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Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011 Summer Zoo Rounds June 12, 2008

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Page 1: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Techniques in Necropsy: Pathway to Knowing “Everything”

Christopher KoivistoNCSU-CVM Class of 2011

Summer Zoo RoundsJune 12, 2008

Page 2: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

The Post-Mortem Exam

Patient historyNecropsyHistopathologyMicrobial culture/isolationToxicity screeningGene analysis

Page 3: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

DefinitionNecropsy

“seeing a dead body” (Greek)

Spyglass Entertainment Group, The Sixth Sense , 1999

Page 4: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Why do a necropsy?DiagnosticPreventionEvaluate health of a populationEducational

Page 5: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Why do a necropsy?

http://www.isrvma.org/article/54_3_7.htm

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=1575

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Necropsy Facility

Page 7: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Necropsy Facility

Page 8: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Necropsy Facility

Page 9: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Basic EquipmentSharp knife and steelScissorsTree limb snipsHandsawRongeursRulerTissue containers

Page 10: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Basic Equipment

Page 11: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Basic Equipment

Page 12: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Basic Equipment

Page 13: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Basic Equipment

Page 14: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Goals of Necropsy

Data collectionConcise lesion descriptionAppropriate tissue samplingCorrelate findings with in-life data.

Page 15: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Data CollectionReview historySystematicNecropsy record

Signalment and IDDate/time of deathDate of necropsy List of tissues examinedDescription of lesions

Page 16: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Necropsy Record

Page 17: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Necropsy Record

Page 18: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Lesion DescriptionTissueLocationColorSizeShape

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=6708

Page 19: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Lesion DescriptionConsistency and textureNumber and extentSurface appearance Odor

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=6708

Page 20: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Tissue SamplingCytologyLight microscopyMicrobial isolationMolecular analysisToxicologyElectron microscopy

Page 21: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

CytologyPrior to fixationTouch impressionSmearsSkin scrapeFine needle aspirate (FNA)

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=6292

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Light Microscopy

Formalin fixed<1cm thick>10:1 fixative:tissue ratioRepresentative samples should include junction between normal and abnormalHistochemistry and immunohistochemistry

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=9531

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Microbial IsolationFresh tissue Transport mediaFrozen tissue (viruses)

Page 24: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Molecular AnalysisPathogen identificationFrozen samples are preferred

Page 25: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

ToxicologyFresh or frozen tissueLiver, kidney, skeletal muscle, fat

Page 26: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Electron Microscopy1% glutaraldehydeTissue perfusionParaffin embedded tissue

Page 27: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds
Page 28: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

http://www.vetmed.ucdavis.edu/whc/pdfs/necropsy.pdf

Page 29: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=8235

Page 30: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=18902

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http://courses.science.fau.edu/~jwyneken/sta/SeaTurtleAnatomy- Methods_of_Dissection.pdf

Page 32: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

SummaryStart big; work towards smallBe consistentReturn to the animal’s historyCollect extra tissue if unsureDo it as often as you can

Page 33: Pathway to Knowing “Everything” - NCSU Libraries · Techniques in Necropsy: Pathway to Knowing “Everything” Christopher Koivisto NCSU-CVM Class of 2011. Summer Zoo Rounds

Want Necropsy Experience?

Gross Pathology RoundsEvery Wednesday 12:15-1:15

Saturday Morning Necropsy Volunteers

See PathHeads board for available dates

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ReferencesDepartment of Defense. Veterinary Necropsy Report Checklist andGuidelines (DD Form 1626). Oct. 2001. 10 June 2008

<http://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd1626.pdf>.

Echols, Scott M. Exotic Pet Medicine and Surgery. V.2, Avian Necropsy and Cytology [1 CD-ROM] : Basic Avian Techniques. Jackson, Wyoming: Teton Newmedia, 2003.

King, John M. Dr. John M. King's Necropsy Show and Tell. 26 Dec. 2007. 10 June 2008 <http://w3.vet.cornell.edu/nst/nst.asp>.

King, John M., Lois Roth-Johnson, and David C. Dodd. The Necropsy Book. Gurnee, IL: Charles Louis Davis DVM Foundation, 2005.

Munson, Linda. Necropsy of Wild Animals. 10 June 2008<http://www.vetmed.ucdavis.edu/whc/pdfs/necropsy.pdf>.

National Cancer Institute. Registry of Tumors in Lower Animals. 30 Sep. 2007. 10 June 2008 <http://www.pathology-registry.org/index_1.asp>.

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ReferencesRose, Karrie, Scott Newman, and Marcela Uhart. Wild Bird Highly Pathogenic Avian Influenza Surveillance: Sample Collection from Healthy, Sick and Dead Birds. Rome, Italy: Food and Agriculture Organization of the United Nations, 2006.

Terrell, Scott P., and Brian A. Stacy. "Reptile Necropsy Techniques."Infectious Diseases and Pathology of Reptiles. Ed. Elliott R.Jacobson.

Boca Raton, FL: Taylor and Francis, 2007. 219-256.

USDA-APHIS. Animal Health: Collecting Samples for Diagnostic Unknowns. 25 Feb. 2008. 10 June 2008

<http://www.aphis.usda.gov/animal_health/lab_info_services/collection_submission.shtml>.

Woodford, M. H., D. F. Keet, and R. G. Bengis. Post-mortem Procedures for Wildlife Veterinarians and Field Biologists. Paris, France: Office International des Epizooties, 2000.

Wyneken, Jeanette. The Anatomy of Sea Turtles. Dec. 2001. 10 June 2008 <http://courses.science.fau.edu/~jwyneken/sta/>.