Post Mortem Investigations (PMI) Flashcards

1
Q

Why did the animal die? Find out these 3 things..

A
  1. Cause of death
  2. Mechanism of death
  3. Manner of death
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2
Q

Cause of death

A
  • The disease, injury or abnormality that alone or in combination with other factors is responsible for initiating the sequence of functional disturbances that resulted in live stranding and death.
  • During this procedure the following may be further defined:
     Immediate cause of death
     Underlying cause of death
     Contributing factors
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3
Q

Mechanism of death

A

The immediate physiologic derangement resulting in death.

A particular mechanism of death can be produced by a variety of different causes of death.

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4
Q

Manner of death

A

How death came about. Distinguish between:
- Natural: natural disease or toxic processes

  • Anthropogenic: accidental: e.g. ship strikes, non-accidental: volitional act or direct killing
  • Undetermined: inadequate information
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5
Q

Requirements when performing a necropsy in the field

A
  • Cleanable
  • Far from healthy and alive animals
  • Close to water supply
  • Easy to reach with track for carcass disposal
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6
Q

What is virtopsy?

A
  • Virtual autopsy, on frontier of research,

Doesn’t happen very often.
- Use MRI or CT scan
- Reconstruct 3D model

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7
Q

What happens after death?

A

Heart stops –> no blood flow –> no organ perfusion –> enzymes releases outside the cells –> no oxygenation –> no warmth –> organ failure

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8
Q

What is the difference between individual and biological death?

A

Individual death: may be reversible, cells and organs stay alive for limited hours after death

Biological death: irreversible. Typically happens after loss of cardiorespiratory or brain function

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9
Q

Agonal period

A
  • interval between the time of fatal injury and death
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10
Q

Supravital reactions

A
  • biological processes that occur in tissues after death or during a state of near-death
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11
Q

Postmortal phase

A

Consists of 3 processes:

-Autolysis: the destruction of cells or tissues by their own enzymes, especially those released by lysosomes.

  • Putrefaction: the process of decay or rotting in a body or other organic matter.

-Decomposition: state or process of rotting

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12
Q

What are the 5 steps of human taphonomy (how organisms decay)?

A
  1. Corneal clouding
  2. Pallor mortis
  3. Algor mortis
  4. Livor mortis
  5. Rigor mortis
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13
Q

Corneal clouding

A
  • Thin film forming.
  • Mins after death if eyes open, to > 24 hours if eyes are closed.
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14
Q

Pallor mortis

A
  • First visible change to the body
  • 15 to 20 minutes after death
  • Body begins to pale. Occurs because blood stops moving through the capillaries
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15
Q

Algor Mortis

A
  • Translated from Latin as “cold death”
  • Describes postmortem temperature change after someone has died.
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16
Q

Livor mortis

A
  • Settling of blood in the lowest part of the body due to gravity.
  • The blood will start pressing on the skin leaving red/purple marks on the body.
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17
Q

Rigor mortis

A
  • Stiffening of the body muscles due to chemical changes in their myofibrils, specifically a lack of ATP (adenosine triphosphate), which is needed to relax muscles.
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18
Q

Can we use algor mortis for marine mammals?

A

No, because:

  • Blubber layer: After death, this layer continues to insulate the body, significantly slowing the rate of heat loss compared to other animals.
  • Postmortem hyperthermia in whales: body temperature can go from 37 up to 70 C because of bacteria composition –> unique to large marine animals because of size and insulation trap heat, preventing it from dissipating as quickly as it would in smaller or less insulated animals
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19
Q

Can we use rigor mortis for marine mammals?

A

Only limited use.

Unique characteristics e.g. blubber, varying body sizes, and aquatic environment—make process less straightforward and predictable compared to humans. But processes are the same:

  • Autolysis: contributes to progression of rigor mortis as muscle cells lose integrity and no longer able to maintain normal chemical gradients.
  • Release of Ca2+ from the sarcoplasmic reticulum (a structure within muscle cells that stores calcium) = critical part of rigor mortis. Normally, calcium is kept in check by ATP-driven pumps, but after death, Ca2+ flood the muscle fibers. This influx of calcium causes the muscles to contract, leading to stiffness of rigor mortis.
  • In living animals, ATP binds to myosin (a protein in muscle fibers) to release the muscle from its contracted state. After death, when ATP production stops, muscles remain in a contracted state because myosin cannot release from actin (another muscle protein). Leads to stiffness
  • Rm peaks 12 hours after death. Muscles reach maximum stiffness. After this peak, rigor mortis gradually dissipates as tissues begin to break down due to decomposition, and muscles lose their structure.
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20
Q

Can we use livor mortis for marine mammals?

