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(Click for frequent words.) 61 birdshot pellet 60 pellet lodged 60 birdshot lodged 59 shotgun pellets 58 buckshot wounds 58 bullet fragment 56 birdshot 56 birdshot pellets 56 Bullet fragments 56 puncture wound 56 ricocheting bullet 55 bullet penetrated 54 superficial lacerations 54 crossbow bolt 54 graze wounds 54 .# caliber slug 54 9mm bullet 54 BB pellet 54 .# caliber bullet 53 arrow protruding 53 shotgun pellets lodged 53 bullet fragment lodged 53 Gina Werdehausen 53 buckshot pellets 53 grazed Hartl head 53 bone splinters 53 bullet fragments lodged 53 puncture wounds 52 superficial puncture wounds 52 suffered puncture wound 52 self inflicted stab wound 52 centimeter laceration 52 reattach ligament 52 bullet lodged 52 shattered vertebra 52 airgun pellet 52 bullet wound 52 Blood oozed 52 Shrapnel pierced 52 pellet wounds 52 shattered femur 51 Charles Fierstine 51 facial contusions 51 guage shotgun 51 superficial stab wound 51 Pramod succumbed 51 puncturing lung 51 severely lacerated 51 suffered puncture wounds 51 ray barb 50 depressed skull fracture 50 facial abrasions 50 perforated intestine 50 buckshot pellet 50 sustaining fractured skull 50 Spohn Memorial 50 bruises welts 50 LHP Cedrick Bowers 50 Massa underwent surgery 50 suffered laceration 50 superficial stab wounds 49 inch laceration 49 ray barb Pino 49 ruptured diaphragm 49 superficial abrasions 49 lacerations 49 perforated eardrum 49 centimeter gash 49 gunshot wound 49 Gunshot wound 49 special pacemaker implanted 49 Christofi chest 49 broadhead arrow 49 crossbones tattoo 49 severe laceration 49 lifethreatening injuries 49 shotgun slug 49 severe lacerations 49 Bullet grazes 49 Elke Neumann 48 insert titanium rod 48 bruises lacerations 48 cancerous mole 48 Subdural hematoma 48 cranial bleeding 48 graze wound 48 fractured orbital 48 Asfordby Leicestershire 48 cancerous lobes 48 Bandages covered 48 ruptured bladder 48 Christus Spohn Memorial 48 stab wound 48 psychological counseling Carstoiu 48 cervical sprain 48 Electrode wires dangled 48 nondisplaced fracture 48 bullet fragments 48 laceration 47 shattered cheekbone 47 AirLife helicopter 47 perforating gunshot wound 47 multiple contusions 47 Doreena Clarke 47 Pathologist testifies 47 ruptured bowel 47 suffered graze wound 47 shrapnel lodged 47 rice paddy Tuan 47 eye socket fractured 47 Wilbert Paana 47 gunshot 47 chest puncturing 47 pulmonary embolism blockage 47 deep gashes 47 broken eye socket 47 nonvenomous 47 frostbitten ears 47 suffered perforated bowel 47 Amiran Vardzelashvili 47 noncancerous tumor 47 wears prosthetic 47 partial amputation 47 non lifethreatening injuries 47 gallstone pancreatitis 47 badly gashed 47 arrow pierced 47 barbed stinger 47 craniocerebral injury 47 birdshot wounds 47 suffered broken clavicle 47 severed tendons 47 brown recluse spider 47 Shrapnel ripped 46 Sutter Roseville Hospital 46 Constable Mitchel Alatalo 46 copperhead snake 46 precautionary x ray 46 Shands Gainesville 46 LaQuarrie Jefferson 46 pea sprouting inside 46 severed femoral artery 46 Terry Willers 46 self inflicted gunshot wounds 46 perforated lung 46 abscessed 46 degloving 46 removed bullet fragment 46 detached latissimus dorsi muscle 46 Norfolk Sentara 46 timber rattler 46 shrapnel 46 nonlife threatening wounds 46 stringray 46 puncture marks 46 crushed vertebra 46 bullet 46 snake fangs 46 spinal cord paralyzing 46 Tiffnie