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Forensic Pathology in Greenville County, South Carolina Michael Ward, MD Chief Medical Examiner Greenville County, South Carolina Forensic Pathology • Pathology is the study of disease and how that disease process effects man. • Forensic pathology is the study of disease processes, trauma, and toxicology to determine how and why people die. Greenville County, South Carolina Greenville County, South Carolina Greenville County, South Carolina • Greenville is located in the northwest corner of the state of South Carolina. • In size, it ranks number 40 out of 50 states. • In population, it ranks 26 th out of 50 with a population of 4,012,012. Greenville County has a population of 401,174 Greenville County, South Carolina • In 2004, there were persons who died in Greenville. • Of those who died, 1,576 or % were reported to the Greenville County Medical Examiner’s Office for investigation. • From the 1,576 cases investigated, 237 or 17% were autopsied to determine cause and manner of death. Greenville County, South Carolina • 86% of the deaths investigated by the medical examiner were natural deaths. • Heart disease was the most frequent cause of death. • Other natural causes included infectious disease, malignancy, chronic lung disease, and stroke (cerebral vascular accidents. Coronary artery disease Myocardial infarction [...]...Perforated Gastric Ulcer Perforated gastric ulcer Perforated gastric ulcer Perforated gastric ulcer Adult Polycystic Kidney Disease Adult Polycystic Kidney Disease Greenville County, South Carolina • In 133 cases or 8% of the deaths investigated by the medical examiner, the manner of death was accident • Motor vehicle collisions are the most common accidental... Motor vehicle collisions Motor vehicle collisions Drug intoxication Greenville County, South Carolina • In 2004, suicide as the manner of death was determined in 53, or 3% of the cases • Self-inflected gunshot wounds was the most common method to commit suicide • Intentional drug overdose and hanging were the next most common • During this year, there was one case of self-immolation Suicidal gunshot. .. and hanging were the next most common • During this year, there was one case of self-immolation Suicidal gunshot wounds Suicidal gunshot wounds Suicidal drug overdose Suicidal drug overdose Greenville County, South Carolina • Homicide, or death at the hands of another, made up 31 cases, or 2%, in 2004 • Firearms are by far the most common weapon used to commit a homicide • Knives, blunt objects, ligatures,... is known to the killer Drugs and /or alcohol often involved Gang-related killings are uncommon in Greenville Homicide Homicide Homicide Homicide Greenville County, South Carolina • When the manner of death is uncertain, or there is not enough information to make the determination, the death is placed in the undetermined category • In 2004, only 4 cases out of 1,576, or 0.25% were undetermined • Often... enough information to make the determination, the death is placed in the undetermined category • In 2004, only 4 cases out of 1,576, or 0.25% were undetermined • Often these are badly decomposed bodies or skeletal remains Undetermined Undetermined Undetermined Greenville, South Carolina • In spite of the above demonstrated deaths, Greenville, South Carolina is a wonderful place to live with beautiful . Forensic Pathology in Greenville County, South Carolina Michael Ward, MD Chief Medical Examiner Greenville County, South Carolina Forensic Pathology • Pathology is the. (cerebral vascular accidents. Coronary artery disease Myocardial infarction Perforated Gastric Ulcer Perforated gastric ulcer Perforated gastric ulcer Perforated gastric ulcer Adult. Greenville. • Of those who died, 1,576 or % were reported to the Greenville County Medical Examiner’s Office for investigation. • From the 1,576 cases investigated, 237 or 17% were autopsied to determine

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