PATHOLOGY/BIOLOGY

*Presenting Author 1

Wednesday—Session I

Pediatric Mortality

Moderator: Evan Matshes, MD Co-Moderator: Chris Milroy, MD, LLB NAAGroup OttawaHospital SanDiego,CA Ottawa,CANADA

8:30 a.m. - 8:45 a.m. H1 PediatricSuddenUnexpectedDeath(SUD)DuetoUndiagnosedMediastinalT-Cell LymphoblasticLymphoma:ASeriesofThreeCases CelesteSantosMartins,MD*;JosephA.Felo,DO

8:45 a.m. - 9:00 a.m. H2 VariationsinPostmortemPerianalFindingsinInfants:ARetrospectiveReviewof Non-TraumaticAbnormalitiesandthePotentialDiagnosticPitfallsinDeterminingTrauma PaulyannMaclayton,MD*;MerrillO.HinesIII,MD

9:00 a.m. - 9:15 a.m. H3 RecognizingtheMisuseofProbabilisticLanguage(PL)andFalseCertaintyinFalse AccusationsofChildAbuse StevenC.Gabaeff,MD*

9:15 a.m. - 9:30 a.m. H4 FatalSystemic(Paradoxical)AirEmbolismDiagnosedbyPostmortemFunduscopy LucyBradley*;AnnaG.McDonald,MD;PatrickE.Lantz,MD

9:30 a.m. - 9:45 a.m. H5 TheAftermathofAbusiveHeadTrauma:AUniquePediatricDisease RudyJ.Castellani,MD*;BrittanyErskine,BS;CarlJ.Schmidt,MD;JoyceL.deJong,DO; AmandaO.Fisher-Hubbard,MD

9:45 a.m. - 10:00 a.m. H6 ChildandAdolescentSuicide:ATen-Year(2010–2019)RetrospectiveAnalysisof MedicalExaminerCasesinKentucky MarwilC.Pacheco,MD;TerriMason,MD;AshleyE.Mathew,MD*; DonnaMarloweStewart,MD

10:00 a.m. - 10:15 a.m. Break

Toxicology

Moderator: KarlE.Williams,MD AlleghenyCountyOfficeoftheMedicalExaminer Pittsburgh,PA

10:15 a.m. - 10:30 a.m. H7 WhenEpidemicMeetsPandemic:ACaseSeriesofPediatricFentanylDeathsin Denver,CO SterlingMcLaren,MD*;IanJ.Puffenberger,MD;MeredithA.Frank,MD; JamesLouisCaruso,MD

10:30 a.m. - 10:45 a.m. H8 InfantDeathsAssociatedWithMethamphetamineExposure:ACaseSeries KhusbuPatel,BA*;AbigailJ.Grande,MPH;ElizabethA.Douglas,MD; AmandaO.Fisher-Hubbard,MD

10:45 a.m. - 11:00 a.m. H9 TheRecentOutbreakofBrorphineUseinCookCounty,Illinois LorenzoGitto,MD*;PonniArunkumar,MD;DanielS.Isenschmid,PhD; AlexJ.Krotulski,PhD;SerenellaSerinelli,MD,PhD*

PATHOLOGY/BIOLOGY

2 *Presenting Author

11:00 a.m. - 11:15 a.m. H10 IsopropanolinPostmortemVitreousHumorDuetoBodyPreparationforTissue Procurement:AReportofSixCases AnnamariaMelton,BS,BA*;StephenD.Cohle,MD;KatherineA.Turner,PhD; CarlW.Hawkins,MD;SarahE.Avedschmidt,MD

11:15 a.m. - 11:30 a.m. H11 ParalyticShellfishPoisoningResultingFromtheConsumptionofShellfishFroma BeachinAlaska CristinMarieRolf,MD*;PatryceMcKinney,BA,MBA

Wednesday—Session II

ForensicEntomology

Moderator: AshleighM.Faris,PhD Co-Moderator: LaurenWeidner,PhD TexasA&MUniversity ArizonaStateUniversity CollegeStation,TX Glendale,AZ

8:30 a.m. - 8:45 a.m. H12 ASimplifiedDNABarcodingStrategyforForensicallyRelevantBlow,Flesh,and ScuttleFlies SamKwiatkowski,PhD*;MichelleR.Sanford,PhD;MichaelA.Donley,MS; KatherineWelch,MS;RogerKahn,PhD

8:45 a.m. - 9:00 a.m. H13 Microbiome Dynamics in Lucilia Sericata (Meigen,1826)(Diptera:Calliphoridae) DevelopmentalStages LaviniaIancu,PhD*;VictoriaIoanaPaun,MS;IuliaRoxanaAngelescu,PhD; ParisLavin,PhD;CarlosHenríquez-Castillo,PhD;CristinaPurcarea,PhD

9:00 a.m. - 9:15 a.m. H14 BoneMicrobialCommunitySuccessionDuringMulti-YearDecompositioninan AquaticHabitat SierraKaszubinski,MS*;EmilyNestle;JosephP.Receveur,BS;JenniferL.Pechal,PhD; M.EricBenbow,PhD

9:15 a.m. - 9:30 a.m. H15 MicrobesasthePuppetMaster:ClearEvidenceMicrobesDrivetheDecomposition ProcessandColonizationbyInsects CaseyA.Flint,BS*;TawniL.Crippen,PhD;JefferyK.Tomberlin,PhD

9:30 a.m. - 9:45 a.m. H16 InvestigatingLinkagesBetweenVolatileOrganicCompounds(VOCs),TotalBody Scoring(TBS),andtheStagesofDecompositioninAdultPigs JerikaHo,BSc*;AngelaSkopyk,BS;HeleneN.LeBlanc,PhD

9:45 a.m. - 10:00 a.m. H17 WhenPrimaryColonizersAreLatetotheParty:ImplicationsforUsingTimeof ColonizationtoInformPostmortemInterval JenniferL.Rhinesmith-Carranza,BS*;JefferyK.Tomberlin,PhD

