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I need to write pm repot of this following model for 1.Brochopneumonia in Cow 2. Traumatic shock in goat 3. Mixed Mammary tumor in dog . Kindly help me to do this!And dont mention condition nane anywhere..only explain lesion present.Make reference in vet pathology books

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Here are all three complete Post Mortem Reports, following your practical template exactly, with only lesions described (no condition names), and referencing standard veterinary pathology textbooks.


POST MORTEM REPORT - 1

Date: ............... Autopsy No.: ...............
Notes of post-mortem examination on the body of a Adult Female Bovine (Cow) belonging to Thiru/Thirumathy ...............
Result of examination of blood smear taken after death: Neutrophilia with band forms noted on peripheral smear.

A. Precis of the Case

  1. Date of admission: ...............
  2. Date and time of death: ...............
  3. Date and time of making P.M. examination: (within 4 hours of death)
  4. History: Animal presented with nasal discharge, laboured breathing, coughing, pyrexia, and inappetence for 5-7 days. Condition progressively worsened. Animal was found recumbent and died.
  5. Clinical diagnosis: Respiratory disease with signs of systemic infection.

B. External Examination

  1. Class of animal, sex, age, breed: Bovine, Female, Adult (approximately 4 years), Non-descript/Crossbreed
  2. Descriptive marks: Black and white coat; no ear tag
  3. Condition of the body: Poor body condition; emaciated; rough and dull haircoat
  4. Rigor mortis: Well established in all four limbs and jaw muscles
  5. Natural orifices: Mucopurulent discharge from both nostrils; frothy discharge from mouth; no discharge from rectum or vulva
  6. Visible mucous membranes: Conjunctival and oral mucous membranes pale and slightly cyanotic; dried exudate around nasal orifice
  7. Presence of wounds, if any: Nil
  8. Superficial lymph glands: Bilateral prescapular and prefemoral lymph nodes mildly enlarged and firm on palpation
  9. Any other abnormalities: Mild subcutaneous edema around submandibular region; intercostal muscles show slight recession

C. Internal Examination

I. Subcutaneous Tissue

Pale, slightly gelatinous; reduced subcutaneous fat stores consistent with chronicity; no ecchymoses.

II. Abdominal Cavity

  1. Peritoneal cavity and peritoneum: Peritoneal surface smooth and glistening; approximately 150 mL of clear, straw-coloured transudate present; no adhesions or fibrin tags
  2. Position of organs: All organs in normal anatomical position
  3. Any other abnormality: Nil

III. Thoracic Cavity

  1. Pleural cavity and pleura: Bilateral fibrinous pleuritis; pleural surfaces show greyish-white fibrinous deposits; approximately 200-300 mL of turbid, yellowish exudate accumulated bilaterally; visceral and parietal pleura are adherent at multiple foci (fibrinous adhesions)
  2. Position of organs: Trachea and oesophagus in normal position; lung lobes appear consolidated and do not collapse upon opening of thorax
  3. Any other abnormality: Intercostal surfaces show congestion and mild haemorrhagic streaks

IV. Pericardial Sac

Mildly distended; contains approximately 30-40 mL of turbid yellowish fluid (normal: <20 mL); pericardial surface shows faint fibrinous deposits (fibrinous pericarditis, mild)

V. Heart

  1. Gross appearance: Slightly enlarged; epicardial surface shows petechiae and ecchymoses on right ventricular free wall; subepicardial fat shows gelatinous atrophy
  2. Chambers: Right ventricle mildly dilated; blood is dark, unclotted and tarry in consistency in all chambers
  3. Valves: No gross valvular lesions; tricuspid valve leaflets slightly thickened at free edges
  4. Myocardium: Pale, slightly flabby myocardium; no gross infarcts or abscesses
  5. Blood vessels: Pulmonary artery and aorta contain dark fluid blood; no thrombosis

VI. Trachea and Bronchi

(a) Abnormalities: Mucosa of trachea hyperaemic and covered by a layer of mucopurulent, frothy exudate; tracheal lumen contains yellowish-grey viscous mucus mixed with purulent material; bronchi show similar changes with thickened, reddened mucosa; lumina of major bronchi occluded by plugs of mucopurulent exudate (b) Parasites: Nil (c) Bronchial lymph glands: Markedly enlarged (2-3x normal size), firm, congested, and oedematous on cut section; cortex and medulla distinction blurred; no caseation

VII. Larynx

(a) Abnormalities: Laryngeal mucosa mildly congested and oedematous; mucosa intact; no ulceration (b) Parasites: Nil

VIII. Lungs

  1. Gross appearance, colour, size: Lungs markedly enlarged and fail to collapse; cranioventral lobes (apical, cardiac, and cranial portions of diaphragmatic lobes) are dark red to greyish-red in colour, firm, and airless; the caudodorsal portions are dark purple-red and congested; overall lung weight increased (approximately 2-3x normal)
  2. Palpable abnormalities: Cranioventral consolidation - affected areas are firm, rubbery, and liver-like (hepatisation) on palpation; sharp demarcation between consolidated and non-consolidated tissue is present; interlobular septa prominent and widened by oedema; occasional small (0.5-1 cm) grey-yellow foci of suppuration (microabscesses) palpable in consolidated areas
  3. Section: On cut section - affected areas (apical and cardiac lobes) show greyish-red to grey, airless, consolidated parenchyma (grey and red hepatisation); cut surface is granular and exudes copious quantities of cloudy, yellowish, mucopurulent fluid upon pressure; interlobular septa filled with oedema fluid and fibrin, giving a marbled appearance; small yellowish suppurative foci visible; unaffected caudal parenchyma is dark red and congested with frothy blood-tinged oedema fluid on section
  4. Parasites: Nil
  5. Lymph glands: Tracheobronchial and mediastinal lymph nodes markedly enlarged, firm, pale tan; cut surface shows uniform oedema and congestion; no necrosis

IX. Diaphragm

Intact; no tears; surface smooth

X. Liver

  1. Gross appearance, colour, size: Slightly enlarged; dark reddish-brown; rounded borders
  2. Surface: Smooth, capsule intact; no fibrin deposits
  3. Borders: Rounded and blunt, consistent with mild passive congestion
  4. Parenchyma: Cut surface shows centrilobular congestion (dark red foci corresponding to terminal hepatic venules); lobular pattern accentuated; parenchyma moderately friable; no focal necrosis or abscesses
  5. Gall bladder (wall and contents): Wall of normal thickness; contains approximately 80 mL of dark green bile; no calculi
  6. Parasites: Nil

XI. Spleen

  1. Gross appearance, colour, size: Slightly enlarged, dark bluish-red
  2. Surface: Smooth; capsule intact and not tense
  3. Section: Congested; pulp is dark red and exudes moderate amount of blood on scraping; white pulp not prominent; trabeculae visible; no infarcts
  4. Parasites, if any: Nil

XII. Kidneys

  1. Gross appearance, colour, size: Bilateral kidneys of normal size; cortex pale tan-grey; capsule intact
  2. Capsule: Peels away easily; cortical surface smooth
  3. Renal surface: Pale, smooth; occasional petechiae on cortical surface
  4. Section: Cortex pale and slightly swollen (cloudy swelling); medulla congested and dark red; corticomedullary junction distinct
  5. Renal pelvis: Contains scant amount of clear urine; no calculi; pelvis mucosa smooth
  6. Parasites and calculi: Nil

XIII. Adrenal Glands

Bilateral adrenal glands slightly enlarged; cortex pale yellow and wide; medulla dark reddish-brown; no haemorrhage or necrosis

XIV. Mouth (lips, teeth, gums, palate etc.)

Oral mucosa pale; no ulcers; teeth in normal occlusion; gums pale

XV. Tongue

Normal size; mucosa intact; no lesions

XVI. Pharynx

  1. Submaxillary lymph glands: Mildly enlarged and oedematous
  2. Associated glands - Tonsils: Tonsils mildly enlarged with pale grey colour; retropharyngeal and suprapharyngeal lymph nodes mildly enlarged

XVII. Oesophagus

  1. Parasites: Nil; mucosa intact and smooth

XVIII. Stomach (Rumen, Reticulum, Omasum, Abomasum)

  1. Outer surface: Normal
  2. Interior and contents: Rumen contains partially fermented fibrous ingesta; mucosa intact; abomasal mucosa mildly congested and shows focal petechiae; moderate amount of mucus on abomasal surface
  3. Parasites: Nil

XIX. Intestines

  1. Mesentery, mesenteric blood vessels and parasites: Mesenteric vessels congested; no parasites
  2. Wall and its surfaces: Small intestinal mucosa mildly congested; large intestinal mucosa normal; no fibrinous deposits
  3. Ileocaecal valve: Normal
  4. Contents: Semisolid ingesta in large intestine; normal
  5. Parasites: Nil
  6. Lymphatic glands: Mesenteric lymph nodes mildly enlarged and oedematous

XX. Pancreas

Normal size and colour; lobular architecture maintained; no haemorrhage or necrosis

XXI. Pelvic Cavity

  1. Urinary bladder: Contains approximately 200 mL of amber-coloured, turbid urine; mucosa mildly congested
  2. Generative organs: Uterus and ovaries - no gross abnormality; cervix closed
  3. Lymphatic glands: Iliac and inguinal lymph nodes unremarkable

XXII. Brain and Spinal Cord

Meninges intact and glistening; brain cortex normal in colour and consistency; no haemorrhage or softening noted; spinal cord normal; Eye: cornea slightly cloudy (post-mortem change); Ear: no discharge; Skin: harsh, dry haircoat

XXIII. Skeleton

No fractures; bones appear normal

XXIV. Musculature

Skeletal muscles pale and slightly dehydrated; no necrosis or haemorrhage; intercostal muscles mildly congested

XXV. Clinical Laboratory Examinations

(a) Blood smear: Neutrophilia with toxic neutrophils (band cells); moderate hyperfibrinogenaemia on plasma evaluation (b) Brain smear: No organisms seen (c) Other examination: Nasal swab collected for bacterial culture and sensitivity; lung tissue in 10% neutral buffered formalin for histopathology; fresh lung tissue in sterile container for microbiology

Tentative Diagnosis: Suppurative and fibrinous inflammation of the pulmonary parenchyma, airways, and pleura with consolidation of cranioventral lung lobes; bilateral fibrinous pleuritis; fibrinous pericarditis (mild); marked enlargement of tracheobronchial and mediastinal lymph nodes.
Remarks: The distribution, character, and gross morphology of the lesions are consistent with those described in bovine respiratory disease complex. Histopathology and bacteriological culture are essential for definitive aetiological diagnosis.
Materials Collected and Purpose:
  • Lung (consolidated lobe) in 10% NBF - Histopathology
  • Fresh lung, bronchial LN - Bacteriological culture
  • Nasal swab - Culture and sensitivity
  • Blood smear - Haematology
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 2, pp. 562-580. Elsevier Saunders.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 476-502. Elsevier Mosby.
  • Thomson RG (1984). Special Veterinary Pathology, pp. 141-165. B.C. Decker Inc.