Esquibel 46 dorsi muscle 46 serrated barb 46 abdomen 46 bruised spleen 46 facial laceration 46 abrasions contusions 46 fractured sternum 46 spiral fracture 46 Suon Da 46 incised wound 46 lymph gland 46 tibia fracture 46 femoral vein 46 #cm gash 46 father Terry Willers 46 Greenland Etienne 46 strained flexor muscle 46 Werdehausen wife 46 stitch gash 46 stitches inserted 46 Spectrum Butterworth 46 bursa sac injury 46 facial injuries 46 surgical scar 46 medial impingement 45 Abebe Isaac 45 MitraClip imitates those 45 traumatic amputation 45 self inflicted gash 45 WA Wren 45 Armento blasted 45 fractured skull 45 facial bruising 45 precautionary X ray 45 tied slipknot 45 gunshot wounds 45 non lifethreatening 45 hammer cocked 45 arterial bleed 45 repair fractured orbital 45 stingray tail 45 punctured lung 45 Kenith Casica 45 ruptured aneurysm 45 cranial cerebral injuries 45 Portland Legacy Emanuel 45 Pavletic reattached Edgar 45 punctured lung broken 45 suffered fractured vertebra 45 dislocated pinkie finger 45 scalp lacerations 45 #/#-inch scar 45 included Joshua Dirling 45 near Wanblee 45 Knut enclosure 45 swollen lymph node 45 sinus cavity 45 superficial shrapnel wounds 45 trooper Joseph Longobardo 45 Taser prongs 45 el Amruni himself 45 stab wounds 45 suffered nonlife threatening 45 shrapnel wound 45 broken pelvis 45 throat irritations 45 machete slashes 45 pygmy rattlesnake 45 Mystical Towing driver 45 Carbocci 45 pickaxe handle 45 compressed vertebrae 45 frontal sinus 45 Falldorf 45 pelvis ribs 45 Pain wrenched 45 inch gash 45 Shaiunna 45 underwent microsurgery 44 red itchy welts 44 Andreia Machado recounting 44 rabid coyote 44 pea sized lump 44 hyperflexed 44 punctured eardrum 44 flexor strain 44 skull fracture 44 rabid skunk 44 pelvis femur 44 severed artery 44 bullet whizzed 44 suffered facial lacerations 44 female pillion passenger 44 ruptured eardrums 44 suffered fractured jaw 44 fused vertebrae 44 flint arrowhead 44 flexible stent grafts 44 dislocated jaw 44 pygmy rattlesnakes 44 Ludwina Zimprich 44 ruptured aortic aneurysm 44 giraffe Kashka 44 purple bruise 44 wasp stings 44 fractured orbital socket 44 bullet grazed 44 forehead laceration 44 compressed vertebra 44 Stab wounds 44 immature bald eagle 44 subdural 44 Debris scratched 44 Redington Pass 44 inflamed ligament 44 fatal stab wound 44 Knocked unconscious 44 suffered fractured femur 44 Ibssa shoved Boudarga violently 44 Geraw 44 diverticulum 44 physical altercation ensued 44 bullet wounds 44 Cheyanne Peek 44 deep gash 44 causing profuse bleeding 44 deep gouges 44 momentarily knocked unconscious 44 self inflicted stab wounds 44 Alan MacQuattie recently 44 malignant polyp 44 lawyer Robert Golger 44 McGlorthon 44 bloody gash 44 wife Mavy 44 momentarily dazed 44 acute subdural hematoma 44 partial meniscus tear 44 yearling cubs 44 accidentally elbowed 44 repair torn aorta 44 superficial burns 44 medial epicondylitis 44 subdural bleeding 44 sized welt 44 scorpion sting 44 bruised cheekbone 44 Gabriella Ferraro spokeswoman 44 Dr. Baruch Mandelzweig 44 fang marks 44 sustained facial lacerations 44 stray bullet pierced 44 Abdul Sadda 44 Thoracic Outlet Syndrome 44 Bandaged Berlusconi leaves 44 wasp sting 44 #cm blade 43 surgically reattached 43 Carl Crawford liner 43 repair severed tendons 43 total occlusions blockages 43 undergo CT scan 43 Spokesman Ed Troyer 43 degenerative arthritic condition 43 multiple pelvic fractures 