10:00 a.m. - 10:15 a.m. Break

PATHOLOGY/BIOLOGY

*Presenting Author 3

Moderator: DeniseGemmellaro,PhD DepartmentofBiology,KeanUniversity Union,NJ

10:15 a.m. - 10:30 a.m. H18 Lucilia Eximia (Wiedmann)(Diptera:Calliphoridae)AttractionandColonization Behavior:ALittle-StudiedSpeciesWithGreatForensicImportance SamanthaJ.Sawyer,BS*;JefferyK.Tomberlin,PhD

10:30 a.m. - 10:45 a.m. H19 Geographic,Landscape,andSexVariationinAdultBlowFlyMicrobiomes: ImplicationsforForensics KadieF.Bernstein*;JosephP.Receveur,BS;JenniferL.Pechal,PhD;NicholasBabcock,MS; M.EricBenbow,PhD

10:45 a.m. - 11:00 a.m. H20 SeasonalDifferencesinSoilFungalCommunitySuccessionalPatternsImpactedby Long-TermHumanDecomposition LoisS.Taylor,MS*;AllisonR.Mason,BS;JenniferM.DeBruyn,PhD

11:00 a.m. - 11:15 a.m. H21 TheSurvivalofCalliphora Vicina(R.-D.)(Diptera:Calliphoridae),aForensicallySignificant BlowFly,FollowingSubmergenceDependsonLifeStageandSubmergenceTime JeffreyYung,MS*;ViennaC.Lam,MA;GailS.Anderson,PhD

11:15 a.m. - 11:30 a.m. H22 TheEffectsofCarrionClothingColoronBlowFlyOviposition KristiBugajski,PhD*

Thursday COVID-19,OtherInfections,andArtifacts

Moderator: ErinG.Brooks,MD Co-Moderator: ReemaKhan,MD UniversityofWisconsinHospitalandClinics Chicago,IL Madison,WI

1:00 p.m. - 1:15 p.m. H23 TheRoleofAutopsyinCOVID-19Disease IsabellaAquila,MD,PhD*;MatteoA.Sacco,MD*;CarloFilippoBonetta; CarmenScalise,MD;FabrizioCordasco,MD;FrancescoSicilia,MD;LuigiDeAloe,MD; AngelicaZibetti,MD;SantoGratteri,MD;FiorellaCaputo,MD;GiuliaCacciatore,MD; Pietrantonio Ricci, PhD

1:15 p.m. - 1:30 p.m. H24 COVID-19SuspectedDeathsCertifiedbytheFloridaDistrict2MedicalExaminer’sOffice: CausesofDeathandPre-ExistingMedicalConditions StephenL.Sgan,MD*;JohnE.Sgan;LucasP.Stoev

1:30 p.m. - 1:45 p.m. H25 ASARS-CoV-2(COVID-19)ExperienceatanAcademicMedicalExaminer’s(ME’s)Office TheodoreT.Brown,MD*;PrentissJones,Jr.,PhD;KristiBailey,BS;AbigailJ.Grande,MPH; ElizabethA.Douglas,MD;BrandyShattuck,MD;AmandaO.Fisher-Hubbard,MD; JaredBrooks,MD;JoyceL.deJong,DO;JosephA.Prahlow,MD

1:45 p.m. - 2:00 p.m. H26 ARetrospectiveAnalysisofDeathsinHarrisCounty,Texas,fortheDetectionof COVID-19PriortoMarch2020 PramodGumpeni,MD*;KaeleighDeMeter,BS*

PATHOLOGY/BIOLOGY

4 *Presenting Author

2:00 p.m. - 2:15 p.m. H27 TheIdentificationofUnrecognizedCOVID-19DeathsbyNasopharyngealSwabs atFuneralHomes MauraDeJoseph,DO;ChristinaM.Schock,MS;DonaldTurbiville,MD;JamesR.Gill,MD*

2:15 p.m. - 2:30 p.m. H28 ACOVID-19ProfileinMumbaiCity,India,WithaHumanitarianForensicAspect ManojBhausahebParchake,MD*

2:30 p.m. - 2:45 p.m. H29 SuicideAnalysisintheTimeofCOVID-19inOrangeCounty,California KellyKeyes,BS*

2:45 p.m. - 3:00 p.m. H30 HistologicalParametersofMyocarditisinRelationtotheCauseofDeathinClinical andForensicAutopsyPathology HansH.deBoer,MD,PhD*;RomyDuLong,MD;JudithFronczek; JohannesW.M.Niessen,MD,PhD;AllardvanderWal,MD,PhD

3:00 p.m. - 3:15 p.m. H31 EvaluatingSmallVesselNeutrophilsasaMarkerforSystemicInfection ZuzannaGorski,MD*;ChrisMilroy,MD,LLB;JacquelineL.Parai,MD

3:15 p.m. - 3:30 p.m. H32 Non-SkeletalInjuriesRelatedtoCardiopulmonaryResuscitation(CPR):AnAutopsyStudy FabiolaRighi,DO*;PeterT.Lin,MD

3:30 p.m. - 3:45 p.m. H33 ExtracorporealMembraneOxygenation(ECMO)intheForensicSetting:ASeriesof19 ForensicCases AndrewJ.Layman,MD*;PeterT.Lin,MD

3:45 p.m. - 4:00 p.m. H34 PostmortemChangesofFemaleExternalGenitaliaandTheirImportanceinSuspected SexualAbuse DaliaM.Alsaif,MD*;MaramA.Al-Farayedhi,MD;GhadaAlshamsi,SBFLM; MarwahI.Al-Bayat,MD;OsamaAl-madani;MagdyAbdelAzimKharoshah,MD,FFFLM

Friday—Session I

Non-NaturalDeaths

Moderator: KatherineF.Maloney,MD Co-Moderator: AngelaN.Baldwin,MD,MPH ErieCountyMedicalExaminer’sOffice OfficeofChiefMedicalExaminer Buffalo,NY NewYorkCity,NY

