Agonal and PM changes Flashcards
Agonal changes
1) Passive congestion: lungs, liver spleen fill up with blood b/c it’s not going back to the heart- all comes down to reduced venous return
2) pulmonary oedema: increased vasc. pressure d/e impaired venous return
3) pulmonary alveolar emphysema: labored, active breathing (inhalation), passive exhalation moves less air, residual volume remains in alveolar spaces
4) stomach content in oesophagus and trachea- regurg. and aspiration. If reurg or asp occurs wel before death, see inflamm. response. If agonal, no inflamm. response.
Euthanasia effects
Direct effects of drug used- crystal formation at serosa and endothelium. Make sure that it’s barbiturate crystals, and not something like calcium mineralization due to chronic disease.
PM changes- why they happen
occur after death- cells and tissues disintegrate
Results from: 1) autolysis of cells are CV failures- proteolysis by lysozymal enzmes- self digest
2) bacterial growth- partly due to physiological flor (esp. ruminants)
Factors affecting extent of PM change
Tissue of origin: i.e. brain and kidney melt v. quickly
Temperature at death: warm room–> decompose quickly
Fleece/fur thickness: sheep decompose rapidly
Bacterial flor
Death to necropsy interval
Algor mortis
cooling
Rigor mortis
muscles in contracted state
occurs 1-6 hours after death and disappears after 1-2 days
Livor mortis
red- hypostatic congestion
settling of blood
Rigor mortis: in depth
Muscle contractions after death- begins after 1-6 hours
Starts in heart (no blood left in heart)- blood pushed from left ventricle
Head and nuck muscles affected less
Extremities last go into rigor- persists for 1-2 days
Muscular animals/atheletes- increased rigor is observed
Excitement/stress pre-death accelerates onset
Extreme malnutrition: rigor may fail to develop due to insufficient energy stores in the muscles (ATP, glycogen) to allow myofiber contraction
PM changes: textures
Corneal opacity: reduced turgor
Gas formation: liver and gut (gut d/t bacteria)
Softening: liver, kidney (often embedded in fat), pancreas
PM clots
Drying of tissue surfaces
PM bloat/empysema
rumen microbes can produce huge amounts of gas and can stay bloated for up to a weak
PM tissue detachment
mucosa of rumen, reticulum, omasum- start to peel off
Hair slip=loss of hair- especialy in fetuses
PM color changes
Dark red- hypostatic congestion: blood sinks d/t gravity
Diffuse reddish stain: hemoglobin inhibiton- when RBCs start to break down
Greenish-yellow: bile-staining tissues close to gall-bladder
Green-black: H2S (bowel organisms) and hemoglobin produces sulfmet-Hb.
Hemolytic staining: if killed and bled in abattoir, see a nice clean, white intima. If unbled 12 hours after death, see pink staining of intima. If inblued 1 week after death, very very red intima.
PM clots
must distinguish from thrombus
Rubbery and homogenous- form perfect casts of vessels
Mixture of: currant jelly clot (red to blue due to RBCs) and chicken fat clot (clear to yellow d/t serum).
Decomposition
decomposition=autolysis and putrefaction
Autolysis= tissue breakdown d/t lack of O2, no inflammatory response. autolysis minimized by chilling (4 degrees C)
Putrefaction: dead tissue invaded by anaerobic saprophytic bacteria. Observe digestion of tissue proteins with gas production. Tissue looks green, black or brown.
NB: putrefaction is generalized
Clostridial myositis can look similar to PM putrefaction but it’s not generalized, it’s localized to affected muscle(s).
Important PM artefacts
Freezing: crystallization, cell disruption during thawing
Imperfect bleeding: back bleeding into thorax or inhalation into lungs (mostly pigs). Incorrect angle (i.e. doesn’t serve jug and carotid simultaneously) of knife sluaghter can cause backbleeding into the thorax. If the trachea is nicked, blood can be inhaled into lungs.
Blood splashing: hemorrhages in lung, muscle and other organs. Seen in sheep and pigs slaughtered by electrical stunning. Observe multiple pinpoint hemorhages in lung, muscles, etc.
Emphysema: terminal gasping in old, thin cows especially
Splenomegaly: due to anaesthesia/barbiturate euthanasia
Barbiturate crystalization