43 contracted staph infection 43 fractured ribs fractured 43 caustic liquid 43 Alfredo Ocasio 43 Lifeflight helicopter 43 rabid fox 43 subdural hematoma 43 stinging sensation 43 Meshoppen Pa. 43 girls Hu Jingxuan 43 Thomas Willgruber died 43 caliber semiautomatic pistol 43 contusion 43 strained intercostal muscle 43 Madjerick 43 grapefruit sized 43 multiple rib fractures 43 treadmill cord 43 conibear trap 43 straining tendon 43 cavernous malformation 43 incise wounds 43 red welt 43 colleague Teresa Milburn 43 suffered subdural hematoma 43 adder bite 43 shattered eye socket 43 gunshot wounds inflicted 43 orbital bones 43 Luke Cenkus 43 Taser darts 43 bullet ricocheted 43 flame licking 43 Lifestar helicopter 43 lacerations puncture wounds 43 partially amputated 43 Remove giblets 43 leather bandolier 43 suffered punctured lung 43 .#-# rifle 43 hobo spider 43 insert screw 43 accidently discharged 43 elephant gored 43 Candice Hermeler remained 43 unknown assailant 43 subluxed 43 Frankford Torresdale Hospital 43 lacerations contusions 43 gallbladder removed 43 countless skin grafts 43 stab wounds inflicted 43 view Abrahamsen crushed 43 sustained shrapnel wounds 43 swollen tendons 43 inju ries 43 appl bacitracin dressing 43 Staffer Dan Griebenow 43 mastoid bone 43 lacerated lip 43 lung contusion 43 Pellet gun 43 crushed pelvis 43 bony prominence 43 broken ribs lacerated 43 pit bull lunged 43 broken ribs punctured 43 sunroof lever 43 CT scan Bonaiuti 43 bandaged stump 43 Alligator bites 43 shotgun blast 43 Severed limbs 43 Visnovsky slap 43 wear colostomy bag 43 buckshot 43 Janie Melsek 43 fatally stabbed Lucero 43 poisonous barb 43 Salem Bani Odeh 43 knocked unconcious 43 barbed tail 43 M1 Garand rifle 43 undisplaced fracture 43 contracted Lyme disease 43 fractured bones 43 hit Philliou aorta 43 Subanghadir 43 lacerated chin 43 chemically induced coma 43 resupply convoy 43 multiple skull fractures 43 situational amnesia 43 C5 vertebra 43 Herchenrider 43 Roshan Selvakumar 43 Capouellez 43 showed Tunstall bled 43 pectoral flipper 43 windshield imploded 43 Kennestone Hospital 43 pepper mace 43 L5 vertebrae 43 suffered skull fracture 43 subdural haemorrhage 43 subdural hematoma blood clot 43 Pinderfields Hospital Wakefield 43 Mallory Haulman 43 Senties 43 repair herniated discs 43 razor sharp serrated teeth 43 pellet pierced 42 Mr Kelly Tumarae 42 Gibian testified 42 porcupine quills 42 a.# caliber 42 nasal contusion 42 pelvis fracture 42 suffered ruptured spleen 42 minor abrasions 42 suffered fractured pelvis 42 acute peritonitis 42 internal bleeding 42 massive subarachnoid hemorrhage 42 minie ball 42 Gretchen Whitted 42 bullet casing 42 spleen ruptured 42 vertebral artery 42 protective vest 42 Congresswoman intern stanched 42 abdominal abscess 42 plantar plate 42 bullets ricocheted 42 9mm shell casing 42 bone contusion 42 coral snake 42 gator hindquarters protruding 42 stabbed Shurelds 42 .# caliber rifle [002] 42 femur bones 42 tresses nuzzles 42 cerebral contusion 42 ruptured eardrum 42 repair detached retina 42 bullet pierced 42 bruises abrasions 42 cracked molar 42 Ms Witchalls 42 Taser dart 42 suffered punctured lungs 42 nonlife threatening 42 abalone chisel 42 singed hair 42 lacerations abrasions 42 Fairfax Inova 42 western diamondback 42 Adolf Stegbauer 42 Decoatsworth 42 muzzleloader rifle 42 CAMC General 42 KA Mutiara Selatan 42 vertebras 42 scalpel blade 42 .