9:00 a.m. - 9:15 a.m. H35 HurricaneHarvey:FatalityOverview TabithaWard,MD*;VarshaPodduturi,MD;PramodGumpeni,MD

9:15 a.m. - 9:30 a.m. H36 AFrameworkforAssessingMortalityandMorbidityAfterLarge-ScaleDisasters: TheNationalAcademiesofScience2020Report MarcellaF.Fierro,MD*

9:30 a.m. - 9:45 a.m. H37 ExcitedDeliriumUnassociatedWithPoliceInvolvement KatherineF.Maloney,MD*

9:45 a.m. - 10:00 a.m. H38 Paschen’sLawandElectricalBurns MarkE.Goodson,PE*;WilliamSteward,BS

PATHOLOGY/BIOLOGY

*Presenting Author 5

10:00 a.m. - 10:15 a.m. H39 ElectrothermalFatalities GertSaayman,FCPath*;SuzanM.Mabotja,FCPath;StefanieFerraris,MBChB

10:15 a.m. - 10:30 a.m. Break

Moderator: HannahC.Jarvis,MRCS Co-Moderator: JanM.Gorniak,DO HarrisCountyInstituteofForensicSciences ClarkCounty Houston,TX OfficeoftheCoroner/MedicalExaminer LasVegas,NV

10:30 a.m. - 10:45 a.m. H40 FatalitiesDuetoMajorVascularTrocarInjuriesinLaparoscopicSurgery HannahC.Jarvis,MRCS*;GregoryM.Dickinson,MD*

10:45 a.m. - 11:00 a.m. H41 ThePetechiaeEnigma—ManualStrangulationintheAbsenceofPetechiae J.C.U.Downs,MD*

11:00 a.m. - 11:15 a.m. H42 AxonalInjuryIsDetectedbyß-AmyloidPrecursorProtein(ßAPP) ImmunohistochemistryinNearInstantaneous/RapidDeathFromHeadInjury FollowingRoadTrafficCollision(RTC) SafaAl-Sarraj,FRCPath*;GuyN.Rutty,MD

11:15 a.m. - 11:30 a.m. H43 AnaphylacticDeath:ANewForensicWorkflowforDiagnosis MassimilianoEsposito,MD*;VeronicaFiletti,MSc;CarlaLoreto,MD; FrancescoSessa,MS,PhD;AngeloMontana,MD*

Poster Session

11:30 a.m. - 1:00 p.m. H44 NeckInjuriesAssociatedWithStrangulationWithCableTies AndriTraustason*;CarlJohanWingren,PhD

11:30 a.m. - 1:00 p.m. H45 OtorrhagiainStrangulations:AnImportantButOftenUnderestimatedFindingin ForensicPathology RosarioBarranco,MD*;CamillaTettamanti,MD;AlessandroBonsignore,MD,PhD; FrancescoVentura,MD

11:30 a.m. - 1:00 p.m. H46 TheReconstructionoftheDynamicsinSlashInjuries:ACaseofAttemptedMurder LuigiDeAloe,MD*;MatteoA.Sacco,MD*;FabrizioCordasco,MD*;FiorellaCaputo,MD*; CarmenScalise,MD;AngelicaZibetti,MD;GiuliaCacciatore,MD*;CarloFilippoBonetta*; FrancescoSicilia,MD*;PietrantonioRicci,PhD;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H47 PhysicalRestraintandNeglectintheElderly:AForensicCaseandReviewofthe Literature CarmenScalise,MD*;FabrizioCordasco,MD*;RobertoRaffaele,BE*;FrancescoSicilia,MD; LuigiDeAloe,MD*;MatteoA.Sacco,MD;FiorellaCaputo,MD;PietrantonioRicci,PhD; IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H48 CranialInjuryPatternAnalysisintheReconstructionofaHomicideWithaHammer CarlosDurão;DuarteNunoVieira,MD,PhD*

11:30 a.m. - 1:00 p.m. H49 AFatalCaseofRetropharyngealAbscessFollowingaCervicalPenetratingWound AlessandroSanturro,MD*;FedericoManetti,MD;MatteoScopetti,MD; MartinaPadovano,MD;SaraTurco,MD;AntonioGrande,MD,PhD

PATHOLOGY/BIOLOGY

6 *Presenting Author

11:30 a.m. - 1:00 p.m. H50 AroundtheWorld:AShortCaseSeriesofAtypicalIntracranialBulletTracks KeenanBoulnemour,BS*;JosephA.Prahlow,MD

11:30 a.m. - 1:00 p.m. H51 APenasanIntermediateTargetBecomesaSecondaryProjectileCausingaUnique PatternedInjury AdamJimenez*;MarkA.Giffen,Jr.,DO

11:30 a.m. - 1:00 p.m. H52 TheAlterationoftheAppearanceofaGunshotWoundbytheUseofaHemostaticAgent SeanM.Reid,BS*;TiffanyO’Neill,DO;JerriMcLemore,MD

11:30 a.m. - 1:00 p.m. H53 EmbolizationofRadicallyInvasiveProjectiles(R.I.P.®) RichardMorris,MD*;JamesL.Locke,MD;PamelaE.Southall,MD

11:30 a.m. - 1:00 p.m. H54 GunshotDefenseWounds:TheNeedforaClassification GiampieroBottari*;CristinaElenaRosaCaterino;MarcelloBenevento;DavideFerorelli; BiagioSolarino,PhD;SilviaTrotta

11:30 a.m. - 1:00 p.m. H55 SuicideinOlderAdults:ARetrospectiveStudyinCookCounty,Illinois SerenellaSerinelli,MD,PhD*;PonniArunkumar,MD;LorenzoGitto,MD*

