Male detainee, Abduhl Kaddim Altia, died while in US custody in Abu Ghraib prison. Cause of Death: Atherosclerotic cardiovascular disease. Manner of Death: Natural.
DOl(b-01{ . cI071Ct -3j~'1D
{~
REPLACES DA FORM 8-257,1 JAN 61. WHICH WILL BE USED. USAPPC V2.00
DA FORM 3894, OCT 72
, U
MEDCOM -659
---_._---_._....
DOD 003722
."''''')\
\',,//
HEALTH RECORD DETAINEE PREINTEROGATION EVALUATION
STANDARD FORM 600 BACK (REV H4)
MEDCOM -660
DOD 003723
AUTHORIZED FOR LOCAL REPRODUCTION
EDICAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE
.-..__ ._-_._.__.._._...... _._-..._-------.__._---------..-.--.-.. --_..._-.--...
-~--.--------
..
~-.
-.-.---.--.. -....---.-------------...
'.-... -... -.------------.-..._.. -_._---
-_. _ .._._._-----_. __.... --.--------.--.---.--..---~~----...•----.....-... -.----_.__.. _ .. _.
iOSPITAL OR MEDICAL FACILITY' STATUS IDEPART.lSERVICE . RECORDS MAINTAINED AT
I
----------t~SS~N~II~D~N~O-.----
,PONSOR'S NAME !RELATIONSHIP TO SPONSOR
'ATIENT'S IDENTIFICAT:Ot-i (For typed or written entries, give: Name -last, firs!. middle; 10 No or SSN; Sex; Date of 8ir//l, Rank/Grade.)
Compound
CHRONOLOGICAL RECORD OF MEDICAL CARE Medical Record STANDARD FORM 600 (REV 6-97) Prescribed by GSAlICMR FIRMR (41 CFR) 201-9.202-1 "SAP" v, X
MEDCOM -661
h. '?f'·
U( ...J' '_.
DOD 003724
• .;~'W'iCJD7~. rrY11D 13-110
'l:'~;", NSN 7540-00-634-4127
b)(6)·4
MEDICAL RECORD CONSULTATION SHEET
REQUEST
J: FROM: (Requesting physician or activity) DATE DF REQUEST
ROVISIONAL DIAGNOSIS
,aCTOR'S SIGNATURE APPROVED PLACE OF CONSULTATION o BEDSIDE o ONCAll o ROUTINE o 72 HOURS o TODAY o EMERGENCY
CONSULTATION REPORT
,ECORD REVIEWED 0 YES 0 NO PATIENT EXAMINED 0 YES 0 NO
t(cfe} ~~-IeJ DJ~,,-~c..-!-e.. ~..eJ! c-r .L...-tJ d-of1:J-c V Ifo.(5e s JIA.. !J~4"J/ 4e ~~ ~D j' ~ ; .J' j, f.... e~~J. II v Cd l-'l~j~k J~.£k7
b)(6)-4
CONSULTATION SHEET
Medical Record
STANDARD FORM 513 IREV. 8-921 Prescribed by GSA/leMR. flRMR (41 CFR) 201-9.202-1
DOD 003725
&3
MEDCOM -662
()
~ .
i ....
---_... _--'--"'
&3
MEDCOM -664
DOD 003727
ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the Armed Forces Medical Examiner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850
1-800-944-7912
PRELIMINARY AUTOPSY REPORT Namdb)(6)-4 I
Autopsy No.: ME04-386 Prisoner~b)(6)-4 I AFIP No.: Pending
Date ofBirth: BTB 1940 Rank: CIV Date ofDeath: BTB 23 May 2004 Place ofDeath: Abu Ghraib Prison Date ofAutopsy: 1 June 2004 Place ofAutopsy: BIAP Morgue
Date ofReport: 1 June 2004
Circumstances of Death: This male died while in US custody in Abu Ghraib prison.
Authorization for Autopsy: Office ofthe Anned Forces Medical Examiner, IA W 10 USC 1471
Identification: BTB, DNA sample obtained
CAUSE OF DEATH: Atherosclerotic cardiovascular disease
MANNER OF DEATH: Natural
These findings are preliminary, and subject to modification pending further investigation and laboratory testing. -~ .t
-'_ '1
EX 5
MEDCOM -665
DOD 003728
;.
AUTOPSY REPORT ME04-386 2
fb)(6)-4
PRELIMINARY AUTOPSY DIAGNOSES:
I. Atherosclerotic cardiovascular disease
A. Left anterior descending coronary artery with multifocal stenoses ranging from 50-80%
B. Right coronary artery with mutifocal stenoses ranging from 5085%
C. Left circumflex coronary artery with focal 50010 stenosis
D. Moderate to severe atherosclerosis of the distal aorta
E. Thickening ofthe mitral valve leaflets
F. Pulmonary congestion (right 800 grams, left 650 grams)
G. Prominent facial suffusion
H. Bilateral earlobe creases (Frank's sign)
II.
Pleural adhesions
m.
Status post appendectomy, remote
IV.
Fractures ofthe anterior ribs (right #5, left 3-7) consistent with cardiopulmonary resuscitation
V.
No significant trauma
VI. Toxicology pending
b)(6)-2 b)(6)-2
MD
'--:---=--7~~~~--'
MAJ,Me, USA
Deputy Medical Examiner
'1 :
-L\.;
Ex5
MEDCOM -666
DOD 003729