DEPARTEMEN ILMU KEDOKTERAN FORENSIK DAN MEDIKO LEGAL RUMAH SAKIT DR.

MUHAMMAD HOESIN PALEMBANG/ FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA JL.JENDRAL SUDIRMAN KM. 3,5 PALEMBANG 30126 TELP 0711-354088 EXT. 340 Email : forensicrsmh@gmail.com

No. of Death Entry :17/9/2012

POST MORTEM REPORT

Name of Deceased Sex Date of Death as Stated to Me Race / Nationality No. Passport Age as Stated to Me Occupation Place of Death Date and Time of Examination : Mr. KURIEN KK JOHN : Male : 25th September day of Tuesday 2012 : Malaysia : A 26073904 : 59 (fifty nine) years old : General Manager For Plantation : Palembang, South Sumatra, Indonesia : 25th September 2012 at 08.00 (eight oclock) AM west Indonesian Time Place Where Examination Performed : Department of Forensic Medicine, General Hospital Doctor Moh.Hoesin Palembang, South Sumatra, Indonesia

External Examination :
1. Skin :Tan colored skin at the upper chest and shoulder, and darker at face and neck. The fingernails are bluish in colour. 2. Cavities : a. Eye :Eyelid membrane reddish white in colour, clear cornea and petechial haemorrage, pupil diameter is four millimeter, and browned coloured iris. b. Nose : No discharge. c. Mouth :No discharge. d. Penis : Circumcised. e. Anal : No discharge. 3. Signs of Death a. Liver Mortis : Found at back of the neck, right and left of the back, waist, reddish purple in colour, hardly disappear with pressure. b. Ligor Mortis : Found at mouth, neck, both arms and legs, hardly countered. c. Decomposition: Not found 4. Wounds : Not found.

Internal Examination
5. Head a. Scalp: Bruises and open wound are not found. Internal surface of scalp is reddish white in colour without any sign of haemorrhage. b. Skull : white in colour with no crack. c. Duramater: Reddish white, adhesive to the internal surface of the cranium.No sign of haemorrhage. d. Brain : White in colour, intact, no sign of haemorrhage. e. Base of Skull : Intact. 6. Neck a. Neck Surface: Muscles of the neck is brownish red in colour, no sign of haemorrage. b. Cartilage : white in colour with no crack. i. Hyoid Cartilage :White and intact. ii. Cricoid Cartilage :Intact. iii. Upper Respiratory Tract (Trachea): Intact, no foreign body. iv. Upper esophagus : Smooth with no haemorrhage and foreign body 7. Chest a. Wall: Muscles are brownish red in colour without any sign of haemorrhage. b. Ribs, Sternum and Vertebrae: Intact and no fracture. 8. Chest Cavity a. Lungs i. Left lung: Distended, not sticky, reddish black, found reddish brown fluid on incision. ii. Right lung: Distended, not sticky, reddish black, found reddish brown fluid on incision. iii. On longitudinal incision from epiglottis to both bronchioles, the walls of the upper respiratory tract whitish red in colour, intact with no foreign body. b. Pericardium . i. Surface of pericardium: Intact, whitish yellow in colour (fat tissue), with one centimeter thick. ii. Pericardial cavity: clear coloured fluids, around twenty millimeter. c. Heart: Size of heart is the same size as the victims fist. i. Surface layer: is brownish red in colour, covered with a fat layer as thick as one point five centimeter, and dilatation of back veins. Apex of heart, covered with fats and with slightly reddish of its surface with one point five centimeter in thickness. Tissue of the apex with two times three centimeter of thickness, was taken and sent for microscopic histopathologic examination. The reddish tissue (two times three centimeter in thickness) on the front wall of right atrium, with zero point five times zero point five centimeter in overall size, was taken and sent for microscopic histopathologic examination. Incision of the heart at one centimeter intervals showed two thrombus formations within different sections of the heart. d. Trachea : Walls are intact, no haemorrhagic sign and no foreign body. 9. Abdomen

a. Fat deposits were found at muscles of abdomen with five centimeters thick, reddish brown in colour, with no haemorrhage. b. Peritoneum : is clear and transparent. c. Abdominal Cavity : i. Omentum: Is mostly covered by fatsten centimeters thick. ii. Small Intestine: Distended, reddish white in colour, with no haemorrhage. iii.Large Intestine: Distended, reddish white in colour, with no haemorrhage. iv.Spleen: Purple in colour, with dark red blood upon incision. v. Liver: Reddish brown in colour, smooth surface, and dark red blood upon incision. vi. Pancreas: Whitish red in colour with no sign of haemorrhage. vii. Gaster: External surface is whitish red in colour, intact with no sign of haemorrhage. Gastric fluid is yellowish white in colour, chewed foods, non irritating smell. Internal surface of gaster is whitish red in colour, with no sign of haemorrhage. viii. Kidney: both kidney are reddish brown in colour, distended and upon longitudinal incision is dark red blood. No stones within the kidney. 10. Pelvic Region a. Urinary Bladder: External surface is intact, whitish red in colour, no haemorrhage, no urine. b. Ureter: Ureter wall intact, whitish red in colour and no sign oghaemorrhage.

Histological Examination
Results are still pending

Toxicological Examination
Not performed

Cause of Death: Death was caused by heart failure due to thrombus as a consequence of artery sclerosis. Certifier Name SIGNATURE Date Signed 26th September 2012

dr.Binsar Silalahi Sp.F DFM SH