As investigate also bulbar veins

As investigate also bulbar veins. For larger freedom of action and research of vessels and nerves dissect bonds the extremities 94 Clavicles with cartilages of the first ribs, reject them or exarticulate clavicles in scapularclavicular joints, or saw them at scapulas. Now, after excision of clavicles, subclavial vessels, the bottom parts of bulbar veins and carotids, order decadron now anonymous veins, the top vena cava and an anonymous artery are well visible; there are accessible to research nervous humeral plexuses and top pleurae. All vessels open and investigate. Cuts on Medvedev's method thus give a free hand. Having investigated neurovascular fascicles, examine a thyroid gland, noting its form, size, position, colour, the relation to a larynx (it is especially important in districts). Examine also a larynx and a trachea. cautiously thyroid gland with that and on the other hand, is found by parathyroid glands which settle down usually above and below an occurrence place in a thyroid gland of the bottom thyroid artery. After that here it is convenient absolutely a thyroid gland and to investigate it on a little table. It is enough to make cuts of each share for this purpose on them. Further examine the lymph nodes which are under horizontal parts of a mandible, sialadens. To work follows cautiously as at rasping manipulations it is possible to tear fine veins, that will cause blood of a fat and muscles; not skilled pathologists it can be interpreted as an intravital hemorrhage.
SURVEY OF ORGANS OF THE THORACAL CAVITY First of all examine organs of a forward mediastinum. Here again also it is necessary to make it a rule: to tamper with nothing and to what not to touch while all will not be attentively examined. Note position of forward edges of lungs. At opening of a breast lungs are usually fallen down also their edges do not cover a mediastinum. But if lungs are emphysematous, 95 That their edges cover a mediastinum and even come the friend for the friend. In that case fingers cautiously lead round edges of lungs, establish, whether adnations, and feel, defining their consistence. Examine a gland ( knot, thymic gland, thymus) and, note its size, adiposity, a physiological involution (after 15-year-old age) or a pathological involution (Till 15 years), its augmentation, a consistence, colour, the relation to other organs, the form and Then examine a fat of a forward mediastinum and note the maintenance in it of Adeps, humidity or its dryness, vessels. Quite often at rasping unit of a breast bone in a fat there is air in the form of blisters and the fat foams. It should not be admixed with the emphysema of a mediastinum arising during lifetime Further examine an external surface of a warm shirt and heart position in relation to the next organs. Having moved apart forward edges of lungs in the parties, examine nerves (the item phrenici). Now investigate pleural * For this purpose the right arm enter at first in the right pleural cavity and lead round it. All lung, defining, whether freely lays a lung or it , note adnations, their durability, diffusion, localisation and so forth If adnations gentle, they are broken off easily if old () hardly If to part adnations pyridium online very difficultly (it often happens), to tear them does not follow, as it can lead to rupture of the lung. With these cases help a knife or separate a parietal pleura from a thorax and a lung take together with a pleura and with a diaphragm which cut a knife. Define contents of a pleural cavity: its quantity (for what it take out a spoon and merge in the measuring cylinder or count up quantity of spoons if know their volume), colour, a consistence, a transparency, and so forth 96 Investigate an exsudate on smears and with observance of rules of bacteriological technics. The right lung deduce from a pleural cavity, rejecting to the left, on a mediastinum, and examine the released pleural cavity. Having rejected the right lung to the left to a limit, investigate postmediastinum organs: a trachea, an esophagus, a thoracal aorta, a vagus nerve, a thoracal lymphatic duct and an unpaired vein v. azygos), examine a lung root. The thoracal lymphatic duct in the form of a thin white cord settles down between an aorta and an unpaired vein. Sometimes it happens is slightly covered by an aorta, therefore, that it to see, it is necessary cautiously otpre-parovyvat an aorta a scalpel. Note a degree of admission of a duct a lymph and open with its thin blunt-final scissors As investigate also an unpaired vein. For simplification of this operation it is possible to cut the right lung at a root and to remove absolutely. Research of cervical and abdominal department of a lymphatic duct in a corpse very difficult also is labour-consuming, a lot of time demands careful preparation and, so. To investigate it in all departments - thoracal, abdominal, and cervical on on (see 111) much easier and easier. Having finished research of the right pleural cavity as investigate also the left pleural cavity where examine a trachea, an esophagus, a thoracal aorta, a vagus nerve and "a root of the left lung. At ossification of costal cartilages it is possible easily about them To wound an arm and to tear gloves. To warn It, it is recommended to cover their lateral dermal a torso. Now investigate a warm shirt for what grasp it in an average part gear "a forceps and slightly raise, and scissors cut a small window, from which conduct a shirt cut up (kra - ' ) to a place of its transition to large vessels and downwards in a direction to a heart apex (caudally). - Having moved apart cut edges, examine a shirt cavity, noting its size, position of heart an exsudate, 7 Pathoanatomical technicians 97 Its kind, adnations and so forth For full survey of a shirt Heart raise for an apex. Quaggy, gentle Bonds part arms, strong it is possible to cut Knife or to keep and investigate their vessels, as In such the vessels, capable to feed are formed Myocardium. Sometimes in a warm shirt there is many Jew Bones (at a serous inflammation or an edema), which at Shirt opening starts to follow. It needs to be collected And to define its volume...