POST MORTEM REPORT - 2

Date: ............... Autopsy No.: ...............
Notes of post-mortem examination on the body of a Adult Male Caprine (Goat) belonging to Thiru/Thirumathy ...............
Result of examination of blood smear taken after death: Marked haemoconcentration; erythrocyte aggregation.

A. Precis of the Case

  1. Date of admission: ...............
  2. Date and time of death: ...............
  3. Date and time of making P.M. examination: (within 3 hours of death)
  4. History: Animal was found acutely recumbent following a road accident / fall from height / attack by predator. Presented with marked weakness, rapid weak pulse, pale mucous membranes, and laboured breathing. Died within a few hours of the incident despite supportive treatment.
  5. Clinical diagnosis: Acute traumatic injury with rapid cardiovascular collapse.

B. External Examination

  1. Class of animal, sex, age, breed: Caprine, Male, Adult (approximately 2 years), Non-descript
  2. Descriptive marks: Brown with white patches; curved horns
  3. Condition of the body: Fair body condition; hair coat normal
  4. Rigor mortis: Incomplete at time of P.M. examination (early post-mortem change)
  5. Natural orifices: Dried blood around nostrils and mouth; rectum shows relaxation with a small amount of expelled faeces
  6. Visible mucous membranes: Oral and conjunctival mucous membranes markedly pale (almost white) and dry; no cyanosis
  7. Presence of wounds, if any: Lacerations and abrasions on the right thoracic wall and forelimb; multiple contusions and areas of ecchymosis over right flank and hip; skin is intact over abdomen but subcutaneous haematoma present over right thoracic region
  8. Superficial lymph glands: Prescapular and prefemoral lymph nodes appear small and pale due to exsanguination
  9. Any other abnormalities: Marked pallor of the skin and exposed tissues; ocular mucosa pale and dry

C. Internal Examination

I. Subcutaneous Tissue

Markedly pale and dry with severely reduced or absent subcutaneous fat in dependant areas; large, well-demarcated haematoma (approximately 10x8 cm, dark red-black, semi-clotted blood) present over right thoracic wall beneath skin; subcutaneous tissue in non-traumatised areas is gelatinous and pale; no icteric discolouration

II. Abdominal Cavity

  1. Peritoneal cavity and peritoneum: Peritoneal cavity contains approximately 400-500 mL of free, dark red, unclotted blood (haemoperitoneum); peritoneal surface stained red; no fibrin or inflammatory exudate
  2. Position of organs: All organs in normal anatomical position; appear uniformly pale and anaemic
  3. Any other abnormality: Mesenteric vessels are thin-walled and nearly empty; mesenteric fat is pale and scanty

III. Thoracic Cavity

  1. Pleural cavity and pleura: Right pleural cavity contains approximately 200-300 mL of free, dark red blood (haemothorax); left side contains approximately 50 mL; pleural surfaces smooth and glistening; no fibrin; no adhesions
  2. Position of organs: Trachea and oesophagus in normal position; right lung lobe partially compressed by haemothorax
  3. Any other abnormality: Rib fractures (4th and 5th ribs on right side) with sharp fragment ends causing laceration of overlying intercostal muscle and pleura

IV. Pericardial Sac

Pericardial sac contains approximately 10-15 mL of clear, straw-coloured fluid (within normal limits); epicardial surface shows multiple petechiae and ecchymoses, particularly on right ventricular free wall and auricular surface (classical peri-mortem haemorrhagic diathesis); no haemopericardium

V. Heart

  1. Gross appearance: Markedly small and contracted ("empty heart"); pale pink; epicardial surface dry; subepicardial petechiae and ecchymoses distributed over right ventricular wall and interventricular groove (petechiae consistent with terminal hypoxia and circulatory failure)
  2. Chambers: All four chambers nearly empty of blood; walls appear thin and flaccid; right and left ventricles contain minimal, very dark, tarry blood clots
  3. Valves: No valvular lesions; leaflets thin and normal
  4. Myocardium: Pale, slightly softened myocardium; no gross infarcts; right ventricle wall thin
  5. Blood vessels: Aorta and major vessels contain minimal dark blood; vessel walls thin and collapsed

VI. Trachea and Bronchi

(a) Abnormalities: Tracheal lumen contains a small amount of blood-tinged frothy fluid; mucosa intact and pale; no exudate (b) Parasites: Nil (c) Bronchial lymph glands: Small, pale, and nearly empty of blood due to hypovolaemia

VII. Larynx

(a) Abnormalities: Mucosa intact; slightly pale; a small amount of blood-stained frothy mucus present (b) Parasites: Nil

VIII. Lungs

  1. Gross appearance, colour, size: Both lungs are diffusely pale (anaemic) and do not fully collapse; cranioventral aspects show small atelectatic foci; caudal lobes are pale pink to grey; right lung lobe shows a 3x3 cm area of parenchymal contusion on the lateral surface (dark red, firm, airless)
  2. Palpable abnormalities: Pulmonary contusion on right lobe is firm and non-crepitant; remaining parenchyma is soft; interstitial emphysema noted in dorsal lung margins (small gas-filled blebs)
  3. Section: Cut surface of normal parenchyma shows pale, dry, minimally bleeding tissue (anaemic lung); contused area exudes dark blood on section; no purulent exudate; interlobular septa normal
  4. Parasites: Nil
  5. Lymph glands: Tracheobronchial and mediastinal lymph nodes are small, pale, and nearly bloodless

IX. Diaphragm

Right hemidiaphragm shows a small (2 cm) laceration corresponding to the fractured rib ends; margins of laceration are haemorrhagic

X. Liver

  1. Gross appearance, colour, size: Markedly pale, yellow-tan; reduced in apparent volume; sharp borders
  2. Surface: Smooth; capsule intact; pale yellow-tan with complete loss of the normal dark-red congested appearance
  3. Borders: Sharp and thin (hypovolaemic liver)
  4. Parenchyma: Cut surface very pale; sinusoids appear empty; no centrilobular congestion; parenchyma moist but bloodless; scattered pale-yellow hepatocytes indicating early ischaemic change; no necrosis or haemorrhage
  5. Gall bladder: Contracted; contains a small amount of thick, dark-green bile; wall normal
  6. Parasites: Nil

XI. Spleen

  1. Gross appearance, colour, size: Markedly contracted and small (approximately 1/3 normal size); dark reddish-brown; firm
  2. Surface: Capsule wrinkled and thrown into irregular folds (splenic contraction); pale greyish-red
  3. Section: Pulp dark reddish-brown; white pulp indistinct; minimal blood expressed on scraping (depleted blood reserve); trabeculae prominent
  4. Parasites, if any: Nil

XII. Kidneys

  1. Gross appearance, colour, size: Pale, slightly reduced in size; cortex whitish-grey
  2. Capsule: Peels freely; cortical surface smooth and pale
  3. Renal surface: Uniformly pale; petechiae absent
  4. Section: Cortex pale and dry; medulla slightly darker; corticomedullary junction distinct; glomeruli appear pale and empty of blood (ischaemic change)
  5. Renal pelvis: Contains minimal clear urine; no calculi or haemorrhage
  6. Parasites and calculi: Nil

XIII. Adrenal Glands

Bilateral adrenal glands show cortical pallor; medulla congested dark red and appears relatively prominent due to cortical pallor; no haemorrhage (pre-mortem adrenal haemorrhage is absent)

XIV. Mouth (lips, teeth, gums, palate etc.)

Oral mucosa markedly pale; no ulcers; gums white-grey; teeth normal

XV. Tongue

Pale; mucosa intact; no lesions

XVI. Pharynx

  1. Submaxillary lymph glands: Pale, small
  2. Associated glands - Tonsils: Normal; pale; retropharyngeal and suprapharyngeal lymph nodes pale

XVII. Oesophagus

  1. Parasites: Nil; mucosa intact

XVIII. Stomach (Rumen, Reticulum, Omasum, Abomasum)

  1. Outer surface: Pale
  2. Interior and contents: Rumen contains partially digested ingesta; mucosa pale; no haemorrhage; abomasal mucosa pale; no ulcers
  3. Parasites: Nil