# calibur 42 Nelspruit Medi Clinic 42 enlarged lymph node 42 Terrance Baughman 42 basilar artery 42 partial dislocation 42 gage shotgun 42 wears pacemaker 42 pellet gun 42 inflamed appendix 42 suffered fractured orbital 42 diamondback rattlesnake 42 suffered shrapnel wounds 42 Schwingdorf 42 Julie Binschus 42 intertrochanteric 42 superficial wounds 42 cranial fracture 42 badly lacerated 42 acute stomach pains 42 glass shard 42 irrigated enclosures 42 spine pelvis 42 paranoid delusional disorder 42 bruises scrapes 42 suffered fractured rib 42 shoulder blade 42 disfiguring scars 42 lateral meniscus tear 42 ribcage 42 punctured lungs 42 EastCare helicopter 42 crushed vertebrae 42 Defratus 42 WoundStat granules 42 skull 42 C2 vertebrae 42 hop comebacker 42 Mitschelen 42 vicim 42 shrapnel wounds 42 ulna bone 42 severe frostbite 42 Bogdanik 42 venomous rattlesnake 42 CB Daylon McCutcheon 42 child Angelyn Ogdoc 42 facial lacerations 42 Bergan Mercy Hospital 42 golfball size 42 Buekea 42 fractured eye socket 42 bladed instrument 42 PROBABLE RB Jerome Bettis 42 Hope Orwick 42 Memorial Hermann Southwest 42 copperhead 42 Dr. Surendra Shenoy 42 countrymade revolver 42 rib cage 42 Caesarean scar 42 McCuin dialed authorities 42 plica 42 fish filleting knife 42 ThedaStar helicopter 42 broken hamate bone 42 spokeswoman Christa Hild 42 common yellowthroat 42 arthoscopic surgery 42 teardrops tattooed 42 gash 42 wrist contusion 42 Doctors amputate Zsa 42 Attackers tattooed RAPEST 42 fifth metacarpal bone 42 Padmaja Enjeti 42 fever headache fatigue 42 ant bites 42 blood clot 42 Carroll Hildahl 42 irukandji jellyfish 42 hunter stray bullet 42 word rapest 42 Xee Lor 42 ligament sprain 42 fractured bone 42 severing tendons 42 frayed tendon 42 lungs liver pancreas 42 filet knife 42 suffered nasty gash 42 curved beak 42 fractured cheek 42 dislocated vertebrae 42 suffered fractured sternum 42 fractured orbital bone 41 Bristol Frenchay Hospital 41 coronary blockage 41 scalp laceration 41 Acuvue TruEye Brand 41 remove cancerous lesion 41 Eric Nerhus 41 healing rib fractures 41 Polanco hyperextended 41 intercranial bleeding 41 skull fractures bleeding 41 inserts catheter 41 road rage knifing 41 Angelo Cedeño 41 Stephanie Ochsenbine 41 Doctors reattached 41 wife Yevgenia Milova 41 Eastern Massasauga 41 itchy bumps 41 Jennie Duval 41 witness Moses Baya 41 Faye Dunaway bopped 41 multiple facial fractures 41 intestinal perforation 41 bruise 41 Ectopia Cordis 41 blunt object 41 involves inserting catheter 41 hairline stress fracture 41 performed tracheotomy 41 Scarbaby 41 hangun 41 bony ridges 41 foot albino python 41 lacerated bladder 41 copperhead bite 41 Shands Jacksonville hospital 41 pellet 41 fireplace poker 41 knocked unconscious 41 Narenthorn Medical Center 41 Mikael Tam 41 9mm casings 41 nine millimeter handgun 41 sharpened screwdriver 41 Shrapnel tore 41 suffered fractured cheekbone 41 bony crest 41 shaped birthmark 41 shark chomped 41 fractured hamate bone 41 Lt. Gen. Faustin Kayumba 41 fracturing vertebra 41 tiger enclosure Sousa 41 bleeding profusely 41 Bicyclist dies 41 experiencing numbness 41 screw surgically inserted 41 Smashum 41 suburban Tukwila 41 panga machete 41 Dr. Astrid Desrosiers 41 Ind. Schrenker 41 Teresa Negron 41 Montes Lamas 41 St Munchin Street 41 fractured ribs lacerated liver 41 Officer DiPonzio 41 umbilical hernia 41 stingray barb pierced 41 fractures lacerations 41 Abrasions 41 Plymouth