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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 14 of 18

Sheriff-Coroner
Alameda County

has its usual anatomical
thrombi are present.
VESSELS: The aorta
with atheromatous change
system contain no thrombi
TRACHEA AND BRONCHI
surfaces. The nasogastr
the right main stem bron

LUNGS: The left lu

weighs 810 grams. Pleur

is prominently congested

consolidation. No pulmo

Page 7
Body of ROY LEE NELSON JR.

distribution and is nonremarkable. No

and tributaries are minimally involved
- The pulmonary artery and venous

joemboli.

Lined by pale yellow mucosal

ic tube is placed in the trachea down to
chus.

ing weighs 800 grams. The right lung

al surfaces are smooth. Lung parenchyma
and edematous. There are no areas of

mary infarcts are present. No bronchial

asthma is identified. Airways of both lungs are nonremarkable:

No tumors are present.

The arterial system of both lungs is

opened, and no thromboemboli or other abnormalities are

identified.
ORAL CAVITY: The t

missing or loose.

The tongue is nonremarkable.

eeth are natural. None are acutely

Soft tissue is

examined around the mandible and the maxilla and no

abnormalities are noted.

Facial bones are stable to palpation.


Page 5 of 18

Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19
3

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

Investigative Details:
On Saturday, December 19, 2015, about 0730 hours, Deputies Bordi, Meldrum and I (Lorenzana) arrived

at the St. Rose Hospital Emergency Room to make the removal of Nelson. We were met by Registered
Nurse, Hye Kim, who led us to Nelson. Nelson was on a hospital gurney covered with a sheet. He wore
just a pair of black boxer shorts and there was medical therapy in place. Deputy Meldrum took photos of
Nelson while I collected 5 tubes of blood specimens obtained during admittance and Nelson’s medical
records.’ Deputy Bordi secured paper bags around Nelson’s hands in an attempt to preserve any possible
evidence. Nelson had blood pooled in his eye area but I could not see where the blood ‘was coming from.
We prepared Nelson for transport and I issued receipt #37012 for Nelson and the blood specimens and we .

left for the Coroner’s Bureau.

At 0810 hours, we arrived to the Coroner’s Bureau and processed Nelson into the morgue, which included
taking intake photos. The photos were later downloaded to a compact disc and added to the case file.

(RL1702)

On 12/21/15, Coroner Pathologist Dr. T. Rogers performed a full autopsy on Nelson and a toxicology
teport was ordered. The toxicology report was reviewed and the cause of Nelson’s death was determined
as cardiac arrhythmia due to acute methamphetamine and amphetamine intoxication associated with
physical exertion with other significant conditions of cardiomyopathy. (SU#1914)

Findings:

On Friday, March 18, 2016, I (Unubun) reviewed this case to determine a manner of death. Based on a
review of the information provided by Taft, the HPD Police report, the autopsy protocol and the
toxicology report, I found Nelson’s death to be an accident, Nelson hada history of drug abuse and his
toxicology report confirmed he was under the influence of methamphetamines and amphetamines when

he died. (SU#1914)

Supervisor Review:

On March 31, 2016, I (Sgt. R. Macintire) reviewed this case and found it to be complete. I concurred
with the findings and approved this case for closure. (RM #1632)


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 18 of 18

Sheriff-Coroner
Alameda County

cd

Page 11

Body of ROY LEE NELSON JR.

tissue is taken down to the supraorbital areas and the inferior

occipital areas
SPECIMENS :
1) Photographs
2) Heart’s blood

3) Leg blood

4) Liver
5) Bile

6) Urine
7) Tissue

8) Histology sections

TWR/jkm

and no abnormalities are noted.

—f

Thomas Wayne Rogers, \" .D.


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 10 of 18

Page 3

Sheriff-Coroner
‘Body of ROY LEE NELSON UR:

Alameda County

7) Hospital specimens presented with body in a plastic bag

attached to the right big toe.

8) An oral-tracheal tube secured around the neck.
9) A nasogastric tube in the left naris.
The only blood on the body is a small amount of blood

tinged mucus coming out of the mouth and the nose.

There is the following BLUNT INJURY to the body:

RIGHT ARM:

1) A 2 inch red contusion on the dorsal wrist.

There are no other blunt injuries noted to the body.

The hair is black and 1/2 inch long. Pupils are round.

