- Post
mortem examination (i.e. necropsy)
is an extremely valuable tool in disease investigation and management. It is important to
approach each carcass with an open mind, not assuming that the cause of death is known,
even if there are obvious external lesions or a known on-going disease problem.
- Before starting a necropsy, consider whether the skin or skeleton is
important for museum-based studies. If it is, a cosmetic post mortem is
required. (see D257
- full text available for a description)
- Reasons for performing a post mortem examination include "finding the cause of death, confirming a diagnosis,
investigating unsuccessful therapy, increasing knowledge" (D91.4.w1)
and for the detection of sub-clinical disease.
- Post mortem examination is particularly
important for animals which die in quarantine in preparation for
introduction to a collection, translocation or reintroduction
program.
- Post mortem examinations may be performed in the
field or laboratory; by the case clinician or by a specialist
pathologist, dependent on circumstances.
- Where the gross post mortem is performed by
an individual other than the pathologist who will perform the
further examinations on samples provided, communication between the
two parties is essential to ensure that optimal samples are taken
(tissue type, volume/ weight, storage, transport, temperature etc.).
- Inadequate or incorrect sample taking may reduce the likelihood of reaching an accurate diagnosis.
- Forensic post mortems for legal
investigation should be performed by an experienced wildlife
pathologist, since the credentials of the pathologist will be assessed as part of the
case. (J1.32.w7)
- Similar protocols should be used for the post-mortem
examination of domestic, free-ranging or captive wild mammals.
- Post-mortem examination should be conducted in good daylight whenever
possible. (D286.2.w2)
- If possible, findings should be dictated during the examination, or,
as an alternative, noted down at the time of the examination. (D286.2.w2)
- When performing a necropsy or post mortem
examination, it is important to:
- first consider the history of the animal (where available). Note the
reported clinical signs, treatment, diagnostic tests, possible
differential diagnoses, number of animals involved, etc. Communication between the pathologist and the case clinician, where
available, is recommended.
- consider recent and historical disease problems in the collection
(captive animal), region (free-ranging), in-contact domestic animal
and human populations.
- examine the site where the carcass was found if possible (e.g.
evidence of agonal movements, convulsions disturbing the local area;
piles of faeces and urine around the hindquarters suggestive of
prolonged recumbency).
- have a systematic approach, whether head-to-tail, system by system (digestive
system, respiratory system etc.), or any other.
- recognize the normal anatomy, normal appearance of organs/tissues and anatomical
variation between species.
- have knowledge of seasonal differences in the body
condition and reproductive system which are normal for the species
under examination.
- have knowledge of the expected variations between
individuals of the same species dependent on whether they are captive
or free-ranging. (e.g. obese body condition may be seen in captive
animals but is unlikely in free-ranging individuals; ectoparasite and
endoparasite burdens may be expected to be greater in free-ranging
wild animals than those under captive management.)
- have knowledge of the method, route and time of
euthanasia if performed.
- have knowledge of potential artefactual findings e.g.
hypostatic congestion
(pooling of blood in organs under the effects of
gravity which can be mistaken for pathological congestion), barbiturate
crystals from euthanasia solution which can be mistaken for gout (See:
Gout in Waterfowl (Miscellaneous Disease)),
pseudo-prolapse of the anus or vagina as a result of increased
pressure within the abdomen caused by gas production after death.)
- accurately describe lesions/abnormalities.
- record both positive and negative findings.
- keep accurate records, including a unique identifying number for each
carcass and for samples from that carcass.
- keep detailed notes on all findings and procedures
for forensic post mortems, written in non-technical language wherever
possible, for use in court. (J1.32.w7)
- avoid the use of non-standard abbreviations in permanent records.
- take photographs (include case identification
details) for animal identification and illustration of gross
pathology, particularly if the case may be involved in a prosecution
enquiry. (J1.32.w7)
- preserve samples (tissues, parasites etc.) for
further testing and future reference/research.
- A full spectrum of samples should be taken, where
possible, at the
initial examination if possible and stored appropriately.
