cause of death could be rendered and any medical evidence preserved. Linda said
she understood and would talk to the doctor.
Sgt. Baron spoke with VabEey Care Supervisor Sunny andialso explained·to Iriim the needrto remove Singh
from the ventilator because he had been reported as deceased. Sunny said Singh would be removed from
the ventilator and the Coroner's Bureau could respond and complete the removal.
On October 13, 2016, about 1110 hours, Deputy Meldrnm and I (Bordi) arrived at Valley Care Medical
Center. We met with Sunny and he led us to room #2810 where Singh was located. I saw Singh was still
connected to a ventilator. Sunny said Singh's brother,
had arrived at the hospital along
with friends from Sin_gh's Sikh religious church. I ~poke with
and
and they told me
they were requesting illhe hospitaU pro fong t!he venti'lator unti~ Singh's other family members arrived from
The expected date for the family to arrive was Saturday, October 15, 2016. I explained the time
sensitive c.ircmnsta,uces Ito
.and
and advised tlle.m the Chief Forensic Pathologist was
worried med.icail evidence was neede<!l to render a caHse of death amH co1.dd be -lost 'i f Smgh remained on
the ventilator.
and
were adamant that hospital staff did not remove Singh from the
anived at the Coroner's Bureau. I explained to
ventilator until Singh's family from
and
that hospital staff reported Singh as deceased to the Coroner's Bureau and needed to remove
him from the ventilator.
refused to aUow hospital staff to remove Singh from the ventilator. Sgti.
Baron responded to the hospital to help explain the situation to hospital staff and
Hospital staff
ultimately removed Singh from the ventilator and
was allowed to have priests from the church
prny with.r family and friends mthe l.l-O(i}Ja,b wLth S:il1gh,
After the prayer, Singh was prepared for transport to the Coroner's Bureau.
About 1728 hours, I (Bordi) arrived at the Coroner's Bureau and Deputy Plasencia assisted me with
processing Singh into the morgue, which included intake photographs. The hospital photographs and
intake :photqgnJphs were 'la,te:r dow,1loaded onto a CI.l).:R dJsc and ,placed iin the case file. (EB [ 879)
On October 13, 2016, Coroner's Chief Pathologist D.r. M . Ferenc ,performed a full autopsy on Singh. Dr.
Ferenc deferred the cause of death pending a toxicology exam.
On November 14, 2016, Dr. Ferenc gave a cause of death as "Hypertensive Cardiovascular Disease."
After review of the toxicology report, Dr Ferenc documented there were no substances detected (See
toxicology report for complete results). (AG#1303)

 4

Alameda County Sheriffs Office
Gregory J. Ahern, Sheriff/ Coroner
Coroner's Bureau, 2901 Peralta Oaks Ct. 1
Oakland, CA 94605
(510) 382-3000 / (510) 382-3033 (fax)
Findings:
On January 27, 2:G q7, J!(-Gogi~a) .iiev,iewed&iis ,case J(:o detenniine a .inanner of death. Based on my
investigation, autopsy protocol, case file, documents associated with this case and the cause of death
given by Chief Pathotogi;st Dli Fei:e111,c, I find the manan,er of death: in,this case to be nat1llial. (AG#l3:03}

Slllpendso:r Re,dew:
On Friday, January 27, 2017, I (Sgt. Baron) reviewed this case and found it to be complete. I concur with
the findings and approve this case for closure. However, due to the fact the Coroner's fees are still
outstanding, the case will show "Closed-Pending Fees" until all fees are paid in full. (HB#2017)

 Alameda County Sheriff's Office
Co rone r's Bureau
2901 Peralta O aks Court, 2"'1 Flo01; Oakland, CA 94605-5319

Gregory J. Ahern, Sheriff
Director of Emergency Services
Coroner - Marshal

MEMORANDUM

DATE:

October 13, 2016

FROM:

Michael Joseph Ferenc, M.D.