Irides.are brown. Arcus senilis is present. Sclerae are

congested. No petechial hemorrhages are noted. Ears, nose and

lips are normal. Mustache and goatee facial hair growth is

present. Short, unshaven facial hair growth is present. The

neck is nonremarkable.

The chest is flat. Breasts are consistent with an adult

The external genitalia

male. The abdomen is moderately obese.

are nonremarkable.
Present on the right thigh on its anterior and medial
aspects are approximately five well healed scars ranging upwards

to 3 inches in length. Some of these have punctate suture scars


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19

Page 7 of 18

Alameda County Sheriff's Office
Coroner's Bureau
480 4"" Street, Oakland, CA 94607-3829
_ Gregory j, Ahern, Sheriff
Director of Emergency Services

Coroner - Marshal

CASE NUMBER: CASE NAME:
2015-03757 Roy Lee Nelson Jr.
PATHOLOGIST:
Thomas Wayne Rogers, M.D. HISTOLOGICAL EXAMINATION

HEART: Sections show nonremarkable cardiac muscle cells. No areas of inflammation, scarring, or
fibrosis are present.

LUNGS: Sections show nonremarkable alveolar air sacs and airways.

LIVER: Mild fatty metamorphosis is present.

PANCREAS: The pancreas is autolyzed but otherwise nonremarkable.

SPLEEN: Nonremarkable-appearing red pulp and white pulp areas are present.

KIDNEYS: A few hyalinized glomeruli are present.

‘BRAIN: _ Sections show nonremarkable neural tissue.

TWRijkm

ze6 V7] ow

Date Signature!

D: 02/23/16 at 8:40 a.m.

T: 02/25/16


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 , Page 6 of 18

CVT i: VALLEY
TOXICOLOGY, INC.

4

ise Name: TOXICOLOGY NUMBER: ©VT!5-14045
Nelson, . , Roy L.
Hospital samples: 12 ml blood (5 vials) each labeled "Nelson, Roy; 300289685 Hy
s so D «oa. 00130126; 03/13/1973; 42Y; Male; 12/19/2015; 0310 hrs; NSG 313" Postmortem
Pecimen Description: cariple: 17 ml femoral blood labeled "Nelson, Roy; 2015-03757; 12/21/2015"
Delivered by Ticor Date ?Dec-lS Received by Bill Posey Date??-Dec-15
Request; Complete Drug Screen Agency Case # 2015-03757
Requesting Agency Report To
Alameda Co. Coroner's Office Alameda Co. Coroner's Office
Attn: Acct's Payable : Attn: Dr. Rogers
480 4th Street 2901 Peralta Oaks Ct., 2nd Floor
Oakland CA 94607 Oakland CA'94605 ,
RESULTS

Specimen: Hospital Blood (Gray Top Vial: & Lavender Top Vial) Samples

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

d-Methamphetamine = 0.73 mg/L
d-Amphetamine = 0.04 mg/L.

Note: 1) Hospital blood (Gray Top) sample tested for Ethyl Alcohol, Immunoassay Screen and Drug Screen.
2) Hospital blood (Lavender Top) sample tested for Methamphetamine confirmation/quantitation.

Blood Methamphetamine Ranges Blood Amphetamine Ranges
Effective Level: (0.01 - 0.05 mg/L) Effective Level: (0.02 - 0.15 mg/L)
Potentially Toxic: (0.2 - 5 mg/L) Potentially Toxic: “(0.2 mg/L)
\aw
“ut (A
y us
B.L. POSEY
. S.N. KIMBLE
le Directors
VG 1580 Tothouse Road
o/ are . Clovis, California 92611
B.L. Posey ~~ December 30, 2015 Phone (554 323-9940

Fax (559) 323-7502



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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 9 of 18

Page 2

Sheriff-Coroner

Alameda County Body of ROY LEE NELSON JR.

EXTERNAL EXAMINATION
The body is that of an African American male appearing the
stated age of 42 years. There is a Coroner's identification tag
present on the left big toe. The body is 72 inches long and

weighs 327 pounds.

The body is. presented in a supine position with the head
rotated slightly towards the. right shoulder. Both arms lie
alongside the body.

The body is clothed in black boxer type underpants properly
worn fully covering éxternal genitalia. -

At the beginning of the autopsy paper bags have been

removed from both arms.
Rigor mortis is passing. Lividity is present over the

backside of the body.
There is the following evidence of MEDICAL THERAPY:

1) A medical band about the right wrist.