11:30 a.m. - 1:00 p.m. H56 How(Not)toPopaCystatHome:HeartandLungPerforationAfterNeedleInsertion IntotheChestWall NataliaBelova*;ZabiullahAli,MD;AndrewRohrer

11:30 a.m. - 1:00 p.m. H57 Self-ImmolationinaDumpster WendyM.Gunther,MD*;GaryZientek,MD

11:30 a.m. - 1:00 p.m. H58 Pre-PandemicTrendsinSuicide:NewMexico,2009–2018 KarenZeigler,DO*;SarahLathrop,DVM,PhD

11:30 a.m. - 1:00 p.m. H59 TheChainsawMassacreattheBeginning:AnUnusualSuicideWithaJigsawattheEnd GiuseppeBertozzi,MD*;StefaniaDeSimone,MD*;MichelaFerrara,MD*; FrancescaMaglietta,MD*;StefanoD’Errico,PhD;LuigiCipolloni,MD,PhD*; BenedettaBaldari,MD*

11:30 a.m. - 1:00 p.m. H60 ARareSuicidebyaHomemadeExplosiveWithMultipleSuicideNotes:ACaseReport andSystematicReviewoftheLiterature MatteoA.Sacco,MD*;CarmenScalise,MD;LuigiDeAloe,MD;FabrizioCordasco,MD*; FiorellaCaputo,MD;FrancescoSicilia,MD*;GiuliaCacciatore,MD*;AngelicaZibetti,MD*; CarloFilippoBonetta*;PietrantonioRicci,PhD*;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H61 MultipleSuicidalGunshotWoundsinItaly:CaseReportsandMedicolegalConsiderations SalvatoreRoccuzzo,MD*;ElviraVenturaSpagnolo,MD,PhD;CristinaMondello,MD*; ChiaraChiaraStassi,MD;GennaroBaldino,MD;PatriziaGualniera;DanielaSapienza; AlessioAsmundo

11:30 a.m. - 1:00 p.m. H62 Disability-RelatedRoadTrafficCrashesInvolvingChildren OzgenurK.Tok,MD;MeteK.Gulmen,PhD,MD*;KenanKaya;AhmetHilal,MD

11:30 a.m. - 1:00 p.m. H63 WidespreadPolyvisceralVascularAngiectasiasinanElectrocutionVictim:ACaseReport SaraLoPinto,MD*;RosarioBarranco,MD;FrancescoVentura,MD;GabrieleGaggero,MD

11:30 a.m. - 1:00 p.m. H64 AcuteProgressionofTraumaticDiaphragmaticLacerationWithGastricHerniation intheContextofUnderlyingChronicDisease SamuelJ.Farris,BS*;JosephA.Prahlow,MD

PATHOLOGY/BIOLOGY

*Presenting Author 7

11:30 a.m. - 1:00 p.m. H65 CassowaryFatallyAttacksItsOwner NannyWenzlow,DVM,PhD*;WilliamF.Hamilton,MD

11:30 a.m. - 1:00 p.m. H66 AFatalitybyCattleHoovesinanElderlyCowherder:IsThereaSpecificPattern ofHoofInjury? NileshKeshavTumram,MD*

11:30 a.m. - 1:00 p.m. H67 AQuantitativeInvestigationofDiatomDispersioninLungTissueofConfirmed DrowningIncidents DominikHagen,BS*;AstridObermayer;WalterStoiber;WaltherGotsmy; FabioCarloMonticelli;StefanPittner,PhD

11:30 a.m. - 1:00 p.m. H68 The“Key”ElementinaCaseofFalseDecapitationofaMissingPerson:ACaseReport andReviewoftheLiterature LuigiDeAloe,MD*;CarmenScalise,MD*;FrancescoSicilia,MD*;MatteoA.Sacco,MD*; FabrizioCordasco,MD*;SilviaBoca;PietrantonioRicci,PhD*;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H69 AnUnusualPresentationofAsphyxiaDuetoChoking AlexisJelinek*;CraigT.Mallak,JD,MD;DarinTrelka,MD,PhD;RebeccaMacDougall,MD

11:30 a.m. - 1:00 p.m. H70 ALethalFatEmbolismSyndrome(FES)RelatedtoSpineSurgery:APresentationof TwoClinicalCaseReports DavideRadaelli*;MartinaZanon,MD;MartinaMontanaro,MD;AlessandroManfredi; EleonoraValentinuz;StefanoD’Errico,MD,PhD;PaoloFrisoni,MD;LetiziaAlfieri,MD; Margherita Neri, MD, PhD

11:30 a.m. - 1:00 p.m. H71 AnUnusualHospitalAsphyxiation:DeathFromtheIncorrectAdministrationof NitrousOxide(N2O) StefaniaDeSimone,MD*;FrancescaMaglietta,MD*;MichelaFerrara,MD*; GiuseppeBertozzi,MD*;BenedettaBaldari,MD;AlessandraTorsello*; LuigiCipolloni,MD,PhD*

11:30 a.m. - 1:00 p.m. H72 ExsanguinationDuetoUrethralLaceration Hae-SunLa*;TannerBartholow,MD;ToddM.Luckasevic,DO

11:30 a.m. - 1:00 p.m. H73 NeuropathologicFindingsinFatalSiliconeEmbolismSyndrome:PotentialContributions toCauseofDeath SarahC.Thomas,MD*;MichelleStram,MD;RebeccaFolkerth,MD

11:30 a.m. - 1:00 p.m. H74 ACaseofDeathDuetoAsphyxiaFromtheUseofMechanicalRestraintsinaHospital Environment:AlwaysanAccidentalDeath? CarmenScalise,MD*;FabrizioCordasco,MD*;MatteoA.Sacco,MD*; FrancescoSicilia,MD*;LuigiDeAloe,MD*;MassimoIera,MD; PietrantonioRicci,PhD;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H75 ARetrospectiveReviewofDeathsinCustodySubmittedforMedicolegalAutopsyata MedicalUniversityinSouthCarolina(2012to2020) AngelinaI.Phillips,MD*;JamesMadory,DO;S.ErinPresnell,MD