Derriford Hospital 41 ricochet bullet 41 critical condtion 41 inject venom 41 Defenseman Kurtis Foster 41 pit bull mastiff 41 gashes 41 cactus needles 41 Riems sexually assaulted 41 Alex Lambson 41 lyssavirus 41 Puncture wounds 41 Terrence Speller 41 Chief Sluckis 41 broken femurs 41 Joshua Sparling 41 caliber Glock handgun 41 Waldenville 41 ornamental samurai sword 41 calf cramp 41 eastern diamondback rattlesnake 41 epidural hematoma bleeding 41 nasal swab samples 41 Kiara Renee 41 Marina Gudino 41 suffered fractured skull 41 Jimella Tunstall bled 41 hypothermia fractured collarbone 41 sensitive pineal gland 41 upper torso 41 broken rib 41 undergo skin grafts 41 saliva gland 41 Zednik carotid artery 41 Pacioretty fractured 41 eye socket cheekbone 41 rattle snake 41 swelling subsided 41 grotesquely twisted 41 snapped Jacob Leicht 41 Buchans Junction 41 cancerous testicle 41 Haynesworth stomped 41 inadvertently elbowed 41 Moped rider 41 Broomhills Shooting Club 41 minor injuires 41 cancerous lesion 41 Shocinski 41 mCRC acneform rash 41 blot clot 41 distal tibia 41 Cawanna McMichael 41 ulnar artery 41 escorting funeral procession 41 dustpan Fritz 41 Auckland Middlemore Hospital 41 Joshua Funches 41 Publicist Zsa Zsa Gabor 41 labral tear 41 degloving injury 41 Pc Bown 41 Rabid raccoon 41 repair hernias 41 G Zach Wiegert 41 broken femur 41 Rare albino 41 arterial blockage 41 Notaros 41 injects venom 41 stinger 41 Oxford Radcliffe Infirmary 41 surgeons reattached 41 .# gauge shotgun 41 scoliosis curvature 41 BBs lodged 41 derringer pistol 41 viral bronchitis 41 Rayshun 41 soupfin sharks 41 Allena Hansen 41 shoelace marks 41 corneal ulcer 41 cranio cerebral injuries 41 DeLaCruz colleagues 41 Ferrell Hickson 41 tibial plateau fracture 41 ghastly goring 41 kidneys pancreas 41 obstructed bile duct 41 trama 41 excruciating stomach pains 41 bullets pierced 41 Surgeons amputated 41 Samson townsite 41 forearm 41 self inflicted Dickan 41 apparently motiveless attack 41 peritonitis resulting 41 heart valve stenosis 41 Enterovirus causes 41 Morriston Hospital Swansea 41 firework exploded 41 confronted Schuth 41 underwent CAT scan 41 yearling cub 41 Brock Kelson 41 hamate 41 Rafidya Hospital 41 Maury Hernandez 41 facial fractures 41 bronchial tube 41 blunt trauma 41 .#-# caliber rifle 41 surgically amputated 41 Reimsnyder 41 deep shin bruise 41 axillary vein 41 abcess 40 Officer Kayvan Hazrati 40 venom glands 40 teargas inhalation 40 nonlife threatening injuries 40 Evelyn Restituyo 40 spokeswoman Beth Frangedakis 40 starving mountain lion 40 Phong Thuc Tran 40 bb gun 40 vertebrae fused 40 injuires 40 Joseph Longobardo 40 fractured clavicle 40 undergoing gallstone 40 inadvertent elbow 40 Fabian Pacheco 40 inflamed gallbladder 40 Ecuadorean migrant 40 .# magnum handgun [001] 40 spent shell casing 40 Yhonquea 40 dermoid cyst 40 grafted skin 40 Mojave rattlesnake 40 phlebitis 40 9mm gun 40 severed carotid artery 40 underwent CT scan 40 Ms Pniewska 40 contusions lacerations 40 Charlii 40 Franziska Stegbauer 40 cervix anus 40 green mamba 40 glass splinters 40 contusions 40 excess cerebrospinal fluid 40 uttered racial epithet 40 Byron Hilburn 40 lacerated tendon 40 accidentally kneed 40 inuries 40 multiple gunshot wounds 40 Richard Alten 40 water moccasin 40 9 millimeter pistol 40 gangrene infection 40 mm handgun 40 beanbag shotgun 40 colon perforation 40 centimeter scar 40 Najee Hull 40 helicopter