2) A vascular catheter in right antecubital fossa.

3) A dressing covering a needle puncture mark in left
antecubital fossa.

4) Multiple cardiac monitoring pads on the torso.

5) Electrical conduction pads on the torso.

6) An intraosseous infusion device on left lower leg:


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 1 of 18

NELSON V. CITY OF HAYWARD
Case No. cv-07222-SK

Exhibit 9


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 12 of 18
Page 5

Sherif f-Coroner :
Alameda County Body of ROY LEE NELSON JR. .

Present over the lateral aspect of the right elbow is a

1-3/4 inch linear. scar.

Present over the left forearm are eight to ten scars mostly

on the anterior surface and range upwards to 1-1/2 inches in

length.

Present over the dorsal aspect of the left hand are
approximately five to six linear scars and ranging upwards to 1

inch in length.

Present over the lateral aspect of the left elbow are three
to four linear scars ranging upwards to 1 inch in length.

The fingernails have been clipped prior to the autopsy. }
Present about the right wrist is what appears to be a binding

indentation site about 1/8 inch wide extending. horizontally

across the dorsal aspect of the wrist. This is in the same area

of the above-mentioned blunt injury. In addition, on the- medial

aspect of the wrist extending just over onto the anterior
surface is a vague area of binding indentation that appears to

be about 3/8 inch wide. No binding indentation sites are hoted

about the left wrist. No further needle puncture marks are

present. No smoke, powder or stippling is identified on either

arm or hand. No hyperpigmented scars are present over

accessible veins. No further blunt injuries are noted to arms


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 11 of 18

Page 4

Sheriff -Coroner
Alameda County Body of ROY LEE NELSON gR.
to either side of them.

Present about the right knee over the patella are two to
three irregular scars ranging upwards to 1 inch in length. Just

slightly lateral are two linear scars, the largest is 5/8 inch

in length.

Present over the right lower leg are approximately three

scars ranging upwards to 2 inches in length.

Present over the dorsal aspect of the foot are three to

four scars. Some are irregular and 3/8 inch. One is linear and

3/8 inch.
Present over the left thigh are approximately three linear
scars ranging upwards to 2 inches in length.
Present about the left patella area are twelve to fifteen
Scars. None of these range beyond 3/8 inch in greatest

dimension. Some are linear and some are irregularly shaped.

Present over the left lower leg are approximately eight to.
ten scars mostly in its proximal one-half. These range upwards
to 2 inches in length.

Legs and feet are without further abnormalities.

Present over the right forearm on both the anterior and

posterior surfaces are approximately seven to eight linear scars

ranging upwards to 2-1/2 inches in length.


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 8 of 18

ep

Alarmed:

Coroner’s Bureau
480 4" Street, Oakland, CA 94607-3829

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

MEMORANDUM

DATE: December 21, 2015
FROM: Thomas Wayne Rogers, M.D.
TO: Case File 2015-03757

SUBJECT: AUTOPSY PROTOCOL

Autopsy performed upon the body of Roy Lee Nelson Jr. at the
Coroner's Bureau, 2901 Peralta Oaks Court, Oakland, California,

on December 21, 2015, at 8:50 a.m.

AUTOPSY FINDINGS

1) CARDIOMYOPATHY :
A) CARDIOMEGALY
B) FOUR-CHAMBER DILATATION OF HEART.

2) . FATTY. METAMORPHOSIS OF. THE LIVER (MILD)..
3) DIVERTICULA OF COLON.
4) BLOOD D-METHAMPHETAMINE 0.73 MG/L.

5) BLOOD D-AMPHETAMINE 0.04 MG/L.

CARDIAC ARRHYTHMIA DUE TO ACUTE METHAMPHETAMINE
AND AMPHETAMINE INTOXICATION ASSOCIATED WITH

PHYSICAL EXERTION.
Other condition: CARDIOMYOPATHY.

