An autopsy shows a 5-year-old boy's death in Harrison County was caused by blunt force head injuries and drowning. The Iowa Office of the State Medical Examiner released results of the Dominic Elkins' autopsy on Tuesday. His death has been ruled a homicide.
Cody Metzker-Madsen, a 17-year-old described by authorities as a member of the foster family, has been charged as an adult with first-degree murder in connection to Dominic's death.
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