Autopsy Report: Hussein Abdullah Awad Al-Juwadi, Baghdad, Iraq (Natural) (0032-04-CID789-83985) (Death Certificate Included)

This 75 year old male, an Iraqi National, was a detainee at the Central Baghdad Detainee Facility (Abu Ghraib). On May 11, 2004 he reportedly abruptly collapsed and became unconscious. Resuscitation was initiated and continued during transport to the facility hospital where he died. He had a past medical history significant for diabetes mellitus, hypertension and previous myocardial infarction. Cause of Death: Determined to be Severe Atherosclerotic Coronary Vascular Disease; Manner of Death: Natural.

Doc_type: 
Medical
Doc_date: 
Tuesday, April 6, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

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6159 x031.44 C XVI
I N4ME AND LOCATION OF HOSPITAL
HOSPITAL REPORT OF DEATH 'OR USE OF MS FORM. SEE AR 40-2: THE PROPONENT AGENCY IS OFFICE OF THE SURGEON GENERAL /16St4 DAD CgiurRA L./p cry-di i-fr5)
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Instructions - Medical Officer in attendance will:
',are, in one copy only, Items 1 through 10 and sign Item 11. SSend form, without delay to the Registrar or Administrative Officer or type entries.S of the Day, for necessary action and for preparation of required number of copies.
-S
SECTION A - ATTENDING MEDICAL OFFICER'S REPORT
PERSONAL DATA

1. PATIENT DATA (Patient's rarriSn lain will hr.Sred to imprint 2. TIME OF DEATH thfour-darmenth.rearl 3. MEDICAL EXAMINER/identifying data if available)S)(°-4 CORONER'S CASE
YES0./NO
1 5/ 1/IIg Y aoa, .
4. RELIGION 5. CHAPLAIN NOTIFIED
. YES0./NO
6. NAME, ADDRESS AND RELATIONSHIP OF RELATIVE OR FRIEND PRESENT AT DEATH
Patient's name (Last, first, middle initial) Grade,
Social Security Account No., Register Number and Ward Number

APPROXIMATE INTERVALCAUSE OF DEATH
BETWEEN ONSET
AND DEATH
7a. DISEASE OR CONDITION DIRECTLY LEADING TO DUE0

0 for as a consequence of)DEATH (This does not mean rhe mode of dying. e.g..I heart Were asthenia, etc. it means the disease. infilly, 144/4S4,601.1 gt1
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or Cantlaication which caused death(
,ete4gaddiltr, 45)4:e 444 DUE TO for asSconsequence of)
7b. ANTECEDENT CAUSES (Morbid conditions. it any. (1)
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8. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING
rel THE DEATH: BUT NOT RELATED TO THE DISEASE
. b.

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SECTION B • ADMINISTRATIV
TYPE OF ACTION HOUR DAY MONTH YEAR0. INITIALS OF RESPONSIBLE OFFICER
12. TELEGRAM TO NEXT OF KIN OR OTHER AUTHORIZED PERSON
11. POST ADJUTANT GENERAL NOTIFIED
14.
IMMEDIATE CO OF DECEASED NOTIFIED

15.
INFORMATION OFFICE NOTIFIED

16.
POST MORTUARY OFFICER NOTIFIED

17.
RED CROSS NOTIFIED
ls. OTHER /Specify/

19 .
SECTION C - RECORD OF AUTOPSY
200AUTOPSY PERFORMED III yes, give date and pineal 21. AUTOPSY ORDERED BY (Signaterel
• YES0U0NO
22.
PROVISIONAL PATHOLOGICAL FINDINGS

23.
DATE 24. TYPED NAME ANO GRADE OF PHYSICIAN PERFORMING 250SIGNATURE OF PHYSICIAN PERFORMING AUTOPSY
AUTOPSY


DATE 270TYPED NAME AND GRADE OF REGISTRAR 280SIGNATURE OF REGISTRAR

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PRISONER IN PROCESSING MEDICAL SCREEN
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NAME: DATE: corippAtt HISTORY BY TRANSLATOR: NO ISN: AGE
NAME OF TRANSLATOR:

1) DO YOU I-JAVE ANY NEW MEDICAL PROBLEMS 0' INJURIES NOW?
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WEIGHT: 19 7ibs HEIGHT:
A YES TO QUESTIONS 1-4 REQU BN MD OR PA, UNLESS
MINOR PROBLEM FOR QUESTIO ESTIONS 6 OR 7 ALSO
REQUIRE MD/PA EVALUATION.