CAUSE OF DEATH:

cc: EMS
Investigation’s Bureau


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 4 of 18

2

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

Body Identification:
Nelson was identified at the scene by HPD officers. He was known to HPD officers due to various

contacts with him. Nelson was also compared to his California Driver License photograph found in
CalPhoto. Further identification was requested via the Alameda County Central Identification Bureau
after the decedent had been fingerprinted at autopsy. (SU#1914)

I attempted to identify Nelson using the mobile fingerprinting device but it was unsuccessful. The print
out was added to the case file. (RL1702)

On December 22, 2015, a fax was received from the Alameda County Central Identification Bureau
confirming that the fingerprints taken from the decedent were a match to the fingerprints associated with
Person File Number: AUW620 and the name Roy Nelson. (KE#1917) ~

Next of Kin Investigation:
As of 12/19/16, Nelson’s legal next of kin was undetermined. His mother, Ornel Nelson, was notified of

his death at the hospital: Nurse Corral was unable to confirm who notified Omel of Nelson’s death.
(SU#1914) .

While speaking with family at the hospital, Taft told me (Lorenzana), she and Nelson were divorced and
his legal next of kin was their adult child, Roy Nelson III. Taft said she wanted to notify Roy about

Nelson’s death in person. Deputy Bordi explained the Coroner’s Bureau involvement and the need to
contact a mortuary as soon as possible. Taft said she understood. (RL1702)

On 12/24/15, I spoke with Nelson III on the telephone. He told me he was informed of Nelson’s death by
his mother and he told me to refer any other questions to his attorney. (SU#1914)

Other Agency Reports: .
Detective T. Vonnegut #204 was assigned to investigate this incident and generated HPD report #2015-
99780. (RL1702)

On 3/17/16, I received a partial copy of the police report. The information contained in the report in

regards to this incident matched what Sgt. McCrea had told me. The report was not completed because
HPD was waiting for the Coroner’s report. The HPD report was placed in the case folder. (SU#1914)

Property and Evidence:
Property receipt #37012 was issued for Nelson, his clothing, and 5 tubes of blood specimens. (RL1702)

Coroners Fees:
As of 12/19/15, Coroner’s Bureau fees associated with this case were $254.00 for body removal, and

$67.00 for body preparation, totaling $321.00.

As of 3/18/16, there was an outstanding fee of $653.00 on this case. Storage fees of $333.00 were added
to the original fees.

A Coroner’s Hold was placed on this case for the outstanding Coroner’s fees. (SU#1914)


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 15 of 18
Page 8

Sheriff-Coroner

Alameda County Body of ROY LEE NELSON JR.

ESOPHAGUS: Lined by a white, wrinkled mucosal surface,

The distal end of the oral-tracheal tube is present in the

proximal end of the esophagus.

STOMACH: Contains no contents. The mucosal surface is

tan. No tumors or ulcers are noted.
INTESTINES: Covered by smooth serosal surfaces. No

abnormalities are noted. Intestines. are open, nonremarkable

fecal material present. Except for some diverticula in the

large intestine, no abnormalities are noted. The rectum is

palpated and no abnormalities are noted.
LIVER: Weighs 2530 grams. The serosal surface is smooth.

The anterior margin is slightly rounded. The liver parenchyma

is involved with fatty metamorphosis.
GALLBLADDER: The gallbladder is of normal size. Its
surface is smooth. Its wall is of normal thickness. It is

lined by a green velvety mucosal surface. It contains 20 cc of

bile and no stones.

PANCREAS: The pancreas is of normal size. Its parenchyma

is yellow-brown and lobulated. No tumors are present. No

saponification is noted.

SPLEEN: The spleen weighs 400 grams. Its capsule is gray

and smooth. Its parenchyma is red-purple and soft.


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 17 of 18

. Page 10

Sheriff-Coroner

Alameda County Body of ROY LEE NELSON gr.

The skin of both wrists is incised into, There is a 1-1/4

inch area of red-purple glistening subcutaneous hemorrhage, over

the front part of the right wrist towards its medial side. This

extends just onto the medial side. Otherwise, no hemorrhage is

identified.

NECK: A layer by layer dissection is done of strap muscles

of the neck. No abnormalities are noted. Individual laryngeal

structures are taken down. Laryngeal structures are intact.
There is a congenital absence of the superior horn on the right

