If she had died 15 years ago, an autopsy might have revealed something, depending on what happened and how long it took.
the classic sign of strangulation [is]- petechiae - little blood marks on the face and in the eyes, from burst blood capillaries.But...
In asphyxial syndromes, it is even possible for all the findings to be negative in particular cases when death is due to direct neurogenic action (compression of the neck) at the cardiac level and the time is too short for petechiae and other signs to form.
Yes. But after fifteen years, there was roughly zero chance the ME would find some lingering sign of strangulation. Dr. Thogmartin hardly discussed it because there was no chance to learn anything after so much time.
Earlier, I believe both Drs. Baden and Hammesfahr found a stiffness in her neck consistent with strangulation.