Module 7.3 Flashcards
Sections of autopsy report
4
Gross findings-morphological diagnoses
Microscopic findings-histopathology
Comments-clinical/case hx
References-literature/textbooks
Style of writing
Utilize lay terms/medical terms w parentheses
CLARITY
Essential info
Case #
Animal ID
Vet’s name/address
Animal’s info-sex, species/breed, age
Police/investigation #
Date, time, location of exam
Gross findings
What you observed
-not interpretation
-subjective/objective data
-abnormal AND normal findings
Interpretation provided in morphological diagnosis section
Microscopic description
What was observed using light microscopy
Interpretation provided in diagnosis section
Comment section
Straightforward
No conclusion or multiple caveats is NOT helpful
If investigation is inconclusive, say so
Pain and suffering
-say if it is painful!!!