¶1A jury convicted Curtis T. Yeager (âdefendantâ) of one count of abuse of a child, § 568.060, RSMo Cum.Supp.1997, and one count of second-degree felony murder, § 565.021.1(2), RSMo 1994. Abuse of a child served as the underlying felony to support the murder conviction. The court sentenced him to serve concurrent terms of twenty years imprisonment for the murder and ten years for abuse of a child.
¶2On appeal, defendant contends that the evidence was insufficient to establish that the childâs death was not the result of an accident.
¶3Finding the evidence sufficient to sustain defendantâs convictions, we affirm.
¶4Standard of Review
¶5Upon review of defendantâs challenge to the sufficiency of the evidence, we must determine if the State presented sufficient evidence from which a reasonable juror could have found defendant guilty beyond a reasonable doubt. State v. Whalen, 49 S.W.3d 181, 184 (Mo. banc), cert. denied, - U.S. -, 122 S.Ct. 567, - L.Ed.2d -- (2001). This standard of review requires that we:
âmust look to the elements of the crime and consider each in turn.... [The Court is] required to take the evidence in the light most favorable to the State and to grant the State all reasonable inferences from the evidence. [The Court] disregard^] contrary inferences, unless they are such a natural and logical extension of the evidence that a reasonable juror would be unable to disregard them. Taking the evidence in this light, [the Court] considers] whether a reasonable juror could find each of the elements beyond a reasonable doubt.â
¶6Id. (quoting State v. Grim, 854 S.W.2d 403, 411 (Mo. banc 1993)). Despite our review in deference to the Stateâs evidence, we cannot â âsupply missing evidence, or give the [State] the benefit of unreasonable, *309speculative or forced inferences.â â Id.(quoting Bauby v. Lake, 995 S.W.2d 10, 13 n. 1 (Mo.App. E.D.1999)).
¶7Relevant Statutes
¶8The statutes under which defendant was charged and convicted follow:
¶9Second-degree felony murder is defined by the legislature in section 565.021.1(2) RSMo 1994, as follows:
1. A person commits the crime of murder in the second degree if he:
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(2) Commits or attempts to commit any felony, and, in the perpetration or the attempted perpetration of such felony or in the flight from the perpetration or attempted perpetration of such felony, another person is killed as a result of the perpetration or attempted perpetration of such felony or immediate flight from the perpetration of such felony or attempted perpetration of such felony.
¶10Here, the felony underlying defendantâs murder conviction was abuse of a child, section 568.060 RSMo Cum.Supp.1997, which reads:
1. A person commits the crime of abuse of a child if such person:
(1) Knowingly inflicts cruel and inhuman punishment upon a child less than seventeen years old;
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3. Abuse of a child is a class C felony, unless:
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(2) A child dies as a result of injuries sustained from conduct chargeable pursuant to the provisions of this section, in which case the crime is a class A felony.
¶11Felony Murder
¶12Under the felony murder rule, the felonious intent necessary for a murder conviction may be shown by the commission of or attempt to commit a felony. State v. Bouser, 17 S.W.3d 130, 135 (Mo. App. W.D.1999). Upon proof that the defendant intended to commit the underlying felony, there arises a conclusive presumption of the necessary intent to support a conviction for the resulting murder. Id.Put in another way, the rule requires that:
the state must prove every element of the underlying felony beyond a reasonable doubt. This is because the underlying felony is necessary in proving the intent element of felony murder. The felony murder rules make the underlying felony not an element of the felony murder, but rather a means of proving the felonious intent for murder.
¶13State v. Gheen, 41 S.W.3d 598, 605 (Mo.App. W.D.2001) (citations omitted). Thus, we consider whether the evidence was sufficient for a finding beyond a reasonable doubt that defendant committed the offense of abuse of a child under section 568.060 RSMo Cum.Supp.1997, and the child died as a result of the perpetration of that felony.
¶14Facts
¶15The evidence presented at trial, viewed in a light most favorable to the verdict, follows:
¶16Defendant lived with his parents and sister at 5500 E. 101st Terrace in Kansas City, Missouri. At the time of the incident in question, his girlfriend and her eleven-month-old son (âthe childâ) had also been living there for at least two months.
¶17On the morning of October 11, 1999, the child was left alone with defendant at the house around 8:45 a.m. At around 9:20 a.m., defendant called his mother to report that there was something wrong with the child. A few minutes later, defendant called 911. The fire department and an ambulance arrived in response to the call. *310When Captain Thomas of the fire department first arrived at the residence, he found defendant and the child. The child was not breathing, so CPR was begun while defendant provided background information about the child, such as his history of asthma and that the child had been playing on the floor when defendant discovered he was not breathing. When the ambulance arrived, paramedics intubated the child in an attempt to help him breathe. The childâs lips were turning blue but his fingernail beds were still pink, indicating that he had not gone without oxygen for long and had recently stopped breathing.
¶18The child was first taken to St. Joseph Hospital. The EMT paramedic and police officer who were at St. Joseph Hospital reported that the child had multiple bruises on his body, including his wrists, abdomen, bottom lip, chin and back area in addition to injuries around his eyes. Soon thereafter, the child was transferred to Childrenâs Mercy Hospital for treatment of a head injury. Testimony later established that these injuries were not the result of emergency attempts to resuscitate the child.
¶19The child died the next day, October 12, 1999. Dr. Thomas Young, the Jackson County Medical Examiner, performed an autopsy on the child the following day, October 13,1999. During the autopsy, Dr. Young observed that the child had bruising to both sides of his face, on the underside of his bps, underneath his chin, on his left shoulder, left arm, chest, abdomen, right leg, and behind his left ear. He also suffered from various internal injuries including bruising in his deep scalp and a âcomplex fractureâ at the back of his skull which consisted of fractures that extended up from the base of his skull and branched off into smaller fractures. In addition, the child suffered retinal hemorrhaging and bleeding along the retinas and optic nerves in his eyes, brain swelling, and both sub-dural (between the brain and inner surface of the skull) and subarachnoid (beneath the filmy covers of the brain) bleeding or hemorrhaging.
