General practical exam Flashcards
- External examination of the mammals’ carcass: procedure steps
- Stage of development
- State of nourishment
- Rigor mortis and other PM changes
- Skin and hair
- Feet
- Eyeballs
- Body orifices
- Preparation of the mammal’s carcasses (small and large) for dissection
Position
• Stand on right side of the carcass. The dog has now its head in your left hand.
• Expose both hip-joints by cutting lig. teres major.
• After examining the outside of the carcass, split the subcutaneous tissue with a sharp knife. In the male, cut around the penis and reflect caudally to expose the linea alba.
• Strip the skin off. Begin from the perineum and up to the point of the chin. Reflect all the way to the vertebral column.
• Bend FL´s outwards by cutting pectorals.
- Internal examination of the mammals’ till opening the abdominal cavity
- Subcutaneous connective tissue:
- Fat; lot, medium, little
- Discolourations, hemorrhages, edema, Hgb imhibition (homogenous discolouration), bubbles, parasites, proliferation, inflammation
- Pharyngeal region (pharyngeal anthrax) - Blood: Quality; cutting of jugular vein and check colour, degree of clotting, covering ability and its lipemic state.
- Lymph nodes: Lymph nodes; mandibular, supf. cervical, supf. inguinal and iliac (not in dogs) and popliteal. S/S/C/C (size, shape, colour and consistency), cut surface, structure and degree of attachment.
- Skeletal muscles
- Examined in different parts of the body
- Colour, tearability, structure and fluid content. - Abdomen: State; tight, medium, tense or flaccid.
- Dissection and examination of the abdominal cavity: steps
- Open the abd. cavity
- Abdominal content
- State of peritoneum
- Position of the abdominal organs
- Remove a part of the omentum (not pancreas!)
- Remove stomach, intestines and liver together.
- Check the bilary duct
- Remove liver from stomach and intestines and examine
- Stomach: cut from intestines and examine
- Intestines: remove mesentery and cut open
- Dissection and examination of the abdominal cavity:
Opening abd. cavity, examination of the cavity
- Open the abd. cavity (pierce under sternum, lift with two fingers, cut down along linea alba (except young animals with belly button), then along the sides)
- Abdominal content
-Free content:
o Liquids: quantity, quality, colour, transparency, consistency and odour
o Solids: Shape, size, colour, consistency, distribution and odor
o If the intestinal content is spread evenly in the abdomen, the rupture happened before death. If it is placed on one side, the rupture occurred after death. - State of peritoneum: Intact peritoneum is smooth, shiny and transparent.
- Position of the abdominal organs
• Stomach and one part of liver is in epigastric region
• Spleen is in left epigastric region
• Loops of small intestines in right side
• The cone shaped mass of large intestines in left side.
- Dissection and examination of the abdominal cavity:
carnivores
Esp. in Carnivores
- A lot of serous exudates can be found in the abdomen of the cats, due to FIP. (feline
infectious peritonitis)
- Check for stomach torsions; last part of esophagus is twisted and duodenum is fixed.
- Foreign bodies can frequently be found in the stomach or intestines.
- Liver is normally reddish-brown with sharp edges. Frequently swollen and discoloured,
with fatty infiltrations. (fatty liver)
- Dissection and examination of the abdominal cavity: spleen
- Remove spleen: Start with the far end. Place on table with visceral surface down.
- Examine:
- Describe S/S/C/C and capsule.
- Shape: Triangular. Edges are round.
- Size: Small/large.
- Colour: light red.
- Consistency: Flaccid, usually rigid due to post mortal changes.
- Capsule: Normal/wrinkled/tense.
- Cut lengthways; check colour, moisture content, cut surface and pulp. The pulp should be scratched out with normal effort.
- Dissection and examination of the abdominal cavity: peritoneum
Intact peritoneum is smooth, shiny and transparent.
- Dissection and examination of the abdominal cavity: removal of organs except spleen
Remove stomach, intestines and liver together.
- Hold the mass from behind the liver and cut down along the diaphragm, then cut attachements from under.
triangulare. Cut rectum and take out the organs.
- Dissection and examination of the abdominal cavity: gall bladder
- Check the bilary duct: track the duct from the gallbladder to duodenum, cut open the duodenum where the papilla is, then sqeeze the gallbladder to see it´s content.
- Examine gall bladder: Shape, fullness, colour, consistency, thickness of wall should be like a newspaper.
- Dissection and examination of the abdominal cavity: liver
- Remove the liver from stomach and intestines.
- Place the phrenic surface upwards.
- Examine the liver:
- S/S/C/C
- structure, moisture content, friability (tearability).
- Normally light brownish-red. Slightly gritty.
- Cut surface – moist.
- Hepatic lymph nodes.
- Newborns; umbilical vein, going through the liver.
- Dissection and examination of the abdominal cavity:
stomach
- Cut from intestines, but leave a small piece of duodenum.
- Open the stomach: cut along the greater curvature, starting from the duodenum. Do not cut through the cardia.
- After examination of the content, wash.
- Examine:
- Shape
- Fullness; empty/medium/totally full
- Quality, quantity, consistency and smell of the content
- Any possible abnormal content - non-food objects and pseudoconcretion
- Mucous membranes; colour, thickness, state of folds
- Non-glandular part of the stomach – quadrangle shape, fine mucous membrane folds.
- Fundus
- Pyloric part – pyloric lymph nodes (S/S/C/C, easy to remove, moisture content, cut surface)
- Dissection and examination of the abdominal cavity: Pancreas
Normally: Fork-shaped, greyish-yellow, Interwoven with fat, Loose structure.
- Dissection and examination of the abdominal cavity: intestines
- Strip of the mesentery and straighten out the loops.
- Cut open the loops by starting from duodenum/colon.
- Examine:
- Intestinal content; colour, smell, consistency
- Mesenteric lymph nodes
- Mucous membranes
- Dissection and examination of the urogenital tract (males)
- Testis
o Shape, size and position
o Normally found in scrotum, or the scar from castration should be seen
o Hold the testis, and open the cavity of the scrotum:
- Look for free content
- Take them out, don’t cut the deferent duct.
- Cut the lig. cauda epididymis.
- Pull the deferent duct carefully towards you, cut through the ing. Ring, and pull the testis into the cavity. - Cutting the pelvis
o Cut the muscles and soft tissue around the pelvic symphysis and the obturator foramen.
o Cut through the foramen, parallel to the symphysis, at both sides.
o Take out the loose part of the bone. - Anus: cut soft tissue around anus, and reflect.
- Take out the urogenital tract from the abdomen.
o By first cutting the ligaments of the urinary bladder, kidneys, ureters. Keep intact.
o Place it all on the table. - Cutting of prepuce: cut the urethra from the external orifice, to the apex of the bladder.
- Examine the mm of penis, look for exudates, smegma and tumours.
- Bladder:
o Q/Q of urine in bladder.
o Look for haematuria and stones.
o Cut along the curve and look at the mm inside the bladder. - Look at the muscle, orifice of the ureter, open up to renal pelvis.
- Section: Testis, deferent duct, seminal vesicle. S/S/C/C and cut surface.
- Prostate gland: Cut and check cut surface
- Rectum: Cut and describe S/S/C/C and mm.