MD/PA FOLLOW UP NOTE ZDATE: /s 4-r/i o c_
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RECCOMENDATIONS:
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MEDCOM - 520
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AUTHORIZED FOR LOCAL REPRODUCTION
MEDICAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE
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DEPART./SERVICE RECORDS MAINTAINED ATSTATUSHOSPITAL OR MEDICAL FACILITY RELATIONSHIP TO SPONSORSSN/ID NO.
SPONSOR'S NAME
(For typed or written entries, give: Name - last, first, middle; ID No or SSN; Sex; [REGISTER NO[ WARD NO.
PATIENT'S IDENTIFICATION: /
Dare of Birth; Rank/Grade.

CHRONOLOGICAL RECORD OF MEDICAL CARE
RANK:
Medical Record STANDARD FORM 600 {REV. 6-97) Prescribed by GSA/ICMR
DOB:
USAPA V2.00

FIRMR 141 CFR) 201-9.202-1
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MEDCOM - 521
DOD 003584

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Theater Trauma Registry Record
• For use of this form, sea AR 40-66: the proponeat agency is MSG
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CASUALTY NAME: CASUALTY SSN:
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MEDCOM - 522
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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
b)(6)-4

Name: . Autopsy No.: ME 04- 358 US Detainee #: bm4 AFIP No.: pending Date of Birth:01 JAN 1929 Rank: Iraqi National, Date of Death: 11 MAY 2004 Place of Death: Baghdad, Iraq Date of Autopsy: 17-18 MAY 2004 Place of Autopsy: LSA Anaconda Date of Report: 18 MAY 2004 Mortuary, Balad Iraq
Circumstances of Death: This 75 year old male, an Iraqi National, was a detainee at the Central Baghdad Detainee Facility (Abu Ghraib). On 11 May 2004 he reportedly abruptly collapsed and became uficonscious. Resuscitation was initiated and continued during
b)(6)-4Z
transport to the facility hospital where he died. Mr had a past medical history significant for diabetes mellitus, hypertension and previous myocardial infarction.
Authorization for Autopsy: Office of the Armed Forces Medical Examiner, IAW 10 USC 1471
Identification: Positive identification accomnfighed by (-cm-mark/1n to photographs and
3)(3)-1
reports supplied by the investigative agency ( Z LSA Anaconda, Balad, Iraq)
CAUSE OF DEATH: Severe Atherosclerotic Coronary Vascular Disease
MANNER OF DEATH: Natural
This is a preliminary report based on initial examination of the remains, a final report will follow.Z U t; L, cl
MEDCOM - 523
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AUTOPSY RE ME04- 358
b)(6)-4
PRELIMINARY AUTOPSY DIAGNOSES:
I. Severe Atherosclerotic Coronary Vascular Disease
a.
Right Coronary Artery: 95% to pinpoint stenosis

b.
Left Coronary Artery: 80% stenosis with concentric calcification

c.
Proximal Left Descending Coronary Artery: 90% stenosis

d.
Status Post Remote Posterior Ventricular-Septal Infarction

e.
Severe Aortic Atherosclerosis

H. Aortic Aneurysm (8cc)
Cardiomegaly (810gm)

IV.
Marked Nephrosclerosis

V.
No external injuries noted

VI. Toxicology pending

Deputy Armed Forces Medical Examiner
JVN L t. 2

MEDCOM - 524

Doc_nid: 
3328
Doc_type_num: 
72