TO:

Case File 2016-03035

SUBJECT:

AUTOPSY PROTOCOL

An autopsy was performed on the body of Swaran Singh at the
Coroner's Bureau, 2901 Peralta Oaks Court, Oakland, California,
on October 13, 2016, at about 1745 p.m.
FINDINGS
1)

CARDIOVASCULAR DISEASE:
A. BIVENTRICULAR CARDIAC HYPERTROPHY
B. FOCAL SLIGHT CORONARY ARTERY ATHEROSCLEROSIS.

2)

NO EVIDENCE OF EXTERNAL OR INTERNAL INJURIES.

3)

TOXICOLOGY (CVT-16-10740)
A. NO SUBSTANCES DETECTED IN FEMORAL BLOOD
B. NO SUBSTANCES DETECTED IN BILE.

CAUSE OF DEATH:

cc:

HYPERTENSIVE CARDIOVASCULAR DISEASE.

EMS
Investigations Bureau
District Attorney

 Page 2
Sheriff-Coroner
Alameda County

Body of SWARAN SINGH

1

CIRCUMSTANCES OF DEATH

2

This 41 year-old gentleman was pronounced dead at hospital

3

several

days

after

4

incarcerated at

5

On 10/02/2016,

6

052332)

7

vandalism and a misdemeanor assault.

8

he

9

able

to

cardiopulmonary

arrest

while

an

(PFN BFW375;

CEN 6316536).

he was arrested by Oakland Police

(Incident 16-

events

apparent

"walk

a

the Santa Rita Jail

following

developed

having

to

in

a

hotel

new-onset

the

sick

lobby

included

a

While in jail on 10/07/16,

"trouble

call

that

room

breathing."

unassisted."

He

was

There

he

10

worsened.

11

chair, alert receiving lOL 02 ... able to obey commands but unable

12

to verbalize needs.

13

to

14

M52049916108389)

15

became an inpatient at hospital

16

37-64). However, he did not recover any significant neurological

17

function

18

10/12/2016.

19

his cardiopulmonary arrest.

20

screen,

21

head CT scan,

22

that

He was described

56%."

did

He

and,

a

had

Inc BFW375)

labored breathing.
a

but

in

(CFMG,

cardiopulmonary

was

"sitting in

Diaphoretic ... 02 dropped
arrest

eventually responded

fact,

as

to

(Paramedics

Plus

resuscitation.

He

(ValleyCare Medical Center 88-

determined

to

be

brain

dead

by

His hospital work-up did not identify a cause for

negative

not

blood

This included a negative urine drug
alcohol

test,

a

negative-for-trauma

a negative-for-trauma chest X-ray, cardiac studies
show

clear

evidence

of

infarct . or

pre-existing

 Page 3
Sheriff-Coroner
Alameda County

Body of SWARAN SINGH

23

arrhythmias,

24

pulmonary

25

pulmonary artery was not visualized.") .

26

history

27

schizophrenia.

28

signs noted a blood pressure of 142/102 mm Hg.

and

an

emboli

(although,

included
At

echocardiogram
the

study

hyperlipidemia,
intake to the

that

did

not

report

disclose

states

"The

His known past medical

possible

hypertension,

jail on 10/02/2016,

and

his vital

PRELIMINARY EXAMINATION

29

The unembalmed body of a middle-aged man is on a mortuary

30
31

table,

is

32

identification tag. A grey metal bracelet is on the right wrist.

33

Paper

34

Fingernail clippings are taken.

bags

in

are

on

the

gown,

hands.

and

has

The

a

properly

fingernails

are

labeled

intact.

No significant recent antemortem injuries are identified.
EXTERNAL EXAMINATION

37
38

hospital

RECENT INJURIES

35
36

a

The body of .a well-developed,

well-nourished,

39

swarthy skinned man is reported to be 41 years,

40

196 pounds.

41

slight, posterior, red blue, and not fixed.

42

the touch.