A

Only in few situations.

  • Reduced blood clotting in marine mammals helps prevent issues like decompression sickness and allows them to manage blood flow better during dives. So after death, blood in may not clot as quickly or efficiently. Clotted blood is less likely to pool and settle in the same way as in mammals with normal clotting capacity. Less reliable for analysis.
  • Amount of hemoglobin in cetaceans is higher than in other mammals.
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21
Q

Can we use pallor mortis for marine mammals?

A

No, because:

  • Blubber  difficult to observe pallor or skin color changes. Blubber insulates the body, and the skin often remains intact and unaffected by the loss of blood circulation, making it hard to notice any color change.
  • Fur in pinnipeds  This fur can obscure any visible signs of pallor. The fur also adds another insulating layer, preventing the visible manifestation of the blood draining from the skin.
  • Different skin colour than humans. Many marine mammals have naturally dark or differently pigmented skin compared to humans, which makes the contrast in color less apparent after death.
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22
Q

Is autolysis common in living adult organisms?

A

Autolytic cell destruction is uncommon in living adult organisms and usually occurs in injured cells and dying tissue

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23
Q

In what type of tissues is autolysis more rapid?

A

More rapid in glandular tissues with a rapid metabolism (liver, intestine, etc.)

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24
Q

How is autolysis initiated?

A

Initiated by the cells’ lysosomes releasing digestive enzymes into the cytoplasm.

These enzymes are released due to the cessation (ending) of active processes in the cell, not as an active process

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25
Q

In what post mortem phenomena does autolysis play a role?

A

o p.m. hemolysis and hemoglobin staining (leukocytic enzymes)

o ocular changes

o tissues destruction

o rigor mortis disappearance

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26
Q

Putrefaction vs fermentation

A
  • Fermentation is a metabolic process where microorganisms, especially yeast and bacteria, convert sugar into acids, gasses and alcohols
  • Putrefaction is the decay of organic matter by microorganisms, which results in the formation of compost and a foul smell.
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27
Q

What happens in the body during putrefaction/ fermentation?

A

Aerobic and anaerobic bacteria multiplicate in decomposed tissues: their enzyme causes putrid (decaying) fermentation with gas production

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28
Q

Where do putrefaction/ fermentation bacteria come from?

A
  • Internal anaerobic bacteria coming from intestine
  • Other bacteria coming from the external environment penetrating from orifices or wounds
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29
Q

What are ptomaines?

A

Organic molecules based on nitrogen formed from putrefaction

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30
Q

Decomposition condition code (DCC) scoring system for cetaceans

A
  1. Code 1: extremely fresh carcass, just dead
  2. Code 2: fresh carcass
  3. Code 3: moderate decomposition
  4. Code 4: advanced decomposition
  5. Code 5: Mummified or skeletal remains
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31
Q

Sea turtle DCC

A
  1. Good (fresh carcass)
  2. Minimal decomposition
  3. Decomposition
  4. Mummified or skeletal remains
32
Q

Sea turtle DCC with description

A
33
Q

Which analysis for each DCC? (important)

A
34
Q

Which analysis for each DCC? (important)

A
35
Q

Which analysis for each DCC? (important)

A
36
Q

How can Cirripedia (Barnacles) be used for PMI?

A

Determining Time Since Death:
o Living barnacles indicate the whale was alive relatively recently or that the carcass has only been dead for a short period.
o Detached or dead barnacles can suggest a longer postmortem interval, as the barnacles typically start to die or detach after the whale’s skin begins to deteriorate.

Providing Information on Carcass Movement

Evaluating Trauma or Human Interference

37
Q

Can we use diatoms to determine if drowning was cause of death in cetaceans?

A

No.

-Normal to find diatoms in tissues like their bone marrow or even in other organs.

-Because constantly exposed to diatoms through their skin, blowhole, and other bodily systems

-Presence of diatoms alone in cetaceans is not a reliable indicator of drowning

-When they suffer from brain disease or neurological conditions, they may lose control over their ability to swim properly or clear water from their airways.

