1.2 Post-mortem change Flashcards

1
Q

What 3 changes can be identified in a cadaver?

A
  • lesions
  • agonal change
  • post mortem change
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2
Q

lesions:

A

changes that are due to disease

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3
Q

agonal change:

A

changes that may occur prior to health

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4
Q

post mortem change:

A

changes occurring​ after death and before the cadaver is examined

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5
Q

What are major post mortem changes​ due to?

A

Autolysis and putrefaction

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6
Q

Autolysis:

A

action of the intrinsic enzyme system of the dead animal’s cells that results in self digestion

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7
Q

Putrefaction:

A

degradation of tissue by invasion and post-mortem activity of certain micro-organisms

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8
Q

during a post-mortem examination ​an enlarged spleen can indicate?

A

overdose

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9
Q

Rigor Mortis

A

The contraction of muscles occurring after death
- starts in the heart (blood pushed out of left ventricle)
- contraction reverses as carcase antolyses

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10
Q

How soon does rigor mortis commence and last?

A

Commences: 1-6 hours after death
Lasts: 1-2 days

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11
Q

When rigor Mortis sets in what is affected first?

A

Head and neck are affected first then extremities

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12
Q

What can accelerate rigor?

A

High environmental temperature or activity before death

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13
Q

What animals often have stronger rigor?

A

Muscular animals like grey hounds and race horses, emaciated animals have weaker rigor

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14
Q

Normal muscle contraction:

A
  • Calcium is sequestered in the sarcoplasmic reticulum
  • An action potential results in calcium being released into the cytoplasm, binding to
    troponin on the actin myofibril, which exposes the binding site for myosin and results in
    contraction of the sarcomere
  • ATP is required to sequester calcium back in the sarcoplasmic reticulum, resulting in
    relaxation
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15
Q

Mechanism of rigor Mortis:

A

• Reduced ATP availability after death leads to a build up of calcium in the cytoplasm and consequent muscle contraction that persists as myosin binds to actin
• Subsequent muscle relaxation is due to enzymatic digestion of actin-myosin cross-links

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16
Q

Algor mortis:

A
  • Cooling of a carcase to the temperature of the environment
  • Aids in estimating the time of death
  • Important in detective stories
  • Practical importance in meat production ( carcass quickly chilled after death)
17
Q

Warm and flaccid carcase

A

Dead less than 3 hours

18
Q

Warm and stiff carcass

A

Dead for 3-8 hours

19
Q

Cold and stiff carcass

A

Dead for 8-36 hours

20
Q

Cold and flaccid carcase

A

Dead for more than 36 hours

21
Q

How does blood separate post-morten?

A
  • upper plasma lager: transtuant, looks like chicken fat
  • lower red blood all layer: intense red, resembles jelly
22
Q

What is the difference in post mortem clotting and thrombus formation?

A

Past mortem: no internal damage, easily removed
Thrombus: firmly attached, white interior, layered

23
Q

Hypostatic congestion: Livor mortis

A
  • Blood seeps to the dependent portions of
    the body post-mortem
  • The process starts in an hour of death and stabilises in 12 to 24 hours
  • May be apparent externally in animals with little hair cover (pigs)
  • Best appreciated in the dependent lung and kidney during dissection
24
Q

If an animal dies while lying on it’s right side what side will the blood he pulled to?

A

Right side - best appreciated in the dependent lung and kidney during dissection

25
Q

Post Mortem imbibition of blood:

A

Within hours of death haemoglobin released by lysed erythrocytes stains blood vessel walls and adjacent tissues

  • foetuses which are dead for a few days prior to expulsion are usually diffusely red with imbibition
  • blood in right ventricle diffusely stains the endocardium
  • in cases where there has been a haemolytic crisis, staining of tissues occurs early after death
26
Q

Where is post mortemimbibition of blood best appreciated?

A

best appreciated on surface vessels of organs such as the intestine

27
Q

Probably the most common obscurer, of lesions in post-mottem exams

A

Post Morten imposition of blood

28
Q

What animals lack a gall bladder?

A

Horses and rabbits

29
Q

Post Morten imbibition of bile pigments:

A
  • Starts within hours of death
  • Bile in the gall bladder penetrates the wall and stains adjacent tissue yellowish and then greenish brown
  • Staining involves the local liver, omentum and gastrointestinal tract
30
Q

Gaseous distension of the alimentary tract:

A
  • bacterial fermentation producing gas in the alimentary tract continues after death
  • may be surface pallor of adjacent organs due to the pressure of this distension squeezing blood out of this adjacent tissue
  • abdominal viscera may be pale in comparison to thoracic viscera

** gas rises: distended loops may be pale and lower loops hypostatically congested (not to be confused with inflammation)

31
Q

What is antolysis caused by?

A

lysosomal and other enzymes liberated as cells die

32
Q

Antolysis characteristics:

A

particularly marked in the gut and associated glands such as the
pancreas that are enzyme-rich
• grossly tissue is uniformly paler and softer than normal
• the cut surface may exude fluid or be greasy
• cut surface tends to be greasy

33
Q

Will tissue that is antolysed have a host as the change is post mortem?

A

No host

34
Q

Putrefaction

A

-Most putrefactive bacteria are anaerobes and include Clostridium spp. that are numerous in the large intestine

-proteins, fats and carbohydrates in the body substances are attacked by enzymes produced by these putrefactive bacteria, and are broken down peptides, amino acids and other compounds, including:

35
Q

Putrefaction: hydrogen sulphide causes

A

Foul smell

36
Q

Putrefaction: ferrous sulphide causes:

A

Green or black discoloration (pseudomelanosis)

37
Q

Benefits of post mortem examination:

A
  • Confirms or refutes the clinical diagnosis, thereby improving differential diagnosis
  • Provides a diagnosis where no clinical diagnosis was possible e. g. in cases of sudden or apparent sudden death
  • In failure of treatment, it provides a reason why it may have failed
  • Aids diagnosis of group or herd problems
  • Records findings for further use e. g. disease surveys in various populations, legal actions, etc..
  • Provides material for further examination e. g. histopathology, bacteriology, virology, toxicology
38
Q

When not to do a post mortem examination?

A

Personal safety is paramount
In some cases of zoonotic disease (e.g. anthrax or rabies) post mortem examination is hazardous, especially if performed without appropriate personal protective equipment (PPE) in field conditions