Vickie Lynn Marshall, known by her moniker Anna Nicole Smith, was an American model, actress, and television personality. Smith first gained popularity in Playboy, becoming the 1993 Playmate of the Year. (November 28, 1967 – February 8, 2007)
BROWARD COUNTY MEDICAL EXAMINER
5301 SW 31st AVENUE
FORT LAUDERDALE, FL 33312
NAME: Vickie Lynn Marshall AUTOPSY NO: 07-0223
SEX: Female DATE OF AUTOPSY: February 9, 2007
RACE: White TIME OF AUTOPSY: 10:36 a.m.
AGE: 39 PROSECTORS: Gertrude M. Juste, M.D.
DOB: 11/28/1967 Associate Medical Examiner
and
Joshua A. Perper, M.D.
Chief Medical Examiner
—————————————————————-
FINAL PATHOLOGICAL DIAGNOSES:
I. ACUTE COMBINED DRUG INTOXICATION
A. Toxic/lethal drug:
Chloral Hydrate (Noctec)
1.Trichloroethanol (TCE) 75ug/mL (active metabolite)
2.Trichloroacetic acid ( TCA) 85ug/mL (inactive metabolite)
B. Therapeutic drugs :
1. Diphenhydramine (Bendaryl) 0.11 mg/L
2. Clonazepam (Klonopin) 0.04 mg/L
3. Diazepam (Valium) 0.21 mg/L
4. Nordiazepam (metabolite) 0.38 mg/L
5 Temazepam (metabolite) 0.09 mg/L
6. Oxazepam 0.09 mg/L
7. Lorazepam 22.0 ng/mL
C. Other non-contributory drugs present (atropine, topiramate, ciprofloxacin, acetaminophen)
II. LEFT GLUTEAL PANNICULITIS, WITH ABSCESS FORMATION AND
RECENT LINEAR HEMORRHAGE
III. FIBROSIS WITH FAT NECROSIS (CHRONIC REPEATED INJECTIONS OF
VARIOUS MEDICATIONS IN BUTTOCKS) OF DERMAL AND SUBCUTANEOUS TISSUES, BILATERAL GLUTEAL REGIONS AND ANTERIOR RIGHT THIGH
IV. GASTROENTERITIS, MILD, OF PROBABLE VIRAL ETIOLOGY
V. DEPRESSION FOLLOWING RECENT DELIVERY OF TERM INFANT AND
RECENT DEATH OF ADULT SON (SEPTEMBER 2006)
Vickie Lynn Marshall February 9, 2007 10:36 a.m. 07-0223
VI. MODERATE CONGESTIVE HEPATOMEGALY (2550 GRAMS)
VII. FIBROUS PLEURAL ADHESIONS
VIII. CHRONIC THYROIDITIS (HASHIMOTO THYROIDITIS)
IX. WELL HEALED SUPRAPUBIC SCAR (STATUS POST CESAREAN SECTION)
X MINIMAL, INSIGNIFICANT MYOCARDIAL FIBROSIS
XI. STATUS POST MEDICAL INTERVENTION
A. Endotracheal tube placement
B. Right jugular line placement
C. Cardiac Monitoring devices and defibrillator pad placement
D. Bilateral anterior elbow and left anterior wrist venipuncture sites with surrounding ecchymoses
XII. STATUS POST BILATERAL BREAST IMPLANTS WITH SCARRING, LEFT
AREOLA
XIII. MICRO-INFARCT OF BRAIN, LEFT OCCIPITAL WHITE MATTER
XIV. MINOR CONTUSIONS, POSTERIOR SHOULDERS
OPINION:
Vickie Lynn Marshall was a 39-year-old white female who died of acute combined drug intoxication. Abscesses of buttocks, and viral enteritis were contributory causes of death.
The manner of death is determined to be: ACCIDENT
_______________________________________
Joshua A. Perper, M.D.,LL.B.,M.Sc. Date
Chief Medical Examiner
______________________________________
Gertrude M. Juste, MD Date
Associate Medical Examiner
GMJ/JAP:jb 2