-Dry drowning: cetacean might have suffocated or died due to airway blockage before a significant amount of water entered the lungs

38
Q

Can we use diatoms to determine if drowning was cause of death in sea turtles?

A

Yes.

-Wet drowning: water fills the lungs, and diatoms are carried into the body through the respiratory system.

  • Diatoms not commonly found in their tissues unless they inhaled water while drowning
39
Q

What are the 4 preliminary steps of a necropsy?

A
  1. Assess species, age, sex…
  2. Exclude any infectious diseases BEFORE starting???
  3. Collect and preserve physical evidence (bullets toxics, etc.).
  4. Ensure the “chain of custody”:
    a. each passage of the chain of custody must be certified.
    b. each single specimen or sample must be unequivocally labelled.
    c. each single specimen or sample must be safely preserved
40
Q

5 important points to remember when performing a necropsy

A
  1. Clear and complete pictures’ collection with labels
    .
  2. Define an identification code for each specimen.
  3. Report all the methodology and technique used.
  4. Write a clear report with all the relevant findings and pictures.
  5. Results should be understandable for non-medical personnel: description should be written in non-technical wording, conclusion and comments supported by evidences.
41
Q

What findings are important to describe during a necropsy?

A
42
Q

Morphological differences C. caretta, D. coriacea and C. mydas

A
43
Q

What do the arrows indicate?

A

Umbilicus (navel)

44
Q

What do the arrows indicate?

A

Anus

45
Q

What do the arrows indicate?

A

Genital slit

46
Q

What do the arrows indicate?

A

Mammary slits

47
Q

How to determine the sex of cetaceans?

A
  • For small cetaceans: examine ventral midline. Both males and females possess a genital slit between umbilicus and anus
  • Female cetaceans: less than 10 cm distance between centers of anal opening and genital slit.
  • Males: distance between anus and genital slit is greater.
48
Q

Measurements in cetaceans and sea turtles

A

Cetaceans:
- Girth (measurement around the body)
- Total length
- To estimate weight and maturity of animal

Sea turtles:
- SCL: straight carapace length
- CCL: curved carapace length
-

49
Q

How to determine age and sex?

A

By analyzing:
o Morphology and growth curves (by using total length)
o Gonads and renal glomeruli
o Bones (X-ray, DEXA)
o Teeth
o DNA methylation

50
Q

How to identify a calf?

A

▪ Foetal folds/neonatal plicae
▪ Whiskers (vibrissae) used to perceive the mother
▪ Lateral papillae (see pic)
▪ Unerupted teet

51
Q

Age estimation in pinnipeds

A

-Moulting and fur

-Teeth –> eruption of different teeth –> to estimate the age.

  • Pinnipeds and some dolphin species e.g. Tursiops feed on fish and crustacean, by examining the teeth you can analyze the feeding behaviour
52
Q

What do we see here and how can we determine its a calf or adult?

A

-Kidney filtering unit, glomerulus

  • Kidneys new born: cells present as in the picture
  • Adult: cells migrate internally
53
Q

What do we see here?

A

In picture: gonads nearly ready for
reproduction, so adult or juvenile

Sexual maturity means presence and stage of gonads

54
Q

What do scars in the ovaries of cetaceans indicate?

A
  • They have only 1 ovulation per year.
  • E.g. 13 scars (white tissues) = 13 years of adulthood. Tursiops usually starts ovulating at 7 years old, so animal is 20 years old.
  • Only left ovary is working, right ovary is a reserve
55
Q

Incremental Growth Layers (IGLs) as method to determine age

A

Parallel layers of hard tissue (dentine, bone, or cementum) that form as organism grows.

These layers contrast with adjacent layers due to differences in their appearance or composition, and can be observed using different techniques:
 Opacity/Transparency with Transmitted Light: When light is shone through a thin section of a tooth or bone, the layers can appear more or less transparent.
 White/Dark Layers with Reflected Light
 Acid Treatment
 Higher/Lower Intensity of Color Using Decalcification and Cutting

56
Q

Growth Layer Groups (GLGs) as method to estimate age

A

GLGs refer to groups of Incremental Growth Layers that form in regular cycles and reflect an organism’s growth over time.