Rigor mortis is absent.

middle-aged,

65 inches,

and

Livor mortis is minimal to
The body is warm to

'-,

43
44

The head shows no significant trauma or scars.
black and grey,

straight and from 1/2 to 2 inches.

The hair is
Grey,

1/4

 Page 4
Sheriff-Coroner
Alameda County

beard

Body of SWARAN SINGH

45

inch

stubble

46

conjunctivae are unremarkable.

47

are

48

lesions. A nasogastric tube is in the right nostril.

49

tube is present.

roughly

round

is

and

seen.

The

eyelids,

sclerae,

The eyes are brown.

equal.

The

nose

and

mouth

line

52

trauma or scars.

53

area

54

resuscitation.

55

significant trauma or scars.

56

genitalia are

57

place with amber urine in the collection container.

is

in

over

show

no

An airway

The ears are intact.

51

58

The pupils

The neck shows no significant trauma or scars.

50

and

the

right

the

neck.

The

A 3-1/2 x 2
sternum

is

chest

inches,

a

no

significant

scabbed-over,

consistent

The breasts are of a man.

of

shows

A vascular

with

red-brown

cardiopulmonary

The abdomen shows no

ECG pads are on the torso.

circumcised man.

The

A Foley catheter is

The arms and forearms show no significant trauma.

1/4

59

3/8 inch, round scars are on the lateral upper arms.

60

fingers,

61

wrist and the shoulders.

62

of the left hand.

63

or scars.

64

red-tan area of skin discoloration is on the medial left ankle.

65
66

in

to

The hands,

and fingernails are intact. ECG pads arte on the right
A pulse oximeter probe is on a finger

The legs and feet show no significant trauma

Compression dressings are on the calves.

The back shows no significant trauma or scars.

A 1 inch

A decubitus

adhesive dressing is over intact skin over the sacrum. A small

 Page 5
Sheriff-Coroner
Alameda County

Body of SWARAN SINGH

67

piece of adhesive tape is over intact skin on the left upper

68

back. The anus is unremarkable.
INTERNAL EXAMINATION

69

BODY WALLS AND CAVITIES:

70

inches.

The subumbilical fat pad is about

The subcutaneous and breast tissues are unremarkable.

71

2

72

The

73

significant adhesions,

74

pericardial

75

The

76

significant adhesions and contains minimal serous liquid.

77

retroperitoneal fat

78

The major organs are normally positioned.

pleural

cavities

sac

diaphragm

is
is

CARDIOVASCULAR

79

are

smooth

and

have

glistening,

and contain minimal serous liquid.

intact.
intact.

The

mediastinum is

The

peritoneal

no
The

unremarkable.

cavity

shows

no
The

layer is slightly to moderately increased.

SYSTEM:

The

epicardium

is

smooth

and

80

glistening.

81

distribution.

82

right coronary cusp.

83

eccentric,

84

anterior

85

myocardium is red-brown,

86

ventricular free wall

87

fatty tissue or increased fibrous tissue. The right ventricle is

88

0.2

to

The coronary arteries
A separate

conus

Focal about

follow a

right

predominant

artery ostium arises
40%

in

the

narrowing by yellow-tan,

atherosclerotic plaque is seen in the proximal left
descending

0.5

cm.

branch.

The

is

440

grams.

The

normal texture, and uniform. The right

does not

The

heart

left

show any significant

ventricle

measures

in

increased

greatest

 Page 6
Sheriff-Coroner
Alameda County

Body of SWARAN SINGH

89

thickness as follows:

90

2.3 cm, posterior wall 1.7 cm, lateral wall 2.5 cm, and anterior

91

wall

92

ventricle are along the mid to apical regions.

93

chordae,

94

including no endocardial je~ or rub-type lesions.

95

ovale is closed.

96

translucent valve. The atrioventricular and semilunar valves are

97

normally

98

appropriate for age.

99

venae cavae and great vessels show no thrombi or emboli.