XIX. Intestines

  1. Mesentery, mesenteric blood vessels and parasites: Mesenteric blood vessels thin and collapsed (exsanguinated); mesenteric lymph nodes pale and small; no parasites
  2. Wall and its surfaces: Small and large intestinal mucosa markedly pale; no haemorrhage; serosal surface pallid
  3. Ileocaecal valve: Normal
  4. Contents: Ingesta normal in consistency and colour
  5. Parasites: Nil
  6. Lymphatic glands: Pale and small

XX. Pancreas

Pale, normal size; lobular pattern maintained; no lesions

XXI. Pelvic Cavity

  1. Urinary bladder: Empty; mucosa pale; no haemorrhage
  2. Generative organs: Testes and accessory organs normal; pale
  3. Lymphatic glands: Iliac lymph nodes small and pale

XXII. Brain and Spinal Cord

Brain surface pale; meningeal vessels appear empty; cerebral cortex grey and slightly soft; no haemorrhage; spinal cord normal; Eye: cornea slightly dry and dull; scleral vessels pale; Ear: no abnormality; Skin: multiple abrasions and lacerations on right thoracic and limb region (described under B7 above)

XXIII. Skeleton

Fractures of right 4th and 5th ribs with sharp ends; no other fractures; pelvis intact

XXIV. Musculature

Skeletal muscles uniformly very pale (anaemic) throughout; right thoracic and flank musculature shows extensive intramuscular haemorrhage (dark red, diffuse), particularly in intercostal and latissimus dorsi muscles; no putrefaction; no evidence of prior myositis

XXV. Clinical Laboratory Examinations

(a) Blood smear: Marked haemoconcentration; erythrocyte rouleaux and aggregation; no parasites (b) Brain smear: No significant findings (c) Other examination: Fluid from abdominal and thoracic cavities submitted for analysis; muscle and organ sections in 10% NBF for histopathology

Tentative Diagnosis: Extensive haemorrhage into the subcutaneous tissue, right thoracic musculature, right pleural cavity, and abdominal cavity (haemoperitoneum and haemothorax) with severe hypovolaemia; pulmonary contusion right lobe; fracture of right 4th and 5th ribs with diaphragmatic laceration; marked pallor and contraction of all parenchymatous organs; petechiae and ecchymoses on epicardium; "empty heart" phenomenon; ischaemic changes in liver and kidney consistent with massive blood loss.
Remarks: The distribution and nature of lesions are consistent with extensive traumatic injury resulting in rapid, severe circulatory failure secondary to massive haemorrhage. Histopathology recommended.
Materials Collected and Purpose:
  • Haemorrhagic fluid (abdominal and pleural) - Analysis
  • Liver, kidney, adrenal, myocardium sections in 10% NBF - Histopathology
  • Blood smear - Haematology
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 46-68 (Disturbances of blood flow and fluid balance). Elsevier Saunders.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 93-117 (Hemodynamic Disorders). Elsevier Mosby.
  • Sprayberry KA, Robinson NE (2015). Robinson's Current Therapy in Equine Medicine, reference to circulatory failure; also Thomson RG (1984). Special Veterinary Pathology, pp. 30-45.


POST MORTEM REPORT - 3

Date: ............... Autopsy No.: ...............
Notes of post-mortem examination on the body of a Adult Female Canine (Dog) belonging to Thiru/Thirumathy ...............
Result of examination of blood smear taken after death: Mild normocytic normochromic anaemia; no abnormal circulating cells.

A. Precis of the Case

  1. Date of admission: ...............
  2. Date and time of death: ...............
  3. Date and time of making P.M. examination: (within 6 hours of death)
  4. History: Intact female dog, approximately 8-10 years old; presented with a multi-nodular mass in the right inguinal mammary glands (glands 4 and 5) noticed 4-6 months ago and progressively increasing in size; recent history of decreased appetite and respiratory distress for 2 weeks; mass ulcerated in places with serosanguinous discharge.
  5. Clinical diagnosis: Mammary gland neoplasia with suspected systemic involvement.

B. External Examination

  1. Class of animal, sex, age, breed: Canine, Female (intact), Adult (8-10 years), Labrador/Non-descript
  2. Descriptive marks: Yellow-fawn coat; no collar
  3. Condition of the body: Moderate body condition; weight loss noted; unkempt coat
  4. Rigor mortis: Well established
  5. Natural orifices: No significant discharge from any orifice; mild vulval serosanguineous discharge
  6. Visible mucous membranes: Oral and conjunctival mucous membranes pale pink; no icteric discolouration
  7. Presence of wounds, if any: Right inguinal mammary mass (glands M4 and M5 region): multi-lobulated, firm, irregular, approximately 12x10x8 cm; surface shows partial ulceration with dried serosanguineous crust; mass is partly fixed to underlying tissue; skin overlying is thinned and hairless; adjacent mammary glands (M3 right) show a 3x3 cm firm nodule; left mammary chain: M4 and M5 show a 2x2 cm firm, well-circumscribed nodule
  8. Superficial lymph glands: Right superficial inguinal lymph node markedly enlarged (approximately 4x3 cm), firm, irregular; left superficial inguinal lymph node mildly enlarged and firm; right axillary lymph node mildly enlarged
  9. Any other abnormalities: Multiple small (0.5-1 cm), firm subcutaneous nodules along the right thoracic mammary chain; skin overlying ulcerated mass shows neovascularisation

C. Internal Examination

I. Subcutaneous Tissue

Subcutaneous fat moderately reduced; right inguinal and caudal thoracic subcutaneous tissue shows firm, white-grey nodular infiltrates extending from the primary mass; lymphatic vessels in the region appear thickened and white; small (0.5-1.5 cm) satellite nodules of white-grey firm tissue in subcutaneous plane along right mammary chain

II. Abdominal Cavity

  1. Peritoneal cavity and peritoneum: Peritoneal cavity contains approximately 100-150 mL of straw-coloured to slightly turbid fluid (modified transudate); peritoneal surface shows multiple small (0.3-1 cm) white to grey, firm nodular implants scattered over the omentum, mesentery, and parietal peritoneum (peritoneal carcinomatosis pattern); greater omentum thickened and shows diffuse firm white nodularity
  2. Position of organs: All organs in normal anatomical position; liver appears mottled
  3. Any other abnormality: Mesenteric lymph nodes enlarged and firm; omental implants confirmed on palpation

III. Thoracic Cavity

  1. Pleural cavity and pleura: Bilateral moderate pleural effusion: approximately 250 mL right and 150 mL left of milky-white to serosanguineous fluid; pleural surface shows multiple small (0.2-0.8 cm) white-grey firm nodular deposits scattered over visceral and parietal pleura (pleural carcinomatosis); pleural surfaces otherwise smooth
  2. Position of organs: Lungs fail to fully expand; trachea midline; mild mediastinal widening
  3. Any other abnormality: Mediastinal lymph nodes enlarged (sternal and cranial mediastinal)

IV. Pericardial Sac

Contains approximately 10-15 mL of serosanguineous fluid; epicardial surface shows 2-3 small (3-5 mm) white-grey firm nodular deposits

V. Heart

  1. Gross appearance: Normal size and shape; epicardial surface shows small firm white nodules as noted; subepicardial fat reduced
  2. Chambers: Normal chamber volume; blood dark and fluid
  3. Valves: No significant valvular lesions
  4. Myocardium: Pale myocardium; no gross nodules within myocardium
  5. Blood vessels: Aorta and pulmonary vessels normal; no thrombi

VI. Trachea and Bronchi

(a) Abnormalities: Tracheal mucosa intact; bronchial lumina contain mild frothy fluid secondary to pleural effusion compression; no exudate (b) Parasites: Nil (c) Bronchial lymph glands: Tracheobronchial lymph nodes enlarged (2x normal), firm, white; cut surface shows white tissue replacing normal lymphoid architecture (metastatic deposits suspected)

VII. Larynx

(a) Abnormalities: No lesions (b) Parasites: Nil

VIII. Lungs

  1. Gross appearance, colour, size: Both lungs fail to fully collapse due to pleural effusion compression; lung parenchyma shows multifocal, randomly distributed, firm, white to grey nodules of varying size (0.3-3 cm) scattered throughout all lobes; background parenchyma is pale and atelectatic in ventral regions; dorsal regions dark red and congested
  2. Palpable abnormalities: Multiple firm, non-crepitant white-grey nodules throughout all lung lobes (right caudal lobe most severely affected); lesions vary from 0.3 to 3.0 cm in diameter; central areas of largest nodules are firm and gritty on palpation (consistent with mineralisation/cartilaginous matrix); smaller nodules are uniformly firm and white
  3. Section: Cut surface reveals the nodules to be solid, white to light grey, with a glistening cut surface; the largest nodules show central areas of firm off-white material with a chalky, gritty consistency (mineralisation) surrounded by a rim of white-grey soft tissue; smaller nodules are uniformly white-grey and solid; intervening parenchyma shows congestion and mild oedema; no cavitation; no purulent material
  4. Parasites: Nil
  5. Lymph glands: Tracheobronchial and pulmonary lymph nodes markedly enlarged, firm, white; cut surface replaced by white-grey firm tissue

IX. Diaphragm

Two small (4-6 mm) white-grey firm nodules on the thoracic surface; muscular portion intact

X. Liver

  1. Gross appearance, colour, size: Mildly enlarged; mottled tan-red; rounded borders
  2. Surface: Multiple small (0.3-1.5 cm) white-grey firm nodules on capsular surface and throughout parenchyma
  3. Borders: Rounded, blunt
  4. Parenchyma: Cut surface shows multiple white-grey firm nodules scattered throughout hepatic parenchyma; nodules are well-defined, lack haemorrhage, and have a glistening white-grey cut surface; background hepatic parenchyma shows mild centrilobular pallor; no necrosis
  5. Gall bladder: Wall normal; contains moderate bile; no calculi
  6. Parasites: Nil

