Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Quizlet acute renal failure
Case study analysis - managerial economics
Brief description of the Case Study Method
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Quizlet acute renal failure
I received a call from my fellow partners about the case. The suspect had died when i received him. However, there was something extremely weird about the death of my patient. He did not just die from being shot, there was more to the bullet that met the eye. It was from there i decided to identify what exactly the bullet had been laced with, and how our patients death came to be.
The first steps that were taken was the identification process. A urine sample was obtained. An LC-MS test was performed on our patient to identify anything that was ingested to be the cause of death in addition to the bullet wound; however, the test came negative.liquid-chromatography-and-mass-spectrometrylcms-7-638[1]
We continued onto the blood portion of our
…show more content…
LC-MS test. A blood sample was collected from our patient. The results from our test is set below. The test confirmed that it was Belladonna, an extremely poisonous plant that's "juice" can be lethal to humans. LC-MS BLOOD TEST What is Belladonna or nightshade?ATR02_1000_1[1] " Belladonna alkaloids are anticholinergic, which means that it works by blocking the certain nerve impulses involved in the parasympathetic nervous system, which regulates certain involuntary bodily functions or reflexes, including pupil dilation, heart rate, secretion of glands and organs, and the constriction of the bronchioles in the lungs and the alimentary canal (digestive tract).
Belladonna relaxes the smooth muscles of the internal organs and inhibits or dries up secretions (e.g., perspiration, mucous, breast milk, and saliva). …show more content…
" Overall this means that an excess entered into the body via direct contact could have lead to the death of our patient.
To find out more we used quantification methods to find the amount used in our victim. The alkaline metal in Belladonna is Atropine or C17H23NO3. Atropine is what causes the affects seen in Belladonna. The more of the plant, the mimgsrv[1]ore poison in the body. "Excessive dosing may cause palpitation, dilated pupils, difficulty in swallowing, hot dry skin, thirst, dizziness, restlessness, tremor, fatigue and ataxia. Toxic doses lead to restlessness and excitement, hallucinations, delirium and coma. Depression and circulatory collapse occur only with severe intoxication. In such cases, blood pressure declines and death due to respiratory failure may ensue following paralysis and coma." It is possible for our victim to have been injected with the Belladonna which would support the presence of the substance in the victim. I took a solution of Atropine sulfate monohydrate in water and made it for the injection with sodium chloride. This was to ensure that it rendered to the solution isotonic. I measured 0.1 mg of Atropine sulfate monohydrate = 0.0839 mg of pure atropine and 9mg of sodium chloride. Through this a powder was formed, and i was able to find the solubility and the speed of its dissolving in a liquid substance which was similar to that of blood. However, The amounts given in an injection sample did not match those in the
body. From this i drew a hypothesis: What if our victim was shot with a bullet laced in Belladonna poison which also had some of the substance inside the bullet. With this hypothesis, i needed to do further investigation of the bullet itself. I began my investigation of identification from the bullet in the body. For 1, the bullet had fragmented inside the body through contact. This means the killer intentionally used the bullet to kill our victim. bullets[1] Above is a representation similar to how the bullet in the victims body was. 1 g of Belladonna was found in the victims body through the area of contact. Once they made the Belladonna into a powder it was now possible for them to insert the powder into the bullet enduring that the contents inside would reach the blood stream making the death more inevitable. In addition to this, lacing the bullet also adds this affect. My overall conclusion, after doing various tests, i have concluded that our victim was shot with a bullet containing 1g of belladonna inside the bullet itself while also being laced with the poison. This slowed down the heart rapidly and also caused paralysis of the lungs and body eventually leading to death in addition to the blood loss from the shot. Bibliography: Largo, Michael. “The A-List Celebrity of Poisonous Plants.” Slate Magazine, 18 Aug. 2014, www.slate.com/blogs/wild_things/2014/08/18/poisonous_plants_belladonna_nightshade_is_the_celebrity_of_deadly_flora.html. “Urine Test- Belladonna.” Belladonna Alkaloids Panel, Urine Test - Also Covers Atropine; Scopolamine - NMS Labs, www.nmslabs.com/tests/Belladonna-Alkaloids-Panel--Urine/0520U. “Forensics.” Forensic DNA Testing Frequently Asked Questions, www.forensicdnacenter.com/forensic-faqs.html. Belladonna Alkaloids Panel, Blood Test - Also Covers Atropine; Scopolamine - NMS Labs, www.nmslabs.com/tests/Belladonna-Alkaloids-Panel--Blood/0520B. Austin, Ken. “Deadly Nightshade.” Oilsandplants.com ~ Belladonna, www.oilsandplants.com/belladonna.htm. “Atropine.” National Center for Biotechnology Information. PubChem Compound Database, U.S. National Library of Medicine, pubchem.ncbi.nlm.nih.gov/compound/atropine#section=Pharmacology-and-Biochemistry. “Belladonna, Broomsticks and Brain Chemistry.” Education in Chemistry, 1 Jan. 2008, eic.rsc.org/section/feature/belladonna-broomsticks-and-brain-chemistry/2020099.article. “Belladonna.-Belladonna.” Belladonna.-Belladonna. | Henriette's Herbal Homepage, www.henriettes-herb.com/eclectic/kings/atropa.html.