¶20Dr. Young testified that the childâs injuries were consistent with child abuse. He stated that under normal conditions, a child of the childâs age does not have the number and variety of injuries that the child did. The bruises were likely an indication that the child had been forcefully grabbed. His skull fracture must have resulted from a âvery, very forceful blowâ to the head. The fracture was not consistent with a fall from a chair (as defendant had claimed the child received the injuries) and was more consistent with an âacceleration/decelerationâ injury, which Dr. Young described as taking a child and âswinging him to the impactâ or striking him against a firm object. The hemorrhaging was consistent with a moving head striking a stationary object. The results also showed that the childâs injuries had been recently inflicted, as they showed no signs of healing. ' Dr. Young testified that with the extensive injuries he observed, the child would have quickly gone into a coma or seizures because his brain would have immediately begun to swell and push down to the hole in the bottom of the skull resulting in âinstantâ and âirreparableâ brain damage. Again, Dr. Young testified that the childâs injuries were not consistent with injuries one would see from normal, child-related accidents such as falling from a chair and landing on his head and were consistent with having occurred on October 11,1999.
¶21After the child died, Detective Keideman Mirmdized
¶22Detective Keideman then arrested defendant. He was charged with and convicted of one count of abuse of a child, section 568.060 RSMo Cum.Supp.1997, and one count of second-degree felony murder, section 565.021.1(2) RSMo 1994.
¶23Discussion
¶24Defendantâs point on appeal purports to challenge the sufficiency of the evidence. However, his arguments essentially go to the weight of the evidence, factual conflicts, and witness reliability and credibility â matters which are left to the province of the jury. State v. OâHaver, 38 S.W.3d 555, 559 (Mo.App. W.D.2000).
¶25Primarily, defendant seeks to pick apart the testimony of Dr. Young, which testimony he says the Stateâs case âhinged on.â He claims that the State failed to âshow beyond a reasonable doubt that defendant committed any acts of abuse against the child. Nor did the evidence show that [defendant] committed any specific act that would cause blunt force trauma to [the child].â He then points out parts of Dr. Youngâs testimony which he claims are mere speculation and do not âsupport a finding beyond a reasonable doubt that defendant caused these injuries, or when these injuries occurred, or how the injuries were sustained.â
¶26For example, defendant claims that Dr. Young found bruises on multiple areas of the childâs body but could not identify how or when such injuries occurred or who inflicted them. Defendant refers to a St. Joseph ER doctorâs report of no external injuries apparent on the child when he arrived there. He claims that Dr. Youngâs âspeculationsâ with regard to the injuries and how they occurred âonly showed that [the child] possibly sustained his head injuries at about the time that he was with [defendant]; it does not establish how the injury occurred, or who, if anyone, caused the injury.â Defendant contends that âin light of the evidence presented, it is clear that no one really knows what happened to the child that caused the injuries to his head, and ultimately his death. It could have been an accident or the act of a *312person.â He claims that nothing in the evidence, however, showed beyond a reasonable doubt it was defendant who caused the childâs injuries.
¶27Again, his arguments are primarily directed toward conflicting evidence and witness credibility issues, which are matters left to the jury. Viewing the evidence in a light most favorable to the verdict, we find that the evidence was sufficient to support the juryâs convictions. Dr. Young testified that usually small children of the childâs age do not have the number and variety of injuries that the child did, that the injuries were consistent with child abuse, and that the injuries he found were consistent with being inflicted on October 11, 1999, in the morning hours of 8:45 to 9:15 a.m. â when defendant was alone with the child. As set forth above, Dr. Young also dispelled defendantâs claims that the childâs injuries were the result of a fall from a chair the day before. His testimony established that the child would not have been active after suffering such severe injuries. Defense counsel extensively cross-examined Dr. Young, bringing all of the factual issues he now raises on appeal to the juryâs attention. When defense counsel repeatedly questioned Dr. Young regarding his unwillingness to say he was 100 percent sure of what happened, Dr. Young consistently stated that he was certain within a reasonable degree of medical certainty. Emergency workers and police who were involved in the childâs case also testified. Their testimony established that the child did indeed have bruising when he first arrived at St. Joseph Hospital, thus disputing the records indicating to the contrary. Again, matters of credibility and conflicting evidence are for the jury to determine. OâHaver, 33 S.W.3d at 559. A juror could reasonably infer, firom the collective impact of this evidence, that defendant was guilty of abuse of a child and second-degree felony murder. See, e.g., State v. Yoksh, 989 S.W.2d 227, 232 (Mo.App.W.D.1999) (finding that the medical and circumstantial evidence with regard to the death of the child victim was sufficient to support the juryâs conviction of murder in the second degree under section 565.021.1(1) RSMo 1994.)
¶28Defendantâs point on appeal is denied.
¶29Conclusion
¶30Among other evidence, Dr. Youngâs testimony, coupled with that of the emergency personnel and police who were involved in the case, provided substantial evidence from which the reasonable juror could logically infer that defendant inflicted the childâs injuries that resulted in his death. Thus, the trial court did not err in overruling defendantâs motions for judgment of acquittal, and we affirm the trial courtâs judgment.
¶31BRECKENRIDGE and NEWTON, JJ., concur.
¶32. Miranda v. Arizona, 384 U.S. 436, 86 S.Ct. 1602, 16 L.Ed.2d 694 (1966).