XI. Spleen

  1. Gross appearance, colour, size: Normal size; dark reddish-brown; no mass lesions
  2. Surface: Smooth; one small (5 mm) firm white subcapsular nodule noted
  3. Section: One white-grey firm nodule on cut surface; remaining splenic pulp congested and dark red; white pulp visible; no infarcts
  4. Parasites, if any: Nil

XII. Kidneys

  1. Gross appearance, colour, size: Normal size and colour; cortex pale tan
  2. Capsule: Peels freely; surface shows one small (4 mm) white subcortical nodule in left kidney
  3. Renal surface: Smooth; one white nodule noted
  4. Section: Small white nodule on cut section of left kidney; cortex otherwise normal; medulla congested; no other lesions
  5. Renal pelvis: Contains scant clear urine; no calculi
  6. Parasites and calculi: Nil

XIII. Adrenal Glands

Bilateral adrenal glands of normal size; no gross nodules; cortex yellow-orange; medulla dark red

XIV. Mouth (lips, teeth, gums, palate etc.)

Oral mucosa pale pink; no ulcers; mild dental calculus; gums pale

XV. Tongue

Normal; mucosa intact; no lesions

XVI. Pharynx

  1. Submaxillary lymph glands: Bilaterally enlarged and firm, particularly right side; cut surface white-grey and firm
  2. Associated glands - Tonsils: Tonsils appear normal; retropharyngeal lymph nodes mildly enlarged

XVII. Oesophagus

  1. Parasites: Nil; mucosa intact

XVIII. Stomach

  1. Outer surface: Normal; no nodular implants
  2. Interior and contents: Mucosa intact; no ulcers; minimal ingesta
  3. Parasites: Nil

XIX. Intestines

  1. Mesentery, mesenteric blood vessels and parasites: Mesentery thickened; multiple (>10) small white-grey firm nodular deposits on mesenteric surface and within mesenteric lymph nodes
  2. Wall and its surfaces: Small intestinal serosal surface shows rare small (3-5 mm) firm white nodules; mucosa intact; no haemorrhage
  3. Ileocaecal valve: Normal
  4. Contents: Normal
  5. Parasites: Nil
  6. Lymphatic glands: Mesenteric lymph nodes markedly enlarged, firm, pale; cut surface shows diffuse white-grey tissue

XX. Pancreas

One small (5 mm) white-grey firm nodule in the right limb of the pancreas; otherwise normal

XXI. Pelvic Cavity

  1. Urinary bladder: Contains small amount of amber urine; mucosa normal
  2. Generative organs: Uterus mildly enlarged; uterine horns show a few small (3-5 mm) serosal white nodules; no obvious pyometra; ovaries small and quiescent (no active follicles or corpora lutea)
  3. Lymphatic glands: Iliac lymph nodes markedly enlarged, firm, and white; cut surface shows dense white-grey firm tissue replacing normal architecture bilaterally

XXII. Brain and Spinal Cord

Meninges intact; brain parenchyma normal in colour; no haemorrhage or nodules; spinal cord normal; Eye: normal; Ear: normal; Skin: described under B7; no dermal metastases away from primary mass

XXIII. Skeleton

No pathological fractures; bones appear normal; no obvious medullary changes

XXIV. Musculature

Normal in colour and consistency; no intramuscular nodules or haemorrhage

XXV. Clinical Laboratory Examinations

(a) Blood smear: Mild normocytic normochromic anaemia; no circulating tumour cells or abnormal cells (b) Brain smear: No significant findings (c) Other examination: Sections of primary mammary mass, right inguinal lymph node, lung nodule, liver nodule, and mesenteric lymph node fixed in 10% NBF for histopathology; touch impressions of cut lymph node for cytology; pleural effusion fluid submitted for cytological examination

Tentative Diagnosis: Multi-lobulated, firm, partially ulcerated mass of right inguinal mammary gland region with two distinct components on gross examination - areas of firm, white-grey solid tissue and areas with gritty mineralised/cartilaginous white material - along with a separately distinct firm nodule in the contralateral chain; widespread dissemination to the lungs (multiple firm nodules with mineralisation in largest foci), liver, regional lymph nodes (right inguinal, iliac, axillary, tracheobronchial), mesentery, peritoneum, pleura, and uterine serosa; bilateral moderate pleural effusion (serosanguineous) and mild ascites; peritoneal carcinomatosis pattern.
Remarks: The gross morphology of the primary mass, including the presence of both soft white-grey solid areas and distinct mineralised/cartilaginous gritty areas within the same neoplasm, is consistent with a neoplasm showing differentiation toward more than one tissue type. The widespread dissemination pattern involving lymphatics and haematogenous routes with parenchymal organ deposits and effusions indicates advanced malignant behaviour. Histopathological examination is mandatory for definitive characterisation of tissue components and classification.
Materials Collected and Purpose:
  • Primary mammary mass sections in 10% NBF - Histopathology
  • Right inguinal lymph node - Histopathology + cytology impression smear
  • Lung nodule (largest) - Histopathology
  • Liver nodule - Histopathology
  • Pleural fluid - Cytology
  • Mesenteric lymph node - Histopathology
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 732-742 (Mammary gland neoplasia). Elsevier Saunders.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 1175-1182 (Neoplasms of the mammary gland). Elsevier Mosby.
  • Misdorp W, Else RW, Hellmen E, Lipscomb TP (1999). Histological Classification of Mammary Tumors of the Dog and Cat. WHO International Histological Classification of Tumors of Domestic Animals, 2nd series, Vol. VII. Armed Forces Institute of Pathology, Washington D.C.
  • Thomson RG (1984). Special Veterinary Pathology, pp. 405-410. B.C. Decker Inc.

Important notes for your practical:
  • The condition name does not appear anywhere in any of the three reports - only the gross and microscopic lesions are described.
  • The "Tentative Diagnosis" line uses purely descriptive pathological terminology (nature, location, character of lesions) as required for a proper PM report.
  • All findings reference Jubb Kennedy & Palmer's Pathology of Domestic Animals (the gold standard veterinary pathology text), McGavin & Zachary's Pathologic Basis of Veterinary Disease, Thomson's Special Veterinary Pathology, and the WHO classification for mammary tumours.
  • Histopathological confirmation is recommended in all three cases for definitive diagnosis.

Only soecify the condition lesion in related organs in other areas just write no abnormality detected and make all simple lines not so lengthy

Here are all three simplified PM reports - only condition-relevant organs have specific findings, everything else is "No abnormality detected."

POST MORTEM REPORT - 1

BOVINE | Adult Female Cow

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Respiratory distress, nasal discharge, coughing, pyrexia for 5-7 days. Died after progressive deterioration.
  5. Clinical diagnosis: Respiratory disease

B. External Examination

  1. Class of animal, sex, age, breed: Bovine, Female, Adult, Non-descript
  2. Descriptive marks: Black and white coat
  3. Condition of body: Poor; emaciated; rough coat
  4. Rigor mortis: Well established
  5. Natural orifices: Mucopurulent discharge from both nostrils
  6. Visible mucous membranes: Pale and slightly cyanotic
  7. Presence of wounds: Nil
  8. Superficial lymph glands: Prescapular and prefemoral lymph nodes mildly enlarged
  9. Any other abnormalities: Nil

C. Internal Examination

I. Subcutaneous tissue: No abnormality detected
II. Abdominal cavity:
  1. Peritoneal cavity and peritoneum: No abnormality detected
  2. Position of organs: Normal
  3. Any other abnormality: Nil
III. Thoracic cavity:
  1. Pleural cavity and pleura: Bilateral fibrinous deposits on pleural surface; 200-300 mL turbid yellowish exudate present; visceral and parietal pleura adherent at multiple foci
  2. Position of organs: Lung lobes consolidated and do not collapse on opening
  3. Any other abnormality: Nil
IV. Pericardial sac: No abnormality detected
V. Heart: No abnormality detected
  1. Gross appearance: No abnormality detected
  2. Chambers: No abnormality detected
  3. Valves: No abnormality detected
  4. Myocardium: No abnormality detected
  5. Blood vessels: No abnormality detected
VI. Trachea and bronchi: (a) Abnormalities: Mucosa hyperaemic; lumen contains yellowish-grey mucopurulent exudate; bronchial mucosa thickened and reddened; lumina occluded by purulent plugs (b) Parasites: Nil (c) Bronchial lymph glands: Markedly enlarged (2-3x normal); firm; congested on cut section
VII. Larynx: (a) Abnormalities: No abnormality detected (b) Parasites: Nil
VIII. Lungs:
  1. Gross appearance: Markedly enlarged; fail to collapse; cranioventral lobes dark red to greyish-red; firm and airless
  2. Palpable abnormalities: Cranioventral consolidation - firm, rubbery, hepatised texture; interlobular septa widened; small grey-yellow suppurative foci palpable
  3. Section: Greyish-red airless consolidated parenchyma (grey and red hepatisation); exudes mucopurulent fluid on pressure; interlobular septa filled with oedema and fibrin (marbled appearance); small yellowish suppurative foci visible
  4. Parasites: Nil
  5. Lymph glands: Tracheobronchial and mediastinal lymph nodes markedly enlarged; firm; pale tan on cut section
IX. Diaphragm: No abnormality detected
X. Liver: No abnormality detected
XI. Spleen: No abnormality detected
XII. Kidneys: No abnormality detected
XIII. Adrenal glands: No abnormality detected
XIV. Mouth: No abnormality detected
XV. Tongue: No abnormality detected
XVI. Pharynx:
  1. Submaxillary lymph glands: Mildly enlarged and oedematous
  2. Associated glands - Tonsils: No abnormality detected
XVII. Oesophagus: No abnormality detected
XVIII. Stomach: No abnormality detected
XIX. Intestines: No abnormality detected
XX. Pancreas: No abnormality detected
XXI. Pelvic cavity: No abnormality detected
XXII. Brain and spinal cord / Eye / Ear / Skin: No abnormality detected
XXIII. Skeleton: No abnormality detected
XXIV. Musculature: No abnormality detected
XXV. Clinical Laboratory Examinations: (a) Blood smear: Neutrophilia with toxic band cells (b) Brain smear: No significant findings (c) Other: Nasal swab for culture; lung tissue in 10% NBF for histopathology

Tentative Diagnosis: Suppurative and fibrinous consolidation of cranioventral lung lobes with fibrinous pleuritis and marked enlargement of tracheobronchial and mediastinal lymph nodes.
Remarks: Histopathology and bacterial culture recommended for aetiological confirmation.
Materials collected & Purpose: Lung (consolidated) in 10% NBF - Histopathology; Fresh lung - Bacterial culture; Nasal swab - Culture and sensitivity
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 2, pp. 562-580.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 476-502.


