Khan performed specialised, bloodless neck dissection to make sure haemorrhages were "true" and not post-mortem.
Various haemorrhages on her neck were unrelated to the ligature and indicative of blunt force trauma. Force applied to neck higher than where ligature mark is. Force applied to neck higher than where ligature mark is.
There was quite significant downward force to vertebrae. Usually seen in cases of manual strangulation, pressure was applied here from left side going inwards. One has to be suspicious here of fractured horn of thyroid cartilage
. Redness indicates it happened before death.
Fracture and haemorrhages indicate a hand being applied to neck with squeezing type of action.
All the unrelated haemorrhages point to not being caused by ligature. There was something placed over her nose and mouth. Indications that a hand or object was used. These features are indicative of manual strangulation.
The haemorrhages to side of chest wall are atypical of CPR. Could be from punching or kicking the chest/ribs. Maybe pinning down person with a knee to strangle.
Bruise on left wrist usually seen with defensive injuries & protecting oneself.
"The features of the ligature imprint abrasion mark are consistent with post-mortem application to the neck".
Marks indicate thumb on right hand side of her neck and fingers spread out on left hand side.
Khan says abrasion to body indicates dragging against rough surfaces. Hotel bedroom floor made of quite rough surface.
End of post mortem testimony.
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