1.2

cm.

anterior septum 1. 5 cm,

The

thickest

measurements

the

left

The endocardium,

The foramen

The coronary sinus ostium shows a partial thin

formed,

show

no

lesions

or

vegetations,

and

The aorta shows no atherosclerosis.

are
The

The right and left lungs are 460 and 400

The lungs are partially aerated, soft, pink tan to red,

101

grams.

102

and

103

bronchi show no significant lesions.

104

vessels show no significant thrombi or emboli.

105

of

and papillary muscles are intact and show no lesions

PULMONARY SYSTEM:

100

wall

posterior septum

otherwise

uniform

with

HEPATOBILIARY SYSTEM:
a

smooth

glistening

smooth

glistening

surfaces.

The muCOS? is tan.

The
The

The liver is normal texture, uniform

106

with

capsule,

congested,

107

uniform with smooth glistening surfaces.

108

intact,

109

thick,

110

without focal lesions, and tan.

2460

grams,

and

The biliary tract is

and the gallbladder contains over 50 mL of dark green,
opaque bile.

The pancreas is lobulated, normal texture,

 Page 7
Sheriff-Coroner
Alameda County

111

Body of SWARAN SINGH

HEMATOPOIETIC

The

SYSTEM:

normal

texture,

uniform with a

113

lymph nodes are not significantly enlarged and show no lesions.

114

The thymus gland is unremarkable for age.

115

the ribs and calvarium is unremarkable for age.
GASTROINTESTINAL

SYSTEM:

dark red,

is

112

116

smooth capsule,

spleen

The

and 180 grams.

The

The bone marrow of

oropharynx,

esophagus,

117

stomach show ho lesions.

118

thin,

119

and large bowel show no mucosal, mural, or serosal lesions.

120

small bowel contains minimal green material.

121

contains a

122

stool.

123

The stomach contains about 300 mL of

translucent green liquid.

The duodenum,

jejunum,

ileum,

The large bowel

GENITOURINARY SYSTEM:

The appendix is present.

The adrenal glands are unremarkable.

124

c

125

thickness,

126

and collecting systems are not dilated and show no lesions.

127

pyramids and papillae are intact.

128

empty bladder.

129

The

130

unremarkable for age.

131.
132

The

small to moderate amount of green partially formed

The mesentery is intact.

aplb.

and

Each kidney is

200 grams.

normal texture,

prostate

uniform,

The cortices are normal
and red brown.

The calyces
The

The ureters are patent to the

The bladder mucosa and wall are unremarkable.
gland

is

unremarkable

MUSCULOSKELETAL SYSTEM:
focal or diffuse lesions.

for

The muscles

age.

The

show no

testes

are

significant

The skeleton is well developed and

 Page 8
Sheriff-Coroner
Alameda County

133

Body of SWARAN SINGH

appropriate for age.

134

HEAD AND NERVOUS SYSTEM:

The scalp shows no significant

135

hemorrhage.

136

leptomeninges show no significant hemorrhages. or lesions.

137

floor of the skull is intact.

138

distended by non-adherent thrombus.

139

The

140

softened,

141

narrowing of the sulci.

142

cerebellar folia,

143

parenchyma

144

indistinct,

145

pituitary gland is intact.

146

The skull shows no fractures.

cerebral

hemispheres,

dull

is

pink,

the

The brain is 1250 grams.

cerebellum,
with

and

brain

flattening

of

the

lateral

148

normal

149

identified.

150

hyoid bone are intact.

151

mucosa

152

unremarkable.

153

prevertebral

154

intact.

grey-white

ventricles

ANTERIOR NECK STRUCTURES:
no hemorrhage.

the

stem

are

gyri

and

The grey and white matter, deep nuclei,

soft,

147

The

The sagittal sinus is slightly

and brain stem show no focal

very

and

and

The dura mater and

lesions.

matter

are

margin

compressed.

The
is
The

The anterior neck muscles show

The thyroid gland is symmetrical, not enlarged,

texture,

and

The

tan.

laryngeal

shows no lesions.