11:30 a.m. - 1:00 p.m. H76 AcuteInfectiousEsophagitis:ThreeCasesWithVariableEtiologies KeenenSmith,MS*;LaurenR.Crowson-Hindman,DO*;AngelinaI.Phillips,MD*

11:30 a.m. - 1:00 p.m. H77 MedullaryThyroidCarcinoma(MTC)WithDiabeticKetoacidosis:AnAutopsyCase ReportandLiteratureReview HarinCheong*;HyunLyoungKoo

PATHOLOGY/BIOLOGY

8 *Presenting Author

11:30 a.m. - 1:00 p.m. H78 AFatalCaseofVibrio VulnificusWoundInfection ColinAppleford,DO*;KellyG.Devers,MD

11:30 a.m. - 1:00 p.m. H79 SuddenDeathDuetoLeukostasisinaSubjectWithUntreatedChronicLymphocytic Leukemia(CLL) LorenzoGitto,MD*;RohinMehta,MD;KanishMirchia,MD;ChristopherRamos,MD; SerenellaSerinelli,MD,PhD*

11:30 a.m. - 1:00 p.m. H80 DrowningorSomethingElse?TheUncommonBirt-Hogg-DubéSyndrome MartinaZanon,MD*;MarcoCarucci,MD;EleonoraValentinuz;MartinaMontanaro,MD; DavideRadaelli;AlessandroManfredi;StefanoD’Errico,MD,PhD

11:30 a.m. - 1:00 p.m. H81 AnAutopsyofaYoungFemaleWithAbdominalPain JohnX.Hu,MD,PhD*

11:30 a.m. - 1:00 p.m. H82 ACaseofHamartomaofMatureCardiacMyocytes(HMCM)CorrectlyDiagnosed atAutopsy CrystalMagno,MD*;JohnStash,DO;PamelaE.Southall,MD

11:30 a.m. - 1:00 p.m. H83 TheSuddenDeathofaFirefighter:ALookatOn-DutyCoronaryHeartDiseaseFatalities AllisonGaines,MBS*;AbrahamT.Philip,MD

11:30 a.m. - 1:00 p.m. H84 SubduralHematomaDuetoCentralNervousSystem(CNS)Histoplasmosisinthe SettingofUndiagnosedHumanImmunodeficiencyVirus(HIV)Infection KeelyCoxon,BS;J.MatthewLacy,MD*

11:30 a.m. - 1:00 p.m. H85 TheImportanceoftheAutopsyinUnknownInfectiousDiseases FrancescoSessa,MS,PhD*;MonicaSalerno,MD,PhD*;AngeloMontana,MD; MassimilianoEsposito,MD;CristoforoPomara,MD,PhD

11:30 a.m. - 1:00 p.m. H86 AcquiredTracheoesophagealFistula(TEF)SecondarytoTuberculosisinaHuman ImmunodeficiencyVirus(HIV)Patient:ACaseReportWithReview ShashankTyagi,MD*

11:30 a.m. - 1:00 p.m. H87 AutismSpectrumDisorder(ASD)andSuddenCardiacDeath:IsTherealink? ACaseReportandaLiteratureReview MassimilianoEsposito,MD*;AldoLiberto,MD;FrancescoSessa,MS,PhD; GiuseppeBertozzi,MD;MonicaSalerno,MD,PhD

11:30 a.m. - 1:00 p.m. H88 TheRoleofHistopathologyDeathsDuetoPulmonaryThromboembolismin ForensicCases IsabellaAquila,MD,PhD*;MatteoA.Sacco,MD*;CarmenScalise,MD*; FabrizioCordasco,MD*;FiorellaCaputo,MD*;FrancescoSicilia,MD*; LuigiDeAloe,MD*;SilviaBoca;MassimoIera,MD;PietrantonioRicci,PhD*

11:30 a.m. - 1:00 p.m. H89 TheInfluenceofBodyMassIndex(BMI)inAutopticProcedures:AnExperimental StudyinForensicCases FrancescoSicilia,MD*;MatteoA.Sacco,MD;CarmenScalise,MD;FabrizioCordasco,MD; FiorellaCaputo,MD;ValerioR.Aquila*;LuigiDeAloe,MD;PietrantonioRicci,PhD; IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H90 SuddenCardiacDeathDuetoVasculitis:CaseReportsandaReviewoftheLiterature CristinaMondello,MD*;AlessioAsmundo;SalvatoreRoccuzzo,MD;ChiaraChiaraStassi,MD; GennaroBaldino,MD;LuigiCardia,MD;ElviraVenturaSpagnolo,MD,PhD

PATHOLOGY/BIOLOGY

*Presenting Author 9

11:30 a.m. - 1:00 p.m. H91 DeathFromPeritonitisDuetoMultipleIntestinalPerforations:ApproachingaCaseof AdvancedTuberculosis(TB) FedericoManetti,MD*;VittorioGatto,MD;MatteoScopetti,MD;AlessandroSanturro,MD; MartinaPadovano,MD;PaolaFrati,PhD;VittorioFineschi,MD,PhD

11:30 a.m. - 1:00 p.m. H92 TheDentist’sNightmare:ACaseofMassiveLeftVentricularInfarctionAfter DentalImplantation MartinaPadovano,MD*;MatteoScopetti,MD;FedericoManetti,MD; AlessandroSanturro,MD;PaolaFrati,PhD;VittorioFineschi,MD,PhD

11:30 a.m. - 1:00 p.m. H93 ARareCaseofSuddenCardiacDeathAssociatedWithIsolatedCongenitalCoronary ArteryAnomalies(CAA):AutopicandHistopathologicalResults FrancescoSicilia,MD*;VincenzoArena,MD;FabrizioCordasco,MD*; LudovicoAbenavoli,PhD,MD;CarmenScalise,MD;LuigiDeAloe,MD; MatteoA.Sacco,MD*;AngelicaZibetti,MD*;GiuliaCacciatore,MD;FiorellaCaputo,MD*; CarloFilippoBonetta;PietrantonioRicci,PhD*;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H94 SuddenDeathDuetoTakayasuArteritis:ACaseReport ManojBhausahebParchake,MD*