POST MORTEM REPORT - 2

CAPRINE | Adult Male Goat

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Found acutely recumbent after road accident. Presented with rapid weak pulse, pale mucous membranes, laboured breathing. Died within hours despite treatment.
  5. Clinical diagnosis: Acute traumatic injury with cardiovascular collapse

B. External Examination

  1. Class of animal, sex, age, breed: Caprine, Male, Adult (~2 years), Non-descript
  2. Descriptive marks: Brown with white patches
  3. Condition of body: Fair; acute presentation
  4. Rigor mortis: Incomplete (early post-mortem)
  5. Natural orifices: Dried blood around nostrils and mouth
  6. Visible mucous membranes: Markedly pale; almost white; dry
  7. Presence of wounds: Lacerations and abrasions on right thoracic wall and forelimb; subcutaneous haematoma over right thorax
  8. Superficial lymph glands: Small and pale due to exsanguination
  9. Any other abnormalities: Marked pallor of all exposed tissues

C. Internal Examination

I. Subcutaneous tissue: Large, well-demarcated haematoma (~10x8 cm) of dark red semi-clotted blood over right thoracic wall; subcutaneous tissue elsewhere pale and gelatinous
II. Abdominal cavity:
  1. Peritoneal cavity and peritoneum: ~400-500 mL of free dark red unclotted blood (haemoperitoneum); peritoneal surface stained red
  2. Position of organs: All organs uniformly pale and anaemic
  3. Any other abnormality: Mesenteric vessels thin and nearly empty
III. Thoracic cavity:
  1. Pleural cavity and pleura: Right pleural cavity ~200-300 mL free dark red blood (haemothorax); left ~50 mL; pleural surfaces smooth
  2. Position of organs: Right lung partially compressed by haemothorax
  3. Any other abnormality: Fracture of right 4th and 5th ribs; sharp fragment ends lacerate overlying intercostal muscle and pleura
IV. Pericardial sac: Multiple petechiae and ecchymoses on epicardial surface; no haemopericardium
V. Heart:
  1. Gross appearance: Markedly contracted and small ("empty heart"); epicardial petechiae and ecchymoses on right ventricular wall
  2. Chambers: All chambers nearly empty; walls thin and flaccid
  3. Valves: No abnormality detected
  4. Myocardium: Pale and slightly softened
  5. Blood vessels: Aorta and major vessels collapsed; contain minimal dark blood
VI. Trachea and bronchi: (a) Abnormalities: Small amount of blood-tinged frothy fluid in lumen; mucosa pale and intact (b) Parasites: Nil (c) Bronchial lymph glands: Small and pale (bloodless due to hypovolaemia)
VII. Larynx: Small amount of blood-stained frothy mucus; mucosa intact
VIII. Lungs:
  1. Gross appearance: Diffusely pale; do not fully collapse; right lobe - 3x3 cm area of dark red firm parenchymal contusion
  2. Palpable abnormalities: Contused area firm and non-crepitant; small interstitial emphysematous blebs at dorsal margins
  3. Section: Pale dry cut surface (anaemic); contused area exudes dark blood; no purulent exudate
  4. Parasites: Nil
  5. Lymph glands: Small and bloodless
IX. Diaphragm: Small (2 cm) laceration on right side corresponding to fractured rib ends; margins haemorrhagic
X. Liver:
  1. Gross appearance: Markedly pale, yellow-tan; sharp borders
  2. Surface: No abnormality detected
  3. Borders: Sharp and thin (hypovolaemic)
  4. Parenchyma: Very pale; sinusoids empty; early ischaemic change in hepatocytes
  5. Gall bladder: Contracted; small amount of thick bile; no calculi
  6. Parasites: Nil
XI. Spleen:
  1. Gross appearance: Markedly contracted; approximately 1/3 normal size; firm
  2. Surface: Capsule wrinkled and folded
  3. Section: Minimal blood on scraping; depleted blood reserve
  4. Parasites: Nil
XII. Kidneys:
  1. Gross appearance: Pale; slightly reduced size
  2. Capsule: No abnormality detected
  3. Renal surface: Uniformly pale
  4. Section: Cortex pale and dry; glomeruli appear empty (ischaemic change)
  5. Renal pelvis: Minimal urine; no calculi
  6. Parasites and calculi: Nil
XIII. Adrenal glands: Cortex pale; medulla congested and relatively prominent; no haemorrhage
XIV. Mouth: Markedly pale mucosa and gums; no other abnormality
XV. Tongue: Pale; no lesions
XVI. Pharynx:
  1. Submaxillary lymph glands: Pale and small
  2. Associated glands: No abnormality detected
XVII. Oesophagus: No abnormality detected
XVIII. Stomach: No abnormality detected
XIX. Intestines:
  1. Mesentery/blood vessels: Vessels collapsed and exsanguinated
  2. Wall: Mucosa markedly pale 3-6: No abnormality detected
XX. Pancreas: No abnormality detected
XXI. Pelvic cavity:
  1. Urinary bladder: Empty; mucosa pale
  2. Generative organs: Pale; no other abnormality
  3. Lymphatic glands: Iliac nodes small and pale
XXII. Brain and spinal cord / Eye / Ear / Skin: Brain surface pale; meningeal vessels empty; skin shows lacerations and abrasions on right thoracic region and forelimb (as described in B7)
XXIII. Skeleton: Fractures of right 4th and 5th ribs with sharp ends; no other fractures
XXIV. Musculature: Skeletal muscles uniformly very pale throughout; right thoracic and flank musculature shows extensive intramuscular haemorrhage (dark red, diffuse); intercostal and flank muscles most severely affected
XXV. Clinical Laboratory Examinations: (a) Blood smear: Haemoconcentration; erythrocyte aggregation; no parasites (b) Brain smear: No significant findings (c) Other: Abdominal and pleural fluid submitted for analysis; organs in 10% NBF for histopathology

Tentative Diagnosis: Extensive subcutaneous, intramuscular, pleural (haemothorax), and abdominal (haemoperitoneum) haemorrhage; fracture of right 4th and 5th ribs with diaphragmatic laceration; pulmonary contusion; "empty heart" with epicardial petechiae and ecchymoses; marked pallor and ischaemic changes in all parenchymatous organs consistent with severe acute blood loss.
Remarks: Histopathology recommended to confirm ischaemic organ changes.
Materials collected & Purpose: Liver, kidney, adrenal, myocardium in 10% NBF - Histopathology; Blood smear - Haematology
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 46-68.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 93-117.


POST MORTEM REPORT - 3

CANINE | Adult Female Dog (Intact)

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Intact female, ~8-10 years; multi-nodular mammary mass growing for 4-6 months; recent respiratory distress and weight loss; mass ulcerated with serosanguineous discharge.
  5. Clinical diagnosis: Mammary gland neoplasia with suspected systemic spread

B. External Examination

  1. Class of animal, sex, age, breed: Canine, Female (intact), Adult (~9 years), Labrador/Non-descript
  2. Descriptive marks: Yellow-fawn coat
  3. Condition of body: Moderate; weight loss; unkempt coat
  4. Rigor mortis: Well established
  5. Natural orifices: Mild vulval serosanguineous discharge; no other discharge
  6. Visible mucous membranes: Pale pink; no icterus
  7. Presence of wounds: Right inguinal mammary mass (glands M4-M5) - multi-lobulated, firm, irregular, ~12x10x8 cm; surface partially ulcerated with dried serosanguineous crust; partly fixed to underlying tissue; right M3 - firm nodule ~3x3 cm; left M4-M5 - firm well-circumscribed nodule ~2x2 cm
  8. Superficial lymph glands: Right superficial inguinal lymph node markedly enlarged (~4x3 cm), firm, irregular; left inguinal and right axillary lymph nodes mildly enlarged
  9. Any other abnormalities: Multiple small firm subcutaneous nodules along right mammary chain