- Further
investigations, at first, may be directed at the samples thought
most likely to be important in revealing the cause of death. However, if
further samples are needed subsequently, the full spectrum are
available in store.
- Where time or financial constraints limit sample
taking, a short list of standard tissues should be sampled, in
addition to those with apparent gross pathology.
- In some circumstances it may be advisable to keep the entire carcass
for a period following the post-mortem examination, refrigerated
in the short term and frozen in the long term, to provide samples
in the future if required.
- consult the appropriate regional authority if a
notifiable disease (e.g. Foot-and-Mouth Disease)
is suspected before progressing with the post
mortem
examination,
- Carcass location and body size may dictate whether transport to the
laboratory facility for examination is possible, or whether the post
mortem
must be performed in the field.
- Where field post mortem examination is unavoidable, attention
should be paid to the risk of spread of infection to wild or domestic
animals through opening of the carcass and available methods for
carcass disposal (e.g. pit, cremation).
- Autolysis of the organs occurs with variable speed; the adrenal
medullae, gastro-intestinal mucosa,
pancreas, liver, kidney and central nervous system develop autolytic
changes particularly quickly.
- Post mortem examination should be performed as quickly as
possible after death has occurred and has been confirmed. However this
may not always be possible, and carcass cooling to slow the rate of
autolysis should be practised.
- Some authors suggest soaking of the fur in cold water with a
small amount of detergent to aid in wetting of the skin.
- The carcass should be placed within a sealed plastic bag,
clearly labelled, with excess air removed, and be refrigerated if
its body size allows.
- Carcasses preferably should be refrigerated while awaiting
examination. (B10.3.w18)
- Where sufficiently large refrigeration facilities are
unavailable, the carcass should be moved to as cool an area as is
available.
- With very large mammals, cooling of central organs will not
occur sufficiently quickly to prevent autolysis; priority should
be given to performing the post mortem as soon as possible;
opening the abdomen may help lower the core temperature as quickly
as possible.
- Where post mortem examination must be delayed until 72-96
hours after death, the carcass should be refrigerated only.
However if the examination must be delayed over 96 hours post
mortem, it is recommended to freeze the carcass immediately.
- When transporting a carcass or pathological sample to a laboratory
for analysis, attention should be paid to temperature control in
transit. Insulated containers should be chosen, ice packing of frozen
samples may be used and times when postal delays may be expected
should be avoided (e.g. weekend, public holidays, strikes).
- Local regulations governing the postage of pathological samples
should be consulted (labelling, courier, container type etc.)
- In the event of a die-off (mass mortality event) it is
important to examine fresh carcasses of a number of individuals, representative
of the
range of species affected and the ages of individuals affected, and to remember that more than one disease
process may be acting at any one time and that the major cause(s) of
death may change during a prolonged die-off.
- The results of the post mortem examination should be used in conjunction
with the history of the mammal or mammals and assessment of the
environment to help determine their significance and recommended future
action.
- In areas where rabies infection (See: Rabies)
is enzootic,
all mammals found dead, and particularly those with a clinical history
of abnormal behaviour or neurological signs, should be carefully
examined and considered as potentially infected until proven otherwise.
(See: Human Health Considerations)
- Suspect cases of sudden death should have peripheral
blood smears taken to exclude anthrax infection (See: Anthrax)
as a differential before the carcass is opened. Bloody discharges
should direct the examiners' attention to the need to exclude anthrax
infection before continuing with the examination. Dependent on region,
specialist veterinary staff may be legally required to carry out the
anthrax testing process.
- Samples should be taken by nicking the dependent
ear or from the coronary band.
- In wild equids (Equidae - Horses
(Family) - horses and zebras), wild pigs (Suidae - Pigs (Family))
and carnivores (Carnivora - Carnivores (Order)), anthrax bacilli may not be present within the blood,
therefore examination of a smear made from the cut surface of a
lymph node (usually submandibular) is recommended in addition.
- Tissue and blood smears should first be air dried
and then be fixed in methanol.
- Staining should be performed for two minutes with
polychrome methylene blue, or Giemsa stain.