11:30 a.m. - 1:00 p.m. H95 SubcapsularHepaticHematomainaPregnantWomanWithNoPrenatalCare: ACaseReport SuziDodt,BS*;JohnX.Hu,MD,PhD*

11:30 a.m. - 1:00 p.m. H96 ACaseofFatalHemorrhageDuringPregnancy LaurenLippincott,DO*

11:30 a.m. - 1:00 p.m. H97 ASuddenPediatricDeath:ACaseofAsymptomaticMuscularDystrophy SaraBeardsley,BS*;AvneeshGupta,MD;KathrynMcFadden,MD;SarahE.Avedschmidt,MD

11:30 a.m. - 1:00 p.m. H98 SuddenDeathAfterBounceHouseActivities:ALateComplicationofCongenital DiaphragmaticHernia(CDH) KendallSmith,BA*;BrandyShattuck,MD;JamesElliott

11:30 a.m. - 1:00 p.m. H99 IntraosseousPuncture-InducedBoneFracturesMimickingChildAbuse:ACaseReport XinZhang,MD*;MatthewWanner,MD;DominiqueBattles;ChristopherPoulos,MD

11:30 a.m. - 1:00 p.m. H100 PediatricCylindricalBatteryIngestionCausingFatalAorto-Esophagealand Pulmonic-EsophagealFistulae RobinMoiseff,MD*;KendallV.Crowns,MD

11:30 a.m. - 1:00 p.m. H101 AFatalRupturedSaccularMiddleCerebralArteryAneurysmina14-Year-OldBoy: ACaseReport MelissaMenard*;ChristopherGlenBall,MBBS,MScEng;AndrewWilliams,MD; KonaWilliams,MD

11:30 a.m. - 1:00 p.m. H102 AMolecularAutopsybyExomeSequencinginaDecedentWithSuspectedGenetic CerebralSmallVesselDisease NicoleA.Croom,MD*;DanielVincentSullivan,MD,MA;EricHuang,MD,PhD; EllenMoffatt,MD;WalterP.Devine,MD,PhD

11:30 a.m. - 1:00 p.m. H103 RetinalHemorrhages(RH)ina6-Month-OldChildRelatedtoDisseminated IntravascularCoagulation MariaE.Magidenko,BA*;AmandaO.Fisher-Hubbard,MD;JosephA.Prahlow,MD; TheodoreT.Brown,MD

PATHOLOGY/BIOLOGY

10 *Presenting Author

11:30 a.m. - 1:00 p.m. H104 DeathintheWater?NotAlwaysDrowning! MassimilianoEsposito,MD*;FrancescoSessa,MS,PhD;StefanoD’Errico,MD,PhD

11:30 a.m. - 1:00 p.m. H105 AParticularCaseofAdipositasCordisinaGirlSufferingFromLymphocyticMyocarditis andHashimoto’sThyroiditis FrancescoSicilia,MD*;FabrizioCordasco,MD*;GiuliaCacciatore,MD; LudovicoAbenavoli,PhD,MD;AngelicaZibetti,MD*;CarloFilippoBonetta*; MatteoA.Sacco,MD;LuigiDeAloe,MD;FiorellaCaputo,MD;CarmenScalise,MD*; PietrantonioRicci,PhD*;IsabellaAquila,MD,PhD*

11:30 a.m. - 1:00 p.m. H106 HandSanitizerIngestionLeadstoLethalMethanolToxicity CatherineNicka*;LaurenE.Dvorscak,MD

11:30 a.m. - 1:00 p.m. H107 NoLaughingMatter:DeathsAssociatedWithChronicNitrousOxide(N2O)Abuse JustinRueckert,DO*;VickieWilloughby,DO;MinWang,MD,PhD

11:30 a.m. - 1:00 p.m. H108 ACaseSeriesofCyanidePoisoning:ARisingTrend CemyigitDeveci,MD*;MehmetAtilgan;RefikAkman,MD

11:30 a.m. - 1:00 p.m. H109 BlackEsophagusandFatalCocaineIntoxication:AnUnusualCombination AlessandroManfredi*;DianaBonuccelli,MD;LauraGiusti,MD;MartinaZanon,MD; DavideRadaelli;MartinaMontanaro,MD;StefanoD’Errico,PhD

11:30 a.m. - 1:00 p.m. H110 WischnewskySpotsandBlackEsophagusinDeathsInvolvingDiabeticKetoacidosis: ACaseSeries RicardoKaempfen,MS*;JosephA.Prahlow,MD;AmandaO.Fisher-Hubbard,MD

11:30 a.m. - 1:00 p.m. H111 SodiumNitriteSuicide:ACaseReport VishwajeethPasham,MD*;DemiB.Garvin,PharmD;AngelinaI.Phillips,MD*

11:30 a.m. - 1:00 p.m. H112 Toxicological,Histological,andImmunohistochemicalAnalysisinaCaseofMalignant ArrhythmiaDuetoAcutePureCaffeineIntoxication PaolaSantoro,MD*;SaraTurco,MD;AriannaBaronti,MD;AndreaCostantino,MD; SilviaRomano;MariaChiaraDavid,PhD;ZoeDelFante,MD

11:30 a.m. - 1:00 p.m. H113 AnAnalysisoftheEffectofNecrophagousEntomofaunaonFabricModifications DuringaSummerSeasoninWesternAustralia SotiriosZiogos,BSc(Hons)*;KariM.Pitts,PhD;IanDadour,PhD;PaolaA.Magni,PhD

