The end of anatomy, and an extra special wildlife patient! (Day 670)

Baby duckling waking up after fishing hook removal

Today’s Diary Entry is sponsored by Wildlife Feeds by Spikes World

This morning I sat my anatomy final, I am emotionally and mentally exhausted and last night asked my twitter followers to help me through. This they did wonderfully and I drew enough strength from it to get my through my exam today with a D. When you consider how much is needed to be memorised and for so many species you can understand why I am happy with that. Also I have decided that I would rather have practical skills and understanding than straight A’s with just book learning.

After this I popped my head into clinic to see what was happening, surprisingly it was busy with two guinea pig castrations booked in. I ran anesthesia for the first castration surgery and then assisted in the second surgery which was pretty cool.

After this as I was about to leave a member of the public dropped in a duckling with fishing line coming out of it’s mouth. Now this is the first time I have seen it here and so I decided to stick around.

Duckling with fishing line from mouth

We quickly anaesthetised to inspect the mouth and see if we could find the hook, we could not see it in the mouth cavity, and taking a quick look with the endoscope I could not see it in the upper part of the esophagus. Because of the way the esophagus is a elastic tube you normally also need to also introduce air to see further which we do not really have the facilities to do. So it was decided that our next step would be to get xrays to see exactly where the hook was, it was lunchtime so xray was closed which meant we had to wait an hour for this.

When doing xrays it is really important to do both a ventrodorsal (laying on back) and a lateral (laying on side) image as this will let you use your imagination to put them together to get a 3D image. The one on the left below is the lateral image taking from the side, and the one on the right (which also has my measurements for planning the procedure) is the one with the ducking on it’s back (you can click it to see a bigger version).

Ducking with fishing hook in crop lateral and ventrodorsal radiograph viewsFrom the xray you can see that the hook is inside the thoracic cavity (the space between the start of the ribs and the diaphragm) – and if you look at the xray on the right you can see the ribs visible on top of the hook. Now during surgery on the thoracic cavity is very challenging at the best of time so we wanted to avoid this. The easiest way to go and get the hook was through the mouth, so one of the doctors here attempted to slide a tube along the fishing line to see if he could dislodge it whilst I prepared the endoscope.

Chris preparing endoscope to remove fishing hook from ducklingNow I do not know where they came from as I had never seen them before, but I found a pair of grasping forceps (well biopsy forceps originally…) on a rigid attachment for the endoscope so I decided to give this new toy a try. The doctor had failed to get the hook out using the tube so it was time for my performance.

We used isoflurane (a gas anaesthetic) with the duckling so we had to remove the mask to do anything which meant we had a limited time we could do anything before the duckling started waking up and the mask had to be put back. Because of the previous attempt to get the hook out using the tube there was some air trapped inside the esophagus which made visibility better for me and I followed the fishing line down to the hook. Now on the xray it didn’t look it had a very big barb so I made the decision to try and remove it from the lining of the crop which was successful with no bleeding observed. I then caught the point and started to bring it back up the esophagus, near the mouth the hook slipped from my instrument however I was able to grab it again and remove it completely as below with fishing line attached.

Fishing hook after removal from ducklingAll of this took me under 90 seconds to do, and as I brought the hook out the duckling started to wake up. I was a little bit surprised at how quickly I had managed to do something I’ve never done or seen before. We do have a recording system for the endoscope but I was so focused on getting the hook out of the duckling that I totally forgot about this until now though I really wish I had a video of this to share. Instead here is a picture of the duckling with the hook and my new favourite instrument!

Baby duckling waking up after fishing hook removalSo with this I’ll leave you with a request that I am sure has been said a thousand times before…

The great outdoors is great fun, but please make sure the only thing you leave behind is footprints!

A disaster of anatomy… (Day 213)

UVM Kosice own Angiology and Nervous System Anatomy Books

Today’s Diary Entry is sponsored by Vet School Success

Well today was a little bit of a disaster when it came to anatomy, last night I went to anatomy self study to look at the lungs, larynx and trachea and found that they did not have any specimens. As I was at BSAVA Congress last week I hadn’t seen these before and so had to rely on video, diagrams and photo’s. When it came time for the exam they managed to turn up the different specimens and so I got to see these for the first time. Whilst knowing the theory and different parts trying to relate this to the specimen under exam conditions is not easy as you are under pressure for an answer, and especially when it comes to different margins and facies is extremely difficult being unorientated! Though I knew the theory I still managed to fail this mornings exam as I made stupid mistakes like mistaking pig lungs for cow lungs (though I knew ruminants and pigs have bronchus trachealis to the cranial lobe) and basically for not knowing where the facies medium vertebral and mediastinal parts were.

UVM Kosice own Angiology and Nervous System Anatomy BooksToday we started looking at the hoof, mammary gland, eye and ear which meant that we moved onto the next textbook. This meant that during the class we were left without a book and had to rely on notes alone, so after class finished I went to the library to try and find a clean (unwritten/drawn in) textbook to copy. I then ended up getting this copied for 5 extra people as well this afternoon which was interesting as it took two bags to carry them back in. I especially find the hoof interesting as basically it has the nail which surrounds the outside, which is simply suspended to the bone by ligaments – pretty amazing when you consider how much work it does!

This evening went to doing a little bit of reading up on chemistry which I now know I need to understand in explicit detail to give me the ability to get the higher grades.