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I performed an autopsy on the body of VAN PALADE, CAROLINE L. at the Hospital for Tropical Diseases In London, England on the date of October 31, 2009 @1430 HOURS.

From the anatomic findings and pertinent medical history I ascribe death to:




Anatomical Summary:

I. Pulmonary edema

II. Anorexia Nervosa (clinical)

III. Cachexia

IV. Distended abdomen

V. Dehydration

VI. Liver necrosis

VII. Leukopenia (found on microscopic analysis of bone marrow)

VIII. Splenic necrosis


External Description:

The body is unclothed and un-embalmed and is that of a well-developed, frail 20 year old pale white female which measures 5 feet 11 inches in length and weighs 95 pounds. The body is at room temperature. Rigor mortis is not present. Liver mortis is in the dependent portions and is unfixed, blanching with pressure. The hair is dark black. The pupils are widely dilated and are round, regular and equal. They measure 0.6cm in diameter. The eye-colour is green. The nasal cavity is clear. The mouth is clear. No abnormalities are seen. The teeth are natural. The ear canals are clear. No injuries are seen of the neck. A small superficial abrasion measuring 1/4 inch is seen over the left breast. The abdomen is extremely distended. The female genitalia reveal no evidence of injury or disease. The legs show no evidence of injury. The toe nails are unpainted. The arms are thin. An intravenous needle is present on the left arm. A superficial abrasion measuring ~1/8 inch is present on the back of the left hand. The finger nails are short and are painted black. The right hand shows minor desquamination.

Internal Examination:


The scalp and pericanial tissue reveal no evidence of injury or disease. The skull is intact and shows no
fractures. The dura is intact and shows no hemorrhages, either extradurally or subdurally. The arachnoid is thin and transparent. The cerebrospinal fluid is clear. The arteries of the circle of Willis have their normal anatomic distribution and reveal no arteriosclerosis. The brain weighs 1100 grams and shows no focal alterations of the surface layers. On multiple sections no abnormalities are seen throughout the cortex, white matter, basal ganglia, thalami, midbrain, pons, cerebellum or brainstem.


Pink foamy material is present in the airway to the level of the larynx. No obstruction is seen. No gastric contents are present. No injuries or abnormalities are seen of the tongue. The larynx, trachea and large bronchi show no abnormalities. The soft tissue of the neck reveal no evidence of injury or disease.

Body Cavities:

The pleural and peritoneal cavities are free of fluid and the surfaces are smooth and glistening. The pericardial cavity is clear of any fluid.


The heart weighs 160 grams and is small but of normal shape and configuration. The epicardial surface is smooth. The myocardium is red-brown and firm and shows no focal ulcerations. The endocardial surface and valves are grossly normal. The coronary arteries reveal no arteriosclerosis and no congenital abnormalities. The aorta is grossly normal. The pulmonary arteries and great veins are grossly normal.

Respiratory System:

The lungs weigh 450 grams each The surfaces are reddish-pink and moist. The consistency is soft and doughy. The cut surface is dark red in the lower lobes and pale grayish-pink in the upper lobes. Frothy pink fluid is present on the cut surfaces. No focal alterations are seen and no evidence of aspiration, pneumonia or tumor is seen grossly.


The liver weighs 2000 grams. The capsule is reddish-brown and smooth. The liver is massively enlarged. Slices of the liver have a uniform reddish-brown appearance and show signs of focal necrosis. The gallbladder contains an estimated 10 ml of green viscous bile. No stones or abnormalities are seen. The bile ducts are normal. The hepatic lymph nodes are enlarged to about the size of a pea. Tests for common hepatotoxins were NEGATIVE


The spleen weighs 400 grams and is enlarged. The capsule is grayish-purple, smooth and tense. The consistency is firm. Cross sections are dark red and show focal necrosis.


The pancreas is grossly normal.

Gastrointestinal Tract:

The entire esophagus is grossly normal. The stomach contains an estimated 200 grams of a dark green, dry and crumbly material which has the consistency of ground coffee. The stomach contains no indefinable food or medications. The mucosa is grossly normal and reveals no ulcerations or other abnormalities. The duodenum is dilated and full of a soft yellowish-green material. The mucosa is intact. The small bowel is also distended and full of a yellowish-green semisolid syrupy material. The appendix is normal. The colon is distended and dilated with a greenish dehydrated material to the level of the terminal sigmoid. The rectum is empty and shows no abnormalities.

Genitourinary System:

The right and left kidneys weigh 130 grams each. The capsules strip with ease revealing a smooth reddish-purple surface. The cut surface reveals good corticomdullary distinction. The cortices and medullae are grossly normal. The ureters are unremarkable. The bladder is normal and contains an estimated 20 ml of clear cloudy urine. The vagina is clear, the mucosa is intact. The cervix is smooth and small. The uterus is small but of normal shape and configuration. The myometrium is firm. The endometrium is thick and mucoid. The fallopian tubes are grossly normal. The right and left ovaries are unremarkable.

Endocrine System:

The pituitary, thyroid and adrenal glands are grossly normal.

Bone Marrow:

Microscopic analysis of bone marrow appears consistent with leukopenia. An antibody assay for trichothecene mycotoxins was NEGATIVE

Signed by: Dr. Simon Torben Posford, D.O

Report released Nov 4, 2009

Beware of her liquid arms if your soul is also liquid…


Just a couple of points of fact for you -

In England, an Autopsy is usually referred to as a post mortem examination.

In England, the cause of death is typically listed in the form
(Due to or as a consequence of)
(Due to or as a consequence of)

(other significant conditions contributing to death but not directly leading to 1)

Refer to this guide

It does not seem to be a logical progression to say that ribosomopathy occurs as a result of anorexia.

Metric units should usually be used.

A cannula needle should not be present; the needle is removed after the cannula is inserted, leaving the flexible plastic cannula tube.

D.O. is not a medical qualification in England. A practitioner reporting a post mortem is likely to postfix with 'MRCPath' or 'FRCPath'.


To be honest. I think I'd rather have a mod delete this after the errors were found. This whole thing was made as a way to get something dark and ethereal out of some biology material I had to study


It's interesting but it leaves me wondering about several things…

- what part of the observed symptoms and characteristics points to Ribosomopathy as a cause of death? I never heard of it before but I looked it up and none of the descriptions really seem to match, other than that it can ultimately lead to heart failure. But it's usually a genetic problem than one brought about by environmental factors.

- the meaning of / reason for that particular title… her arms still appear to be solid? Otherwise the doctor would surely have made some note along the lines of them being missing/melted off or appearing floppy and boneless…?

- what all that stuff in her airway and GI tract is (though maybe that's supposed to be where the spoopy creepypasta comes in) … has she been eating cat litter / synthetic planting mulch / granular polystyrene packing / cheap pillow stuffing?

Or is the implication that something she's had injected caused her to have an altered physiology that runs off that stuff but it's simply not possible for a human to consume and digest enough of it to stay alive? So even though her guts are quite full (which would seem to contradict an anorexia diagnosis?) it's not delivering sufficient nutrition? Or maybe the needle is just from a hospital drip where they tried to pump her full of glucose after she was discovered passed out and nearly dead, but it wasn't enough? Is pica in order to stave off hunger without consuming any useful nutrients a common thing in anorexia thus it's actually confirming the diagnosis?

(and maybe the pink froth is normal in cases of heart failure, idk)

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