11:30 a.m. - 1:00 p.m. H114 Inter-IndividualVariationinSoilChemistryandMicrobialEcologyDuringHuman Decomposition AllisonR.Mason,BS*;HaydenMcKee,MSc;KatharinaM.Höland,MSc;ThomasDelgado; MaryC.Davis,MSc;SarahSchwing,BA,BSc;ShawnR.Campagna,PhD; DawnieW.Steadman,PhD;JenniferM.DeBruyn,PhD

11:30 a.m. - 1:00 p.m. H115 Temperature-DependentPostmortemProteinDegradationinPigs JanineGeissenberger,MSc*;BiancaEhrenfellner,MS;FabioCarloMonticelli; PeterSteinbacher,PhD;StefanPittner,PhD

11:30 a.m. - 1:00 p.m. H116 TheDetectionandProfilingofSeminalDNAFromFlyLarvae,Pupae,andPupariato InvestigateSexualIntercoursePostmortem GraceMulder,BS*;PaolaA.Magni,PhD;BrendanChapman,BSc

PATHOLOGY/BIOLOGY

*Presenting Author 11

11:30 a.m. - 1:00 p.m. H117 TheTemporalRelationoftheGenerationof3-MethylbutanolandRelatedCompounds inDecomposingChickenLiver KelseySpringer,BS*;RobertH.Powers,PhD

11:30 a.m. - 1:00 p.m. H118 TheSuccessionofPostmortemProteinDegradationinDifferentMusclesinRats and Humans LisaJakob,MSc*;AngelaZissler,PhD;BiancaEhrenfellner,MS;JanineGeissenberger,MSc; FabioCarloMonticelli;PeterSteinbacher,PhD;StefanPittner,PhD

11:30 a.m. - 1:00 p.m. H119 PostmortemProteinDegradationasaTooltoEstimatethePostmortemInterval(PMI): ASystematicReview StefanPittner,PhD*;WalterStoiber;PeterSteinbacher,PhD;JanineGeissenberger,MSc; FabioCarloMonticelli;AngelaZissler,PhD

11:30 a.m. - 1:00 p.m. H120 MultipleSamplingofHumanMuscleTissueOverTimetoEliminateBiasesand EnhanceDataQualityforProtein-BasedPostmortemInterval(PMI)Delimitation AnjaVictoriaPerner,BSc*;BiancaEhrenfellner,MS;JanineGeissenberger,MSc; FabioCarloMonticelli;PeterSteinbacher,PhD;StefanPittner,PhD

11:30 a.m. - 1:00 p.m. H121 TheIdentificationofUnidentifiedRemains KatherineCochrane,MD*;DarinkaMileusnic-Polchan,MD,PhD

11:30 a.m. - 1:00 p.m. H122 TheRoleofPostmortemComputedTomography(PMCT)InHigh-Energy Traumatic(HET)Deaths Massimilianodell’Aquila,MD*;GianpietroVolonnino;AlessiaQuattrocchi*; PaolaSantoro,MD;AlessandraDeMatteis,MD;AndreaScatena;SaraTurco,MD; AndreaCostantino

11:30 a.m. - 1:00 p.m. H123 TheRoleofPostmortemComputedTomography(PMCT)intheAssessmentofthe CauseofDeathinaNaturalDisaster(Flooding):ASicilianExperience CristinaMondello,MD*;SalvatoreRoccuzzo,MD*;GennaroBaldino,MD; AntonioBottari,MD;AlessioAsmundo;GiuseppeF.LoRe,MD;SergioSalerno; FabrizioPerri,MD;ElviraVenturaSpagnolo,MD,PhD*

11:30 a.m. - 1:00 p.m. H124 ConflictofInterestintheCaliforniaCoronerorSheriff-CoronerSystems CallieG.Huston,MFS*;IsmailM.Sebetan,MD,PhD*;PaulStein,PhD*

11:30 a.m. - 1:00 p.m. H125 PancreaticSubcapsular/InterstitialHemorrhageAssociatedWithAcuteSystemic HypoxiaandItsImpactonEndocrineOrgans FumiyaMorioka*;NaotoTani,MA;TomoyaIkeda,PhD,MD;AokiAoki,BA; AlissaM.Shida,MS;KeiIkeda,MD;TatsuyaHirokawa,PhD;TakakiIshikawa,MD,PhD

11:30 a.m. - 1:00 p.m. H126 AMultidisciplinaryApproachIsMandatoryintheForensicSciences FrancescoSessa,MS,PhD*;AngeloMontana,MD;MassimilianoEsposito,MD; AldoLiberto,MD;MonicaSalerno,MD,PhD*

PATHOLOGY/BIOLOGY

12 *Presenting Author

Friday—Session II

Microbiome and Pathology Potpourri

Moderator: GregoryAlanSchmunk,MD Co-Moderator: SharonA.Boone,MD,JD,LLM Urbandale,IA BowenIsland,CANADA

9:00 a.m. - 9:15 a.m. H127 TrendsinPostmortemMicrobiomeResearchActivities:ATen-YearReview JenniferL.Pechal,PhD*;CarlJ.Schmidt,MD;HeatherR.Jordan,PhD;M.EricBenbow,PhD

9:15 a.m. - 9:30 a.m. H128 ConceptualizingtheGutThanatomicrobiotainSubstanceAbuseDisorders GulnazT.Javan,PhD*;ShereeJ.Finley,PhD;LaTiaScott,PhD;SilviaD.Visona,MD; AntonioM.M.Osculati,MD

9:30 a.m. - 9:45 a.m. H129 DecontaminationStrategiesforSamplingInternalBoneMicrobiomesSubmerged inAquaticEnvironments EmilyNestle*;SierraKaszubinski,MS;JosephP.Receveur,BS;JenniferL.Pechal,PhD; M.EricBenbow,PhD

