DOA. Pt was a 26 Y.O. F. She was found prone lying submerged in a bathtub of water. Body was warm with no signs of rigor. Autopsy states that she had a bruise on the front of her head with no cerebral hemorrhage. Pt had signs of Pulmonary Edema, Cardiomegaly, and bilateral ventricular atrophy. Pt does have a hx or cocaine abuse and toxicology said she had cocaine in her blood. My question- was she murdered, or was it the cocaine, and why?
Cocaine OD?
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Aidey
Community Leader Emeritus
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Why are you asking?
Christopher
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I think she was stabbed to death.
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Shark attack. Poor lady never saw it coming :sad:
How would we know if she was murdered?
How would we know if she was murdered?
VFlutter
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Obviously a cocaine induced MI 
but what if someone else injected the drugs....murder? Can we charge the drug dealer with accessory to murder?
Or I like the shark theory. Those great whites are sneaky mofos
h34r:
but what if someone else injected the drugs....murder? Can we charge the drug dealer with accessory to murder? Or I like the shark theory. Those great whites are sneaky mofos
h34r:DesertMedic66
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I think it was murder. I think it was Colonel Mustard in the bathroom with the candle holder.
med51fl
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She was taken out by a CIA cleaner crew that made it look like an OD. She had info about ....opps! I've said too much. Hey, I have got to go. There is a black van in the driveway and a gentlemen in a suit at the door who says he has a flower delivery.:lol:
Anjel
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I'm pretty sure it was a plane crash and the big invisible monster moved her body from the island into the bathtub and injected her with cocaine, to cover up the JFK conspiracy.
NYMedic828
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We're on the case!
med51fl
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Scooby-dooby-doo!!!!!
NomadicMedic
I know a guy who knows a guy.
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Are you sure that she was ever really alive? Maybe were all just computer simulations...
Like the matrix.
Take the red pill.
Like the matrix.
Take the red pill.
Anjel
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A scooby snack to whomever can explain why the pt would would have bilateral ventricular atrophy and not hypertrophy. If she had cardiomegaly and cocaine abuse, seems like her heart would be working double time, not wasting away.
VFlutter
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A scooby snack to whomever can explain why the pt would would have bilateral ventricular atrophy and not hypertrophy. If she had cardiomegaly and cocaine abuse, seems like her heart would be working double time, not wasting away.
My guess is that he actually meant hypertrophy or got his information wrong. You are correct that cocaine use is associate with ventricular hypertrophy, usually left. Or maybe she had an unrelated cardiac condition which was exacerbated by the cocaine use.
Interestingly, cocaine related cardiomyopathy is closely related to cardiomyopathies seen with pheochromocytomas. Why would that be?
Anjel
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Awe. I was gonna be smart and answer that. Too bad. I'm keeping the Scooby snacks.
Sublime
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Boyfriend found out she has done all his cocaine... So he punched her in the head while she was bathing thus knocking her out and causing her to drown.
Case closed.
Your welcome
Not sure which of these is better.
I will go with "natural causes."
She did something that was intrisically fatal and naturally she died.
mycrofft
Still crazy but elsewhere
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Let's see, I'll get out my Ohio CSI Decision-Making Kit out....four-sided dreidel, sides read "Pushed", "Jumped", "Fell", or "Dunno".
NomadicMedic
I know a guy who knows a guy.
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VFlutter
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It's never lupus :rofl:
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