In July of 2010 in Miami, Florida, Richard Smith, a 79-year-old dialysis patient was admitted to the ICU after a dialysis appointment left him with severe shortness of breath. The following day after being admitted the patient complained of an upset and the doctor had prescribed him an antacid. Uvo Ologboride, the nurse taking care of Mr. Smith, gave him a deadly dose of a drug called pancuronium, which is a drug that induces paralysis, instead of the antacid. 30 minutes later the patient was found unresponsive, but they were able to revive him. Unfortunately when he was revived, he was left brain dead to which did not settle well with his family. When the patient son had came in he had found his father unconscious, unresponsive, and on a respirator. When looking over the chart to try and figure out what happened it had said his dad had just been resuscitated 10 minutes earlier and the nurse had pretty much told him to go and speak with the doctor. Upon speaking to the doctor he was told the nurse had given his dad the wrong medication which lead to his current state of his condition. The nurse was not able to be reached and spoken to about what happened on that fatal day but from what the doctor had explained was the nurse had grabbed a
The issue with this is that Mr. Swensen was not diabetic. How can a non-diabetic have an insulin shock? The only answer would be that he was administered insulin voluntarily and thus murdered by an individual with good medical knowledge, and access to medical facilities. Another medical mystery is related to Mr. Calley’s infection a few days after his penile prosthesis placement surgery that was also done by Dr. Mathis. Although infections are a common risk after surgeries, Moe was very meticulous in performing the surgery and made sure no such compromising mistakes were made. Upon inspection, he identified the infection cause to be due to a streptococcus bacterial species that contaminated one of the scalpels. This bacteria is commonly found in the human mouth and; therefore, a logical and likely cause would be someone spitting on the operating material. Who would do such a thing? And for what reasons? In addition, Dr. Ray Mosdell a close friend of Dr. Mathis who had Coronary Heart Disease and Serious Heart problems fell into a coma for unknown reasons. He then died shortly after of heart failure. There is a medical mystery surrounding what caused Dr. Mosdell’s coma, heart
Because the murder of Richard Malloy seemed to everyone to be a random criminal act, it came as a surprise to many when another male body, also shot several times was found in a wooded area of Citrus County, Fl not far from where Malloy’s body had been found barely six months prior. The victim was identified as 43 year old David Spears of Sarasota, Fl. His truck was soon discovered on Interstate 75, unlocked with the license plate missing. Around the same time, 30 miles south of Citrus county another naked body was discovered a short distance off of the Pasco county side of Interstate 75. The victims’ entire body was so decomposed that the medical examiners could not obtain any usable prints to use for identification. They did, however, find that the victim, later identified as Charles Carskaddon, had been shot nine times with a 22. During the next six months more male victims, with a total of eight, were killed and disposed of in similar ways, each somewhere around the Interstate 75 corridor.
The tampering blood found rear a gate and the socks were all tested and compared to the blood from the test tube containing EDTA. All three methods identified that the blood was not planted by police officer, and that the level of EDTA was not very high, therefore the police had completely nothing to do with the blood found. The method that was used to conclude the result was LC-MS/MS.
Her body had been bathed and thoroughly washed before being placed, it was also completely drained of blood [2]. Two detectives were assigned to the case: Harry Hanson and Finis Brown. When they and the police arrived at the crime scene, it was already swarming with people, gawkers and reporters. The entire situation was out of hand and crowded, everyone trampling all over in hopes of good evidence. One thing they did report finding was a nearby cement block with watery blood on it, tire tracks and a heel print on the ground.
A body was found with no identification was found on the body. An external examination of the body found numerous needle marks and bruising and thrombosed veins in the cubital fossae. The head showed evidence of a blunt trauma and small paint and metal fragments were removed from the wound. Analysis of the contents in the stomach found a few partially digested potato chips and some partially digested pills. A small amount of residue was extracted from the tin for analysis. Footprints were evident on the carpet where soil had been tracked in. Soil samples were collected from theses footprints. This analysis will show how Infra-red spectroscopy and Chromatography would be useful in finding both the cause of murder and possibly who the culprit was.