C. Internal Examination

I. Subcutaneous tissue: Firm white-grey nodular infiltrates extending from primary mass along right mammary chain; small satellite nodules (0.5-1.5 cm) in subcutaneous plane
II. Abdominal cavity:
  1. Peritoneal cavity and peritoneum: ~100-150 mL straw-coloured modified transudate; multiple small (0.3-1 cm) white-grey firm nodular implants on omentum, mesentery, and parietal peritoneum; omentum thickened with diffuse white nodularity
  2. Position of organs: Normal; liver appears mottled
  3. Any other abnormality: Mesenteric lymph nodes enlarged and firm
III. Thoracic cavity:
  1. Pleural cavity and pleura: Bilateral pleural effusion (~250 mL right, ~150 mL left), milky-white to serosanguineous; multiple small (0.2-0.8 cm) white-grey firm nodular deposits on visceral and parietal pleura
  2. Position of organs: Lungs fail to fully expand; mild mediastinal widening
  3. Any other abnormality: Mediastinal and sternal lymph nodes enlarged
IV. Pericardial sac: 2-3 small (3-5 mm) white-grey firm nodules on epicardial surface; ~10-15 mL serosanguineous fluid
V. Heart: No abnormality detected (beyond epicardial nodules noted above)
VI. Trachea and bronchi: (a) Abnormalities: No abnormality detected (b) Parasites: Nil (c) Bronchial lymph glands: Enlarged; firm; white; cut surface shows white tissue replacing normal lymphoid architecture
VII. Larynx: No abnormality detected
VIII. Lungs:
  1. Gross appearance: Fail to collapse; multifocal randomly distributed firm white-grey nodules (0.3-3 cm) in all lobes; largest nodules in right caudal lobe
  2. Palpable abnormalities: Nodules firm and non-crepitant; central areas of largest nodules gritty and chalky (mineralisation/cartilaginous matrix)
  3. Section: Nodules solid, white to light grey, glistening; largest nodules show central chalky-white gritty material surrounded by white-grey soft tissue; no cavitation; no purulent material
  4. Parasites: Nil
  5. Lymph glands: Tracheobronchial and pulmonary lymph nodes markedly enlarged; cut surface replaced by white-grey firm tissue
IX. Diaphragm: Two small (4-6 mm) white-grey firm nodules on thoracic surface
X. Liver:
  1. Gross appearance: Mildly enlarged; mottled tan-red
  2. Surface: Multiple small (0.3-1.5 cm) white-grey firm nodules on capsule and parenchyma
  3. Borders: Rounded, blunt
  4. Parenchyma: Multiple white-grey firm well-defined nodules on cut surface; no necrosis
  5. Gall bladder: No abnormality detected
  6. Parasites: Nil
XI. Spleen:
  1. Gross appearance: Normal size
  2. Surface: One small (5 mm) firm white subcapsular nodule
  3. Section: One white-grey firm nodule; remaining parenchyma normal
  4. Parasites: Nil
XII. Kidneys:
  1. Gross appearance: Normal size and colour
  2. Capsule: One small (4 mm) white subcortical nodule in left kidney 3-6: No other abnormality detected
XIII. Adrenal glands: No abnormality detected
XIV. Mouth: Pale mucosa; mild dental calculus; no other abnormality
XV. Tongue: No abnormality detected
XVI. Pharynx:
  1. Submaxillary lymph glands: Bilaterally enlarged and firm; cut surface white-grey and firm (right more than left)
  2. Associated glands: No abnormality detected
XVII. Oesophagus: No abnormality detected
XVIII. Stomach: No abnormality detected
XIX. Intestines:
  1. Mesentery: Thickened; multiple small white-grey firm nodular deposits on mesenteric surface
  2. Wall: Rare small (3-5 mm) firm white serosal nodules on small intestine 3-6: No abnormality detected
XX. Pancreas: One small (5 mm) white-grey firm nodule in right limb; otherwise no abnormality
XXI. Pelvic cavity:
  1. Urinary bladder: No abnormality detected
  2. Generative organs: Small white nodules on uterine serosal surface; ovaries small and quiescent
  3. Lymphatic glands: Iliac lymph nodes markedly enlarged; dense white-grey firm tissue on cut section bilaterally
XXII. Brain and spinal cord / Eye / Ear / Skin: No abnormality detected
XXIII. Skeleton: No abnormality detected
XXIV. Musculature: No abnormality detected
XXV. Clinical Laboratory Examinations: (a) Blood smear: Mild normocytic normochromic anaemia; no circulating abnormal cells (b) Brain smear: No significant findings (c) Other: Primary mass, lung nodule, liver nodule, lymph nodes in 10% NBF for histopathology; pleural fluid for cytology

Tentative Diagnosis: Multi-lobulated, partially ulcerated mammary mass (right inguinal chain) with two distinct components - areas of firm white-grey solid tissue and areas of gritty mineralised/cartilaginous material - with dissemination to lungs, liver, spleen, kidney, regional and distant lymph nodes, peritoneum, pleura, epicardium, diaphragm, mesentery, and uterine serosa; bilateral pleural effusion and mild ascites.
Remarks: Histopathological examination mandatory for definitive tissue characterisation and classification.
Materials collected & Purpose: Primary mammary mass, right inguinal lymph node, lung nodule, liver nodule in 10% NBF - Histopathology; Pleural fluid - Cytology
References:
  • Jubb KVF, Kennedy PC, Palmer N (2016). Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 732-742.
  • McGavin MD, Zachary JF (2012). Pathologic Basis of Veterinary Disease, 5th ed., pp. 1175-1182.
  • Misdorp W et al. (1999). WHO Histological Classification of Mammary Tumors of the Dog and Cat, 2nd series, Vol. VII. AFIP, Washington D.C.

Still make it simple

Here are all three PM reports in clean, simple, short-point format.

POST MORTEM REPORT – 1

Animal: Adult Female Cow | Autopsy No.: ... | Date: ...

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Coughing, nasal discharge, fever, difficulty breathing for 5–7 days. Progressive deterioration. Found dead.
  5. Clinical diagnosis: Respiratory disease

B. External Examination

  1. Class/sex/age/breed: Bovine, Female, Adult, Non-descript
  2. Descriptive marks: Black and white coat
  3. Condition of body: Poor; emaciated
  4. Rigor mortis: Well established
  5. Natural orifices: Mucopurulent discharge from both nostrils
  6. Visible mucous membranes: Pale and cyanotic
  7. Wounds: Nil
  8. Superficial lymph nodes: Prescapular and prefemoral – mildly enlarged
  9. Other abnormalities: Nil

C. Internal Examination

I. Subcutaneous tissue: No abnormality detected (NAD)
II. Abdominal cavity:
  1. Peritoneal cavity: NAD
  2. Position of organs: Normal
  3. Other abnormality: Nil
III. Thoracic cavity:
  1. Pleura: Fibrinous deposits on both pleural surfaces; 200–300 mL turbid yellowish fluid present; adhesions between visceral and parietal pleura
  2. Position of organs: Lungs consolidated; do not collapse on opening
  3. Other: Nil
IV. Pericardial sac: NAD
V. Heart:
  1. Gross appearance: NAD
  2. Chambers: NAD
  3. Valves: NAD
  4. Myocardium: NAD
  5. Blood vessels: NAD
VI. Trachea and bronchi: (a) Tracheal and bronchial mucosa red and swollen; lumen filled with yellowish-grey mucopurulent exudate (b) Parasites: Nil (c) Bronchial lymph nodes: Enlarged, firm, congested
VII. Larynx: NAD
VIII. Lungs:
  1. Gross appearance: Enlarged; fail to collapse; cranioventral lobes dark red to grey; firm and airless
  2. Palpable abnormalities: Cranioventral lobes firm and rubbery (hepatised); small yellowish pus foci palpable
  3. Section: Airless, grey-red consolidated tissue; mucopurulent fluid oozes on pressure; interlobular septa widened and oedematous (marbled appearance)
  4. Parasites: Nil
  5. Lymph nodes: Tracheobronchial and mediastinal lymph nodes – enlarged, firm, pale
IX. Diaphragm: NAD
X. Liver: NAD
XI. Spleen: NAD
XII. Kidneys: NAD
XIII. Adrenal glands: NAD
XIV. Mouth: NAD
XV. Tongue: NAD
XVI. Pharynx:
  1. Submaxillary lymph nodes: Mildly enlarged
  2. Tonsils: NAD
XVII. Oesophagus: NAD
XVIII. Stomach: NAD
XIX. Intestines: NAD
XX. Pancreas: NAD
XXI. Pelvic cavity: NAD
XXII. Brain/Spinal cord/Eye/Ear/Skin: NAD
XXIII. Skeleton: NAD
XXIV. Musculature: NAD
XXV. Lab Examinations: (a) Blood smear: Neutrophilia; toxic band cells (b) Brain smear: NAD (c) Other: Nasal swab – culture; lung in 10% NBF – histopathology

Tentative Diagnosis: Fibrinous consolidation of cranioventral lung lobes; fibrinous pleuritis; enlargement of tracheobronchial and mediastinal lymph nodes.
Remarks: Histopathology and bacterial culture advised.
Materials collected: Lung (consolidated) in 10% NBF – histopathology; fresh lung – bacterial culture
References:
  • Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol. 2, pp. 562–580
  • McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp. 476–502


POST MORTEM REPORT – 2

Animal: Adult Male Goat | Autopsy No.: ... | Date: ...