- Samples should be examined under oil immersion
microscopy for evidence of anthrax bacilli.
- If anthrax infection is confirmed, careful
attention must be paid to quick and effective carcass disposal.
Regional authorities responsible for disease control should be
notified and action taken as appropriate.
- If anthrax infection is excluded, the post
mortem examination should proceed.
(B411)
Estimation of time of death is not as widely a
developed skill in wildlife as with human pathology; forensic
entomology has not been used extensively in wildlife cases to date. (J1.32.w7)
Detailed knowledge of ballistics
(shot gun, air gun, arrow) and the typical wounds that they cause is
useful, particularly for forensic post mortem examination. (J1.32.w7)
Knowledge of the species of common
predators for the animal under post mortem examination in that
region is useful. An understanding of the distribution of the wounds
that they typically inflict can be a useful aid for identification of
cause of death or scavenging. (J1.32.w7)
Note: If poisoning (e.g. plant poisoning) is suspected,
the pathologist should be informed of this suspicion before the
necropsy is carried out. (P6.4.w1)
For information on carrying out a Cosmetic Post Mortem, to
enable the skin and skeleton to be used for museum-based studies see: Cosmetic
Post Mortem
(B10.3.w18, B127,
B273, B411,
B433,
J1.32.w7,
P24.327.w13,
D91.4.w1, D257
- full text available, V.w26)
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| Elephant Considerations |
- Necropsy of an elephant "is a laborious task." (D286.Intro.w9)
- The constraints associated to the medical management of diseases in
elephants are also applicable to the post mortem examination.
(J359.7.w2)
- The opportunity to perform the post mortem examination
before the autolytic changes
begin is rare, particularly in
free-ranging elephants. (J359.7.w2)
- If necropsy is to be delayed, consider covering the carcass with
ice. (D292)
- Elephant necropsy should not be attempted by a single person; at
least two assistants are required (i.e. a minimum team of three
people). (P80.1.w1)
- The autopsy should be conducted systematically by a team of experts,
ideally a pathologist, microbiologist and parasitologist along with
skilled personnel to assist in the cutting and opening of the body,
with the objective of making a specific disease diagnosis. (J359.7.w2)
- Assigning specific tasks to each of the necropsy team members is
recommended. (B450.B.w28,
D292)
- It may be useful to designate a media liaison to act as
spokesperson for enquiries from the media. (D292)
- Access to a clinical history and medical management of the elephant
is a very valuable tool to achieve the post mortem objective of
making a specific disease diagnosis. (J359.7.w2)
- Always consider the animal's past clinical history and treatments
given, as well as the recent signs from physical examination,
diagnosis made, treatment and the manner of its death. (D286.2.w2)
- Necropsy should always be attempted; it is acknowledged that it may
not be possible to gather much useful information if the carcass is
already decomposed. Decomposition starts quickly, particularly in hot
weather. (D286.Intro.w9)
- In the field, approach a "dead" elephant which is
in lateral recumbency carefully: it may be asleep and wake
and attack when approached. If vultures are present, it is probably
dead. (B411.IV.w4,
P80.1.w1)
ALWAYS CONSIDER:
- Anthrax:
DO NOT conduct a post mortem examination if anthrax is
suspected. (B101,
B336.67.w67, J64.21.w21)
- Prior to starting the examination, make a blood smear and
examine it to check for anthrax. (D286.2.w2)
- Mammalian Tuberculosis.
- Search intensely for TB lesions during any elephant necropsy,
even if the circumstances of death or euthanasia do not give any
reason to suspect TB. (D292
- FULL TEXT INCLUDED)
- Open the thoracic cavity last; this should be carried out by
personnel wearing appropriate personal protective equipment such
as hepa-filter masks. (D292)
- Herpesvirus Infection in Elephants
For information on taking and sending samples, see:
Requested measurements to be taken and tissues/features to be looked
for, as well as information on samples to be taken for TB and EEHV are
provided in: D293 - Elephant Research And Tissue Request Protocol
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