When the first responder got to the scene he adimatately meet the 911 caller, who lead him to a car in an apartment parking lot. The car doors were closed and all of the windows were fogged. The police officer used his flashlight to see inside of the car before opening the door. He found a young African American woman who had been shot several times. The officers quickly called for backup, investigators and medical personnel. While awaiting for their arrival he secured the crime scene with caution tape, creating an initial perimeter setup as discussed in lecture two. Once everyone arrived he left it to them to search the car while he talked to the 911 caller, witnesses and others who had information on who had been present in the car. The investigators were able to collect physical evidence of bullets and cartage casings that were found outside the vehicle and inside the vehicle on the floorboard of the driver’s side. The team determined the bullets came from a 40 caliber. Other types of physical evidence that were found on the scene were the bloody clothing on the victim, the victim’s cell phone and fibers in the car from the driver’s side. personnel at the scene crime took several photographs, powered test for finger prints and did a blood spatter analysis. Stewart’s autopsy revealed that she had been shot at close range in the left hand once and in the
wound was in the back of the head, hard proof that there was another shooter which
Poisons come in different forms and act in different ways. They can act locally, absorption through the body, or both. There are three different categories that poisons are put into: inorganic, organic, and asphyxiants...
National Center for Biotechnology Information (NCBI) Clinical forensic nursing: A new perspective in the management of crime victims from trauma to trial. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7546512
The World Health Organisation (WHO) describes sudden natural death as ‘death within twenty four hours of the onset of symptoms’ (Payne-James et al. 2011, 54). However in reality sudden death can occur within minutes or even seconds of many symptoms. The investigation of sudden natural deaths is vital to establish the cause is due to natural causes rather than criminal or medical negligence where a trial and prosecution may be necessary. This essay reviews the roles of the Procurator Fiscal and the forensic pathologist in relation to sudden death and looks at two common natural causes of sudden death; pulmonary embolism and cerebrovascular disease and how they might be identified by post-mortem investigation.
While one person lays with their wrists circumscribed to the worn leather of the gurney, another person holds two skin-piercing needles. The individual holding the needles is an inexperienced technician who obtains permission from the United States federal government to murder people. One needle is held as a precaution in case the pain is too visible to the viewers. Another dagger filled with a lethal dosage of chemicals is inserted into the vein that causes the person to stop breathing. When the cry of the heart rate monitor becomes monotone, the corrupt procedure is complete. Lying in the chair is a corpse when moments ago it was an individual who made one fatal mistake that will never get the chance to redeem (Ecenbarger). Although some people believe that the death
One case that I monitored was of a fifty year old male who was suffering from alcohol withdrawal. Prior to my arrival the man was falling off of the hospital bed, leaving his room and was completely unaware of his dangerous actions. I volunteered to monitor the man in order to make sure assist him and make sure his heart rate was under control. I took a seat along side of his hospital bed and watched him doze off into a deep sleep. The room was filled with an overwhelming smell of dirt and bodily fluids. The edges around his cracked lips were full of dried blood and his gums were peaking out of his mouth. His arms were full of scabs and marks; most likely from drug injections. The nurse came into the room to tell me that he was in fact a substance abuser and he was currently experiencing alcohol
Rafael Whitney’s death, an unfortunate one at that, was likely a homicidal cause. The deceased’s specific cause of death was cardiac arrest. For this sudden cessation of function of the heart to occur naturally, a previous, often undiscovered, heart condition generally needs to have been present. Other ways for this medical emergency to occur must include some outside trigger, including an electrical shock, the use of illegal drugs, or an ill timed trauma to the chest. Besides evidence of sudden cardiac arrest, the victim’s heart displayed as generally healthy, showing no signs of previous heart conditions. There were no observed signs of electrical currents on the body and we were not informed of any illegal drugs being present in the bloodstream.
“Terminal ballistics is in many cases, the least considered aspect of ballistics when determining the kind of bullet to use for a specific purpose…terminal ballistics is the study of how a projectile behaves when it hits its target and transfers its kinetic energy to the target. The bullet’s design, as well as its impact velocity, plays a huge role in how the energy is transferred” (Hornady). There are two ways that bullets can cause damage to humans and animals alike. “The primary way a bullet causes damage is through the permanent cavity it leaves - the hole that is created as the bullet passes through skin, bone or flesh. This wound channel is the same diameter as the bullet/bullet fragments and is a function of bullet penetration and expansion” (Hornady). The second way that a bullet causes damage is “by the temporary cavity it causes. When a bullet hits soft tissue, the tissue acts more like a fluid than a solid as it gives way and tries to absorb the bullet’s energy. The bullet does not immediately penetrate the tissue; instead it makes an impact crater that stretches in until the bullet penetrates the tissue” (Hornady). While the bullet continues stretching the tissue, the tissue is under so much pressure that it is ripped and torn while trying to assume it’s original position on the body. While studying terminal ballistics, experts must take into