side of the thyroid cartilage. The larynx is free of

obstructing material. The thyroid gland is normal. Cervical

vertebral column is nonremarkable and without evidence of

trauma.
CENTRAL NERVOUS SYSTEM: Soft tissue about the cranial

vault is normal. The brain weighs 1440 grams. The gyri and

sulci of the cerebral hemispheres are.normal. Sectioning of the

brain reveals no abnormalities. No contusions are noted. The

ventricular system of the brain is nonremarkable. No subdural

or subarachnoid hemorrhages are present. The vessels at the

base of the brain are nonremarkable. Stripping the dura-from

the inner table of the skull reveals no abnormalities. There is

a prominent degree of calcification of the dura mémbrane. Soft


Case 3:16-cv-07222-SK Document 81-9 : Filed 01/14/19 Page 3 of 18

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

Investigator Narrative

Decedent: NELSON JR., Roy Lee

“Case Number: 2015-03757

Investigator: Solomon Unubun

First Call Information: 7

On Saturday, December 19, 2015, about 0345 hours, I (Unubun) received a call from St. Rose Hospital
Emergency Room (ER) Nurse Heidi Corral. Corral called to report the death of Roy Nelson, who was
transported to the hospital by Hayward Fire Department (HED) at 0307 hours. Upon arrival at the ER,
Nelson was found unresponsive. Resuscitative measures were initiated without success and Nelson’s

death was pronounced at 0328 hours.

According to Corral, Nelson had been arrested by the Hayward Police Department (HPD) and he was
placed on a 5150 W.I. hold. Nelson had a witnessed cardiac arrest, emergency medical services were
summoned to the scene, and he was transported to St. Rose Hospital ER. Corral did not have any more
details about the incident. Nelson was known to St. Rose Hospital staff due to his various visits to the ER

there.

Icontacted HPD dispatch and they told me they received a 9-1-1 call at 0106 hours regarding a public
disturbance at 25291 Ironwood Court in Hayward. HPD dispatch transferred my call to HPD Sergeant
McCrea #112. In summary, Sergeant McCrea told me the following:

Nelson was initially detained in front of his ex wife’s residence. After initial contact, Nelson was placed
on a5150 W.I. hold-and-was-placed-in the back-seat of.a patrol car; - Nelson-was-then-transported to
Parking Lot G at Chabot College where the HPD officers and Nelson waited for paramedics, who were
then going to transport Nelson. Nelson became agitated while he was in the back of the patrol car and he
began “kicking” the doors and windows. Nelson was removed from the car and he became limp while he
was being placed in a restraint wrap. Emergency medical services were summoned and Nelson was
transported to St. Rose Hospital. Sergeant McCrea told me there was no force used during this incident.

(SU#1914)

Medical Summary:
Nelson’s medical history was unknown at the time of his death.

y Taft, Nelson did not have any medical history, only psychiatric

According to Nelson’s ex-wife, Pats
ly intoxicated when he consumed alcohol and he was known to abuse

history. She mentioned he was easil:
methamphetamines. (RL1702)

Description of the Death/ Injury Scene:
Nelson was pronounced dead in the Emergency Room at St. Rose Hospital.


Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 2 of 18
Alameda County Sheriff's Office

Gregory J. Ahern, Sheriff / Coroner
Coroner's Bureau, 2901 Peralta Oaks Ct, Oakland, CA 94605

(510) 382-3000 / (510) 382-3033 (fax)