The

parathyroid

cartilages,

The tracheal,
The mucosa

The posterior pharynx
fascia

is

intact.

The

glands

are

not

cricoid cartilage,

and

laryngeal and epiglottic
is

The tongue

tan.

is not

obstructed.

cervical

vertebrae

is
The
are

 Page 9
Sheriff-Coroner
Alameda County

Body of SWARAN SINGH

155
156

SPECIMENS

157

vitreous

158

screen is requeste_d.

159
160
161
162
163
164
165

humor,

femoral

RETAINED:
urine,

Representative

liver,

tissue

and

sections

vein

blood,

bile.

A

are

OTHER STUDIES:

None.

full

retained

Selected sections are submitted for processing.

heart

blood,

toxicology

in - formalin.

 I \/I

CENTRAL VALLEY
TOXICOLOGY, INC.
TOXICOLOGY NUMBER: CVT-l 6-l0? 4 0

Case Name:
Singh,

Swaran
30 ml femoral blood & 35 ml bile each labeled "Singh, Swaran; 2016-03035;
Specimen Description: lO/l 3/20l 6 "
Delivered by

Tricor

Date

19-Oct-16

Received by

Bill Posey

Request: Complete Drug Screen

Agency Case# 2016-03035

Requesting Agency
Alameda Co. Coroner's Office
Attn: Acct's Payable
2901 Peralta Oaks Ct., 2nd Floor
Oakland CA 94605

Report To
Alameda Co. Coroner's Office
Attn: Dr. Ferenc
2901 Peralta Oaks Ct., 2nd Floor
Oakland CA 94605

Specimen: Femoral Blood Sample

Date 19-Oct-16

RESULTS

Complete Drug Screen: No common acidic, neutral or basic drugs detected.
No Ethyl Alcohol detected.

Specimen: Bile Sample
Complete Drug Screen: No common acidic, neutral or basic drugs detected.
No Ethyl Alcohol detected.

B.L. POSEY
S.N. KIMBLE
Directors

1580 Tollhouse Road
Clovis, California 93611

£~0ctober24,2016

Phone (559) 323-9940
Fax (559) 323-7502

 Ala1neda County Sheriff's Office
Coroner 's Bureau
2901 Peralta O aks Court, 2 nd floor, Oakland, CA 94605 -5319

Gregory J. Ahern, Sheriff
Director of Emergency Ser vices
Cl>n>tH:r - Marshal

CASE NUMBER:

CASE NAME:
2016-03035

SWARAN SINGH

PATHOLOGIST:
Michael Joseph Ferenc

HISTOLOGICAL EXAMINATION

BRAIN: Sections of cortex and hippocampus show no neoplasia, inflammatory infiltrates, degenerative
diseases, or trauma.
HEART: Multiple sections of left and right ventricle as well as sections from the conduction system area
show intact myocytes and no significant inflammatory infiltrates. Some of the myocytes are
hypertrophied with enlarged hyperchromatic nuclei. Endocardial and epicardial surfaces and vessels are
unremarkable.
LUNGS: Sections show intact parenchyma and no acute significant inflammatory infiltrates. In some
sections the parenchyrna is atelectatic. Bronchial elements are unremarkable. No significant polarizable
foreign material is seen.
LIVER:
Section shows unremarkable sinusoids and portal areas. Patchy areas of primarily
macrovesicular vacuolization of the otherwise unremarkable hepatocytes are seen.
KIDNEY: Section shows intact glomeruli, tubules, interstitium, and vessels. No significant polarizable
foreign material is seen.
·
ADRENAL GLAND: Section shows unremarkable cortex and medulla.
THYROID GLAND:
cuboidal epithelium.

Section shows variable-sized, pink colloid-filled follicles lined by flattened to

PANCREAS: Section shows unremarkable islets and acini, vessels, and ducts.

M.D.
Date

I

Signature