Each group represents specific period in animal’s life, usually corresponding to one year:
- Change of Main Features: corresponds to annual event like change of season
- 1 GLG = 1 year of growth

57
Q

Give age estimations

A
58
Q

What is the arrow indicating?

A

Pulp cavity

(T. truncatus)

59
Q

5 stages of Nutritional Condition Code (NCC)

A
60
Q

Emaciation definition

A

Serious, usually chronic and progressive condition characterized by significant (>20%) body weight loss.

61
Q

Cachexia definition

A

End stage of emaciation

62
Q

What is stable isotope analysis? What do we use it for?

A
  • Same number of protons and unequal number of electrons
  • Stable isotopes (vs radioactive) have stable nucleus remaining over time
  • Stable Isotopes are present everywhere in the world in which we live and breathe but:
  • Balance (or ratios) in which different isotopes of the same elements occur,
    varies between different substances (eg different types of food) and ecosystems (eg between land and sea or between different climate zones)
  • The ratios of different isotopes in different tissues and using scientific knowledge about how they occur in nature measure their diet and environment in time
63
Q

Which istope ratios are used to analyze diet and which ones for migration?

A

DIET:
- carbon: 13C (or C-13) and 12 C (or C-12). The ratio between the two ( 13C/12C) is referred to as δ13 C (pronounced: delta-13-C) values

  • nitrogen: 15N (or N-15) and 14 N (or N-14). Ratio between the two (15N/14N) is given as δ15N (delta-15-N) values

MIGRATION:
- oxygen: 18O (O-18) and 16 O (O-16), with ratio ( 18O/16O) referred to as δ18O (delta-18-O) values

  • strontium: 87Sr (Sr-87) and 86 Sr (Sr-86). Strontium isotope ratios are referred to as 87Sr/86Sr ratios
63
Q

What are the turnover rates of the different tissues?

A
  • Days to weeks: blood plasma and liver
  • Months: muscle, blood cells, skin and
    blubber
  • Years: bones
  • Lifetime (no turnover): e.g. teeth, earplugs, baleen

Example: skin layers of dolphins change every 3 months, the dermal one remains for more time. Comparing them we can understand if there were changes in diet in the last 3 months

64
Q

How to collect and preserve the different tissues and prepare the samples. (Table)

A
65
Q

Name an example of adaptation to life in sea water

A

Thermoregulation:
- In and out: The Skin
- Avoid heat dispersion

66
Q

Skin anatomy

A

-Absence of hairs (except for vibrissae) and other adnexa

  • Epidermis: no distinction between stratum granulosum and stratum lucidum
  • Epidermis: 15-20 times thicker than human skin, with a rapid turnover
  • Epidermis: lipokeratinocytes (95%) and melanocytes more represented cells
  • 70 – 80 percent of epithelial cells  turnover really quickly, 3 months to be entirely changed.
  • White layer: epidermal layer
    Black layer: epithelial layer
67
Q

What is blubber thickness dependent on?

A
  • Season
  • Disease
  • Geographical area
68
Q

What percentage is blubber of the total body weight in sperm whales?

A

50%

69
Q

Describe the vesselsystem in caudal, pectoral and dorsal fins

A
  • superficial, countercurrent system to regulate internal temperature.
  • To keep the warm temperature in body.
  • Warm blood is pumped away from the heart  exposed in controlled system to cooler outside environment, going back toward heart  cooler blood to heart. Cooler blood to testis or to brain.
70
Q

What to do in case of stranding

A

A: Summer
B: Winter

71
Q

Part 1 of necropsy: External examination

A

Integument:
- investigation and descrition of the eyes, mouth, blowhole, umbilicus, genital opening and anus

  • Look for discoloration, injuries or discharge
  • Document any lesions, worn or parasites

Teeth:
- Teeth from the center of the lower left mandible are collected for life history analysis

  • Using a scalpel blade, transversely cut in between and around 2 -4 teeth
72
Q

Possible damages of infectious diseases are

A

o vesicles and blisters
o erosions and ulcers
o exudations, crusts and discharges
o hemorrhages and edemas
o chronic/proliferative inflammation

73
Q
A

Cyamidae (crustacea, Amphipoda)
“Whale lyces”

74
Q

Life cycle of Ozobranchus (Marine leeches)

A
75
Q
A

Chelonibia testudinaria (Barnacles)

76
Q
A

Balanids