| annem a a
Coroner Investigator's Report
fo) y nave OF DECEASED (LAST, FIRST MIDDLE) TENTATIVE ID | UNIDENTIFIED CASE NUMBER
| NELSON JR., Roy Lee im oO 2015-03757
< REPORTED BY REPORTED BY PHONE NO. REPORTING AGENCY REFERENCE NUMBER
q Heidi Corral (510) 782-6200 St. Rose Hospital 2015-99780
3S INVESTIGATOR CALL DATE AND TIME CASE TYPE
Solomon Unubun 12/19/2015 4:10 Removal Case
DATE AND TIME OF DEATH DATE OF BIRTH AGE GENDER RACE MARITAL STATUS VET?
2/19/2015 3:28 3/13/1973 42 Years | Male African-American Divorced Oo
HGT wWeT EYE COLOR HAIR COLOR OCCUPATION EMPLOYER
5 L2 327_| Brown Black Never Worked
a ‘Undetermined death of a 42 y/o male at St. Rose. The decedent was arrested by HPD for public .
gq \disturbance in a college parking lot and was placed on a 5150 hold. He was placed in the back ofa
a Preliminary ipatrol car and he began kicking the doors and windows. He was removed from the car and was being
Summary [placed in a wrap when he became unresponsive. HFD arrived, CPR was initiated and he was
[transported to the ER with CPR in progress. Upon arrival, life saving measures continued without
success and death was pronounced. Med Hx unknown, NOK notified. ***Call Detective Mosby an
LOCATION OF DEATH LOD TYPE
St. Rose Hospital Hospital - ER/OP
ADDRESS (STREET, CITY, STATE, ZIP) ‘COUNTY
0328 Hayward CA 94545 Alameda
Manner Accident Death Certificate Signed By: Erik Bordi ACSO Coroner
x i
fe | Cause A Cardiac arrhythmia Interval Minutes
i Cause 8 Acute methamphetamine and amphetamine intoxication associated with physical exertion Interval Minutes
"| Cause C Interval
Cause D Interval
Other Significant Cardiomyopathy, Acute methamphetamine and amphetamine intoxication associated with physical
Conditions exertion.
2 LEGAL NEXT OF KIN RELATIONSHIP TELEPHONE NO.
2 Roy Nelson III Son (510) 833-4957
6 | nomirieo ey METHOD DATE AND TIME
xz
=
& | wwewnirication meron DATE AND TIME
Personal Identification 12/19/201 3:28 .
LOCATION OF INCIDENT ATWORK go
k
a ‘ADDRESS (STREET, CITY, STATE, ZIP) COUNTY DATE AND TIME OF INCIDENT
Qo
So
iz INVESTIGATING AGENCY INV AGENCY PHONE NUMBER OFFICER
Hayward Police Department T. Vonnegut
~ FUNERAL HOME BODY RELEASED TO FUNERAL HOME ON
«. | Whitted- Atkins Funeral Home 12/28/2015 15:10
a
GB | FurAutopsy Partial Autopsy Inspection Record Review Inspection w/Spacimen | EXAM BY
Oo oO Oo o Thomas W. Rogers

Date Printed

Friday, May 13, 2016


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 13 of 18
Page 6

Sheriff-Coroner

Alameda County Body of ROY LEE NELSON gr.

or hands.

The back is without abnormalities.
INTERNAL EXAMINATION
The body is opened. through the usual. Y-SHAPED INCISION.
BODY CAVITIES: There are some anterior rib fractures
present that are consistent with resuscitative measures.

Otherwise, no abnormalities are noted. There are fractures to

the anterior part of the right fifth rib and left ribs #2-4.

These are consistent with resuscitative measures; otherwise, no

abnormalities are noted to the ribs. The pleural surfaces are

stripped, individual ribs are dissected around and soft tissue
is. taken down from around the torso and no abnormalities are’

noted. The pericardial sac and peritoneal cavity are

nonremarkable. f
HEART: In situ, the heart is enlarged, with the apex
beyond the left midclavicular line. The heart weighs 620 grams.

The epicardial surface is. Ventricular myocardium is brown.
There is a moderate four-chamber dilatation of the heart : :
No left ventricular hypertrophy is present.

Valves are normal.

No asymmetric hypertrophy is-present. No myxoid degeneration of

the mitral valve is present. No vegetations are present on

valve leaflets. Coronary ostia are patent. The coronary system


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Case 3:16-cv-07222-SK Document 81-9 Filed 01/14/19 Page 16 of 18

Sheriff-Coroner
Alameda County

“Page 9

Body of ROY LEE NELSON JR.

ADRENAL GLANDS: The adrenals are’ normal in size and have

their usual triangular shape.

remarkable cortex and medullary parts.

present.

KIDNEYS: The left kidney weighs 260 grams.

kidney weighs 290 grams.
brown and moderately congested.

medullary separation.

Sectioning of them reveals non-

No hemorrhages are

The right

Surfaces, are smooth. Parenchyma is

There is a distinct cortico-

Papillae are normal. The calyces and

pelves of both kidneys are nonremarkable. No obvious

abnormalities are noted. of the ureters. .No stones are present.

BLADDER: The bladder contains 200 cc of urine.

present. No.diverticula are noted.

ft ig

‘lined by a tan mucosal surface. No trabeculation or tumors are

PROSTATE: The prostate is of normal size. Its parenchyma

is yellow-white and rubbery.

No tumors are noted.

TESTICLES: Both testicles are examined and no

abnormalities are :noted.

MUSCULOSKELETAL SYSTEM:

cross sectioned and no abnormalities are noted.

partially taken down from the pelvis.

noted.

Rectus “abdominous muscles are

Soft tissue is

No abnormalities are