rotor blade 40 pneumonia septicemia 40 Steven Cerveny 40 shivering uncontrollably 40 pericardial effusions 40 Tayson 40 RW Danny Briere 40 Shotgun pellets 40 itchy welts 40 intestinal perforations 40 swollen lymph nodes 40 medically sedated 40 fractured ribs punctured lung 40 9mm Browning pistol 40 multiple stab wounds 40 loaded Glock pistol 40 Paramedics resuscitated 40 bloody bandage 40 fractured scaphoid bone 40 wearing Kevlar vest 40 empty shell casing 40 stingray barb punctured 40 Duchscherer underwent arthroscopic 40 rib contusion 40 Carlos Argueta 40 pelvic fractures 40 shrapnel pierced 40 .# caliber handgun [002] 40 abnormally enlarged 40 severing tendon 40 abrasions lacerations 40 Ruediger Diedrich 40 paracetamol overdose 40 traumatic asphyxia due 40 Danna Broom 40 fractured spine 40 caliber rifle 40 rattlesnake bite 40 Alison Sapikowski 40 cartilege 40 permanently disfiguring 40 teller Tramaine Gibson 40 eye socket fracture 40 amputed 40 detached retinas 40 facial scars 40 gashed shin 40 uncontrollable seizures 40 occipital bone 40 Airsoft gun 40 pronouced dead 40 shrapnel wedged 40 Edwin Pellecier 40 haematomas 40 Maryland Shock Trauma 40 Venomous snakes 40 G Rick DeMulling 40 fatally stabbed Kercher 40 pellets 40 broken scaphoid bone 40 anklebone 40 chipped tooth 40 perforated eardrums 40 pulmonary contusions 40 lasers Dr. Setthakarn 40 strained ligament 40 suffered fractured collarbone 40 vascular abnormality 40 CalStar helicopter 40 9mm Sig Sauer 40 Lizmarie Perez Chapparro 40 eye socket 40 sheathed knife 40 sting ray 40 Andy Bacas 40 supsect 40 man Gaylin Leirmoe 40 Fullback Oliver Hoyte 40 nasty gash 40 aneurysm 40 nose Lemole 40 orbital bone 40 heterotopic bone 40 enlarged lymph nodes 40 inadvertently kneed 40 ventricular septal defect VSD 40 sternum breastbone 40 Keisha Heard 40 .# caliber slugs 40 AirEvac helicopter 40 strained flexor tendon 40 Springstube 40 forensic pathologist testified 40 pre cancerous lesion 40 Willard Tietjen 40 venomous spider 40 unconsious 40 VonStein body 40 scrapes bruises 40 Deborah Nyland 40 fibula fracture 40 abscesses 40 weals 40 facial fracture 40 Shaukat Kayani 40 gopher snake 40 anterior tibialis 40 pit bull mauled 40 Both Rossers 40 faint scar 40 Pericles Salas 40 pancreas spleen 40 .# caliber casings 40 aneurism 40 plunging poisonous barb 40 curable lymphoma 40 chlorine inhalation 40 strychnine poisoning 40 shrapnel penetrated 40 femoral artery 40 bowed tendons 40 Benhuri 40 S Gerome Sapp 40 Ramesh Sawant 40 Lynn Semler 40 tiger rattlesnake 40 fractured femurs 40 .# caliber Beretta 40 tibia bone 40 homemade shank 40 debrided 40 fractured scaphoid 40 underwent surgery 40 buckshot embedded 40 metal rod 40 .# magnum revolver [001] 40 Firefighter William Corbetis 40 red welts 40 poisonous snake bite 40 G Tupe Peko 40 Vesperas 40 brain aneurism 40 man Clifford Gebara 40 Glock 9mm pistol 40 SLAP tear 40 Mr Orgias 40 .# caliber Ruger handgun 40 Bartonella henselae 40 lymphatic malformation 40 Bhaumik survived 40 horsefly 40 metal shards 40 Henry Menahem 40 knife wounds 40 Bacterial conjunctivitis 40 Greenwich Mortuary 40 tranquilizer dart 40 .# caliber semiautomatic pistol 40 Medic Yaron 40 wrinkles crisscrossing 40 Marzanne 40 contusions abrasions 40 sobbed Asghar 40 ruptured brain aneurysm 40 Lorelle Chorkey 40 Janet Steines 40 pygmy rattler 40 ulna 40 blow Afek 40 Chanslor Avenue 40 small caliber handgun 40 Lisfranc fracture