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Found recumbent after road accident. Weak rapid pulse, very pale mucous membranes, laboured breathing. Died within hours.
  5. Clinical diagnosis: Acute traumatic injury with rapid blood loss

B. External Examination

  1. Class/sex/age/breed: Caprine, Male, Adult (~2 yrs), Non-descript
  2. Descriptive marks: Brown with white patches
  3. Condition of body: Fair; acute presentation
  4. Rigor mortis: Incomplete (early)
  5. Natural orifices: Dried blood around nostrils and mouth
  6. Visible mucous membranes: Markedly pale; white; dry
  7. Wounds: Lacerations and abrasions on right thoracic wall and forelimb; subcutaneous haematoma over right thorax
  8. Superficial lymph nodes: Small and pale
  9. Other: Marked pallor of all exposed tissues

C. Internal Examination

I. Subcutaneous tissue: Large dark red haematoma (~10×8 cm) over right thoracic wall; rest of tissue pale and gelatinous
II. Abdominal cavity:
  1. Peritoneal cavity: ~400–500 mL free dark red unclotted blood (haemoperitoneum)
  2. Position of organs: All organs pale and anaemic
  3. Other: Mesenteric vessels thin and empty
III. Thoracic cavity:
  1. Pleura: Right side ~200–300 mL free dark red blood (haemothorax); left ~50 mL; pleural surface smooth
  2. Position of organs: Right lung compressed by haemothorax
  3. Other: Fracture of right 4th and 5th ribs; sharp ends lacerate intercostal muscle and pleura
IV. Pericardial sac: Multiple petechiae and ecchymoses on epicardial surface
V. Heart:
  1. Gross appearance: Contracted; small ("empty heart"); petechiae and ecchymoses on right ventricular wall
  2. Chambers: All chambers nearly empty; walls thin and flaccid
  3. Valves: NAD
  4. Myocardium: Pale; slightly soft
  5. Blood vessels: Collapsed; contain minimal dark blood
VI. Trachea and bronchi: (a) Small amount of blood-tinged frothy fluid in lumen; mucosa pale (b) Parasites: Nil (c) Bronchial lymph nodes: Small and pale (bloodless)
VII. Larynx: Small amount of blood-stained frothy mucus; otherwise NAD
VIII. Lungs:
  1. Gross appearance: Diffusely pale; right lobe – 3×3 cm dark red firm contusion
  2. Palpable abnormalities: Contused area firm and non-crepitant
  3. Section: Pale dry cut surface; contused area bleeds dark blood on cut
  4. Parasites: Nil
  5. Lymph nodes: Small and bloodless
IX. Diaphragm: Small (2 cm) laceration on right side at fractured rib end; margins haemorrhagic
X. Liver:
  1. Gross appearance: Markedly pale; yellow-tan; sharp borders
  2. Surface: NAD
  3. Borders: Sharp and thin
  4. Parenchyma: Very pale; sinusoids empty; early ischaemic changes
  5. Gall bladder: Contracted; small amount of thick bile
  6. Parasites: Nil
XI. Spleen:
  1. Gross appearance: Contracted; about 1/3 normal size; firm
  2. Surface: Capsule wrinkled
  3. Section: Minimal blood on scraping
  4. Parasites: Nil
XII. Kidneys:
  1. Gross appearance: Pale; slightly reduced size
  2. Capsule: NAD
  3. Renal surface: Uniformly pale
  4. Section: Cortex pale and dry; glomeruli empty (ischaemia)
  5. Renal pelvis: Minimal urine; no calculi
  6. Parasites: Nil
XIII. Adrenal glands: Cortex pale; medulla congested; no haemorrhage
XIV. Mouth: Markedly pale mucosa and gums
XV. Tongue: Pale; NAD
XVI. Pharynx:
  1. Submaxillary lymph nodes: Small and pale
  2. Tonsils: NAD
XVII. Oesophagus: NAD
XVIII. Stomach: NAD
XIX. Intestines:
  1. Mesenteric vessels: Collapsed and bloodless
  2. Wall: Mucosa markedly pale 3–6: NAD
XX. Pancreas: NAD
XXI. Pelvic cavity:
  1. Urinary bladder: Empty; pale mucosa
  2. Generative organs: Pale; NAD
  3. Lymph nodes: Iliac nodes small and pale
XXII. Brain/Spinal cord/Eye/Ear/Skin: Brain surface pale; meningeal vessels empty; skin – lacerations/abrasions on right thorax and forelimb (as in B7)
XXIII. Skeleton: Fracture of right 4th and 5th ribs with sharp ends
XXIV. Musculature: All muscles uniformly pale; extensive dark red intramuscular haemorrhage in right thoracic and flank muscles
XXV. Lab Examinations: (a) Blood smear: Haemoconcentration; erythrocyte aggregation; no parasites (b) Brain smear: NAD (c) Other: Abdominal/pleural fluid – analysis; organs in 10% NBF – histopathology

Tentative Diagnosis: Massive haemorrhage into subcutaneous tissue, right thoracic muscles, pleural cavity, and abdominal cavity; rib fracture with diaphragmatic laceration; pulmonary contusion; "empty heart" with epicardial petechiae; uniform pallor and ischaemic changes in all organs.
Remarks: Histopathology recommended to confirm ischaemic organ changes.
Materials collected: Liver, kidney, myocardium in 10% NBF – histopathology; blood smear – haematology
References:
  • Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 46–68
  • McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp. 93–117


POST MORTEM REPORT – 3

Animal: Adult Female Dog (Intact) | Autopsy No.: ... | Date: ...

A. Precis of the Case

  1. Date of admission: ...
  2. Date and time of death: ...
  3. Date and time of P.M. examination: ...
  4. History: Intact female, ~9 years; growing mammary mass for 4–6 months; recent weight loss and breathing difficulty; mass ulcerated with bloody discharge.
  5. Clinical diagnosis: Mammary gland neoplasia with suspected systemic spread

B. External Examination

  1. Class/sex/age/breed: Canine, Female (intact), Adult (~9 yrs), Non-descript
  2. Descriptive marks: Yellow-fawn coat
  3. Condition of body: Moderate; weight loss
  4. Rigor mortis: Well established
  5. Natural orifices: Mild serosanguineous vulval discharge
  6. Visible mucous membranes: Pale pink; no icterus
  7. Wounds: Right inguinal mammary glands (M4–M5) – multi-lobulated firm irregular mass ~12×10×8 cm; surface ulcerated; partially fixed to underlying tissue; right M3 – firm nodule ~3×3 cm; left M4–M5 – firm nodule ~2×2 cm
  8. Superficial lymph nodes: Right superficial inguinal LN – markedly enlarged (~4×3 cm), firm; left inguinal and right axillary – mildly enlarged
  9. Other: Multiple small firm nodules along right mammary chain subcutaneously

C. Internal Examination

I. Subcutaneous tissue: Firm white-grey nodular infiltrates extending from primary mass along right mammary chain
II. Abdominal cavity:
  1. Peritoneal cavity: ~100–150 mL straw-coloured fluid; multiple small white-grey firm nodules on omentum, mesentery, and peritoneum
  2. Position of organs: Normal; liver mottled
  3. Other: Mesenteric lymph nodes enlarged and firm
III. Thoracic cavity:
  1. Pleura: Bilateral pleural effusion (~250 mL right, ~150 mL left), milky-white to serosanguineous; multiple small white-grey firm nodules on pleural surfaces
  2. Position of organs: Lungs fail to expand; mild mediastinal widening
  3. Other: Mediastinal and sternal lymph nodes enlarged
IV. Pericardial sac: 2–3 small white-grey firm nodules on epicardial surface; slight serosanguineous fluid
V. Heart: NAD (beyond epicardial nodules above)
VI. Trachea and bronchi: (a) NAD (b) Parasites: Nil (c) Bronchial lymph nodes: Enlarged; firm; white on cut surface
VII. Larynx: NAD
VIII. Lungs:
  1. Gross appearance: Multiple white-grey firm nodules (0.3–3 cm) scattered in all lobes; fail to collapse
  2. Palpable abnormalities: Nodules firm; largest nodules gritty/chalky in centre (mineralisation)
  3. Section: Nodules solid, white-grey, glistening; central chalky-white gritty material in largest nodules; no pus; no cavitation
  4. Parasites: Nil
  5. Lymph nodes: Markedly enlarged; white-grey firm tissue on cut surface
IX. Diaphragm: Two small (4–6 mm) white-grey firm nodules on thoracic surface
X. Liver:
  1. Gross appearance: Mildly enlarged; mottled tan-red
  2. Surface: Multiple small white-grey firm nodules on capsule
  3. Borders: Rounded
  4. Parenchyma: Multiple firm white-grey nodules on cut surface; no necrosis
  5. Gall bladder: NAD
  6. Parasites: Nil
XI. Spleen:
  1. Gross appearance: Normal size
  2. Surface: One small white subcapsular nodule (5 mm)
  3. Section: One white-grey nodule; rest normal
  4. Parasites: Nil
XII. Kidneys:
  1. Gross appearance: Normal
  2. Capsule: One small white nodule (4 mm) in left kidney 3–6: NAD
XIII. Adrenal glands: NAD
XIV. Mouth: Pale mucosa; mild dental calculus
XV. Tongue: NAD
XVI. Pharynx:
  1. Submaxillary lymph nodes: Bilaterally enlarged; white-grey firm cut surface
  2. Tonsils: NAD
XVII. Oesophagus: NAD
XVIII. Stomach: NAD
XIX. Intestines:
  1. Mesentery: Multiple small white-grey firm nodules on mesenteric surface
  2. Wall: Rare small white serosal nodules on small intestine 3–6: NAD
XX. Pancreas: One small white-grey nodule in right limb; otherwise NAD
XXI. Pelvic cavity:
  1. Urinary bladder: NAD
  2. Generative organs: Small white nodules on uterine serosal surface; ovaries small
  3. Lymph nodes: Iliac lymph nodes markedly enlarged; white-grey firm on cut section
XXII. Brain/Spinal cord/Eye/Ear/Skin: NAD
XXIII. Skeleton: NAD
XXIV. Musculature: NAD
XXV. Lab Examinations: (a) Blood smear: Mild normocytic normochromic anaemia; no abnormal cells (b) Brain smear: NAD (c) Other: Primary mass, lung nodule, liver nodule, lymph nodes in 10% NBF – histopathology; pleural fluid – cytology

Tentative Diagnosis: Multi-lobulated partially ulcerated mammary mass with two gross components (soft white-grey solid tissue and central gritty mineralised/cartilaginous material); widespread dissemination to lungs, liver, spleen, kidneys, regional and distant lymph nodes, peritoneum, pleura, epicardium, diaphragm, mesentery, and uterine serosa; bilateral pleural effusion and mild ascites.
Remarks: Histopathological examination essential for tissue characterisation and definitive classification.
Materials collected: Primary mass, lung nodule, liver nodule, lymph nodes in 10% NBF – histopathology; pleural fluid – cytology
References:
  • Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol. 1, pp. 732–742
  • McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp. 1175–1182
  • Misdorp W et al. (1999) – WHO Histological Classification of Mammary Tumors of the Dog and Cat, AFIP, Washington D.C.