9:45 a.m. - 10:00 a.m. H130 Caspase9andCaspase3ImmunohistochemicalReactivityPatterninSkeletaland CardiacMuscleatDifferentTimesAfterDeath:ANewToolforPostmortem Interval(PMI)Determination? ChiaraStassi,MD*;CristinaMondello,MD,PhD;GennaroBaldino,MD; GiovanniFrancescoSpatola,MD;MariaLauraUzzo,MD;AntonioMicali,MD; SalvatoreRoccuzzo,MD;AlessioAsmundo;ElviraVenturaSpagnolo,MD,PhD

10:00 a.m. - 10:15 a.m. H131 MaximumDNARecoveryFromColdCaseVictimsUsingAncientandForensic ExtractionMethods MatthewV.Emery,PhD;AmandaWissler,MA;ErinRawls;KatelynL.Bolhofner,PhD; RobertF.Oldt,BS;SreetharanKanthaswamy,PhD;JaneE.Buikstra,PhD; LauraC.Fulginiti,PhD;AnneStone,PhD*

10:15 a.m. - 10:30 a.m. Break

Moderator: JonathanEisenstat,MD GeorgiaBureauofInvestigation Decatur, GA

10:30 a.m. - 10:45 a.m. H132 MolecularTestinginSuddenDeathAssociatedWithEpilepsyinaForensicOffice: Genotype-Phenotype MichelleStram,MD*;YingyingTang,MD,PhD;JansenSeheult,MD;RebeccaFolkerth,MD

10:45 a.m. - 11:00 a.m. H133 TheSoundofViolence:TheUtilityofVoiceRecordingintheInvestigationofthe CauseofaSuddenDeathinCustody MichaelFreeman,MD,PhD;EllenM.F.Strömmer,MPH*

11:00 a.m. - 11:15 a.m. H134 SurvivalIntervalsFollowingFatalSingleGunshotWoundsoftheHead MichelleS.Clark,MS;DelandWeyrauch,MD*;JamesR.Gill,MD

11:15 a.m. - 11:30 a.m. H135 ExperimentalShotsinTissue-SimulantMaterialsandAnalysisThroughComputed Tomography(CT)Scanning NikolaosTsiatis,PhD*;KonstantinosMoraitis,PhD;KonstantinosKatsos,PhD; EmmanouilI.Sakelliadis,PhD*;CharaSpiliopoulou,PhD

PATHOLOGY/BIOLOGY

*Presenting Author 13

11:30 a.m. - 11:45 a.m. H136 VeterinaryForensicPathology:CasesFromanEmergingDiscipline BeverlyJ.McEwen,DVM,PhD*

11:45 a.m. - 12:00 p.m. H137 CanidPredatorsKillBitesandtheInjuriestoTheirAnimalorHumanVictims NannyWenzlow,DVM,PhD*;WilliamF.Hamilton,MD

PostmortemRadiology

Moderator: KarenL.Kelly,MD BrodySchoolofMedicineatEastCarolinaUniversity Greenville, NC

1:00 p.m. - 1:15 p.m. H138 PotentialApplicationsofMicro-ComputedTomography(Micro-CT)inForensic Casework:EvidenceFromZebrafish MeaghanC.Dougher,MPS*;KeithCheng,MD,PhD

1:15 p.m. - 1:30 p.m. H139 PersonalIdentificationUsingPart-to-PartComparisonoftheThirdLumbar(L3) VertebraFromAntemortemandPostmortemComputedTomographic(AMCT andPMCT)Scans JonathanM.Ford,PhD*;GuyN.Rutty,MD;DanielW.Martin,BS;JasminAmoroso,MA; MichaelJ.P.Biggs,MBChB;SummerJ.Decker,PhD

1:30 p.m. - 1:45 p.m. H140 ImagingImpact:CanComputedTomographyFractographyDetermineDirectionof FracturePropagation? RuthM.Machin,MBBS,MSc,FRCR*;MichaelJ.P.Biggs,MBChB;AlisonL.Brough,PhD; Bruno Morgan, BS

1:45 p.m. - 2:00 p.m. H141 TheEvaluationoftheRoutineUseofPostmortemComputedTomography(PMCT) InaHigh-VolumeUnitedStatesMedicalExaminer’sOffice YohsukeMakino,MD*;KanaUnuma;KurtB.Nolte,MD;NatalieL.Adolphi,PhD

2:00 p.m. - 2:15 p.m. Break

DeathInvestigation

Moderator: GregVincent,MD Co-Moderator: LorenzoGitto,MD OfficeoftheChiefMedicalExaminer StateUniversityofNewYorkUpstate Farmington,CT DepartmentofPathology Syracuse,NY

2:15 p.m. - 2:30 p.m. H142 CellularFLICE-LikeInhibitoryProtein(C-FLIP)andTroponin-I:PromisingMarkersfor theDeterminationoftheVitalityinSuicidalHangings ZoeDelFante,MD*;AlessandraDeMatteis,MD;AndreaScatena;FrancescaIannaccone; AriannaBaronti,MD;Massimilianodell’Aquila,MD;AnielloMaiese,MD

2:30 p.m. - 2:45 p.m. H143 SuicidalFirearmsInjuriesoftheBackoftheHead/Neck:ACaseSeries JaredBrooks,MD*;TheodoreT.Brown,MD;JoyceL.deJong,DO;BrandyShattuck,MD; JosephA.Prahlow,MD

2:45 p.m. - 3:00 p.m. H144 RoderickCovlin’sBotchedBathtub-StagedHomicide:AquaticInvestigativeTechniques toGetItRightFromtheStart AndreaZaferes,BA*

PATHOLOGY/BIOLOGY

14 *Presenting Author

3:00 p.m. - 3:15 p.m. H145 ClinicalForensicMedicineattheGeorgiaBureauofInvestigationMedicalExaminer Office(GBIMEO) LoraA.Darrisaw,MD*;ElizabethAndrews,BS

3:15 p.m. - 3:30 p.m. H146 TheForensicMedicolegalSysteminQatar IbrahimK.ElRamahi,MD*;KhalidM.BinMarzook