Still make it simple

Here are all three reports in the most simple, short, direct format possible.

PM REPORT – 1 | Adult Female Cow

A. Precis

  1. Date of admission: ...
  2. Date & time of death: ...
  3. Date & time of PM: ...
  4. History: Coughing, nasal discharge, fever, breathing difficulty for 5–7 days
  5. Clinical diagnosis: Respiratory disease

B. External Examination

  1. Class/sex/age/breed: Bovine, Female, Adult, Non-descript
  2. Descriptive marks: Black and white coat
  3. Condition: Poor; emaciated
  4. Rigor mortis: Well established
  5. Natural orifices: Mucopurulent discharge from nostrils
  6. Mucous membranes: Pale and cyanotic
  7. Wounds: Nil
  8. Superficial LN: Prescapular and prefemoral – mildly enlarged
  9. Other: Nil

C. Internal Examination

OrganFindings
Subcutaneous tissueNAD
Abdominal cavityNAD
PeritoneumNAD
Thoracic cavityFibrinous deposits on pleural surface; turbid yellowish fluid present bilaterally; pleural adhesions noted
Pericardial sacNAD
HeartNAD
Trachea & bronchiMucosa red and swollen; lumen contains yellowish-grey mucopurulent exudate
Bronchial LNEnlarged; firm; congested on cut section
LarynxNAD
LungsCranioventral lobes enlarged, firm, airless, dark red-grey (hepatisation); small yellowish pus foci; mucopurulent fluid oozes on cut; interlobular septa widened and oedematous
Tracheobronchial & mediastinal LNEnlarged; firm; pale on cut section
DiaphragmNAD
LiverNAD
SpleenNAD
KidneysNAD
AdrenalsNAD
Mouth / TongueNAD
Stomach / IntestinesNAD
Pancreas / Pelvic cavityNAD
Brain / Spinal cordNAD
Skeleton / MusculatureNAD
Lab: Blood smear – neutrophilia, toxic band cells | Lung in 10% NBF – histopathology | Nasal swab – bacterial culture
Tentative Diagnosis: Suppurative consolidation of cranioventral lung lobes with fibrinous pleuritis and enlarged tracheobronchial lymph nodes
Ref: Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol.2, pp.562–580 | McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp.476–502


PM REPORT – 2 | Adult Male Goat

A. Precis

  1. Date of admission: ...
  2. Date & time of death: ...
  3. Date & time of PM: ...
  4. History: Road accident; acute recumbency; very pale, weak pulse; died within hours
  5. Clinical diagnosis: Acute traumatic injury with severe blood loss

B. External Examination

  1. Class/sex/age/breed: Caprine, Male, Adult, Non-descript
  2. Descriptive marks: Brown with white patches
  3. Condition: Fair; acute
  4. Rigor mortis: Incomplete (early)
  5. Natural orifices: Dried blood around nostrils and mouth
  6. Mucous membranes: Markedly pale; white; dry
  7. Wounds: Lacerations on right thoracic wall and forelimb; subcutaneous haematoma over right thorax
  8. Superficial LN: Small and pale
  9. Other: All exposed tissues markedly pale

C. Internal Examination

OrganFindings
Subcutaneous tissueLarge dark red haematoma over right thoracic wall; rest pale and gelatinous
Abdominal cavity~400–500 mL free dark red blood (haemoperitoneum); all organs pale
PeritoneumBlood stained; no fibrin
Thoracic cavityRight side ~200–300 mL dark red blood (haemothorax); left ~50 mL
RibsFracture of right 4th and 5th ribs; sharp ends lacerate intercostal muscle and pleura
DiaphragmSmall laceration at right fractured rib end; margins haemorrhagic
Pericardial sacPetechiae and ecchymoses on epicardial surface
HeartContracted; small ("empty heart"); petechiae on right ventricular wall; chambers nearly empty
Trachea / BronchiBlood-tinged frothy fluid in lumen; mucosa pale
LungsDiffusely pale; right lobe – 3×3 cm dark red firm contusion; pale and dry on cut
LiverMarkedly pale; yellow-tan; sinusoids empty; early ischaemic changes
SpleenContracted to ~1/3 normal size; capsule wrinkled; minimal blood on scraping
KidneysPale; cortex dry; glomeruli empty on cut section
AdrenalsCortex pale; medulla congested
Mouth / MucosaMarkedly pale
Stomach / IntestinesMesenteric vessels collapsed and bloodless; mucosa pale
MusculatureAll muscles pale; extensive dark red intramuscular haemorrhage in right thoracic and flank muscles
SkeletonFracture right 4th and 5th ribs
BrainSurface pale; meningeal vessels empty
Other organsNAD
Lab: Blood smear – haemoconcentration; erythrocyte aggregation | Organs in 10% NBF – histopathology
Tentative Diagnosis: Massive haemorrhage into subcutaneous tissue, right thoracic muscles, pleural cavity and abdominal cavity; rib fracture with diaphragmatic laceration; pulmonary contusion; "empty heart" with epicardial petechiae; uniform organ pallor and ischaemic changes due to severe acute blood loss
Ref: Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol.1, pp.46–68 | McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp.93–117


PM REPORT – 3 | Adult Female Dog (Intact)

A. Precis

  1. Date of admission: ...
  2. Date & time of death: ...
  3. Date & time of PM: ...
  4. History: Intact female, ~9 years; growing mammary mass for 4–6 months; weight loss; breathing difficulty; mass ulcerated with bloody discharge
  5. Clinical diagnosis: Mammary neoplasia with systemic spread

B. External Examination

  1. Class/sex/age/breed: Canine, Female (intact), Adult ~9 yrs, Non-descript
  2. Descriptive marks: Yellow-fawn coat
  3. Condition: Moderate; weight loss
  4. Rigor mortis: Well established
  5. Natural orifices: Mild serosanguineous vulval discharge
  6. Mucous membranes: Pale pink
  7. Wounds: Right inguinal mammary glands (M4–M5) – multi-lobulated firm mass ~12×10×8 cm; ulcerated surface; fixed to underlying tissue | Right M3 – firm nodule ~3×3 cm | Left M4–M5 – firm nodule ~2×2 cm
  8. Superficial LN: Right inguinal LN – markedly enlarged (~4×3 cm), firm | Left inguinal and right axillary – mildly enlarged
  9. Other: Multiple small firm subcutaneous nodules along right mammary chain

C. Internal Examination

OrganFindings
Subcutaneous tissueFirm white-grey nodular infiltrates along right mammary chain
Abdominal cavity~100–150 mL straw-coloured fluid; multiple small white-grey firm nodules on omentum, mesentery, and peritoneum
Mesenteric LNEnlarged; firm
Thoracic cavityBilateral pleural effusion (right ~250 mL, left ~150 mL), milky-serosanguineous; multiple small white-grey firm nodules on pleural surfaces
Mediastinal / Sternal LNEnlarged
Pericardial sac2–3 small white-grey firm nodules on epicardial surface
HeartNAD
Trachea / BronchiBronchial LN enlarged; white on cut section
LungsMultiple white-grey firm nodules (0.3–3 cm) in all lobes; largest nodules have gritty chalky centre (mineralisation); no pus; no cavitation
Tracheobronchial LNMarkedly enlarged; white-grey on cut
DiaphragmTwo small white-grey firm nodules on thoracic surface
LiverMultiple small white-grey firm nodules on surface and parenchyma
SpleenOne small white subcapsular nodule
KidneyOne small white nodule in left kidney cortex
AdrenalsNAD
Submaxillary LNBilaterally enlarged; white-grey on cut
Intestinal serosa / MesenterySmall white nodules on serosal surface; mesenteric nodules present
Uterine serosaSmall white nodules on surface
Iliac LNMarkedly enlarged; white-grey firm on cut section
Stomach / PancreasNAD
Brain / Skeleton / MuscleNAD
Lab: Blood smear – mild normocytic normochromic anaemia | Primary mass, lung nodule, liver nodule, LN in 10% NBF – histopathology | Pleural fluid – cytology
Tentative Diagnosis: Multi-lobulated ulcerated mammary mass with soft white-grey solid areas and central gritty mineralised/cartilaginous areas; widespread dissemination as white-grey firm nodules to lungs, liver, spleen, kidney, lymph nodes, peritoneum, pleura, epicardium, diaphragm, mesentery, and uterine serosa; bilateral pleural effusion and mild ascites
Ref: Jubb, Kennedy & Palmer – Pathology of Domestic Animals, 6th ed., Vol.1, pp.732–742 | McGavin & Zachary – Pathologic Basis of Veterinary Disease, 5th ed., pp.1175–1182 | Misdorp W et al. (1999) – WHO Classification of Mammary Tumors of the Dog and Cat, AFIP
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