Examine a capsule of a liver and note its condition: smoothness, shine, granularity, rugosity, sulcuses, applyings, wounds and so forth Fixing a liver by a palm buy cheap ultram of the left arm for it diafrag-malnuju a part, the big amputating knife do 159 Its steep cut. To cut it is necessary one movement to itself, not rendering thus the big ultram pressure not to crush an organ. The cut should pass on the organ middle through the left and right share and should be not finished to a centimetre table on two not to part an organ on a part completely. If necessary do additional cuts, but necessarily parallel to the first, also not parting an organ on pieces. So the liver parted by parallel sections does not lose the form, being accurately laid, is well fixed, can be kept for a ultram museum and at any time is seen on cuts as book sheets are looked through.
Examine surfaces of cuts and note large vessels, colour of an organ, shine, , greasiness, and so forth, smoothness, Flatness of a surface of a cut or retraction and vybuha - , a drawing of lobes of a liver and so forth Normally drawing of lobes of a liver is indiscernible. If the drawing buy cheap ultram is visible well find out the reason of this phenomenon; it can depend on a cirrhosis, from irregular stagnation, adiposity of a liver and so forth On a cut examine the intrahepatic cholic ducts, well appreciable biles at stagnation. Squeezing a liver, observe allocated bile, an exsudate, parasites () and so forth The cholic bubble at a connecting tissue, a tumour and so forth can be found out with the big work. In such cases according to its locating do cross-section topographical cuts of a tissue of a liver. If between a bubble and a stomach or intestines reports, fistulas and so forth are found out, how usually, at opening of these organs them bypass, in detail investigate and write down. PANCREAS RESEARCH again put a convex surface of a liver on a little table, and a stomach reject on buy cheap ultram a liver. At such position a pancreas 160 Becomes accessible to research. It release fingers from a surrounding fat, note its form, and size, measure and define a consistence of a head, a body, a tail. Spend a cross-section on border between a head and a body. Thus on a cut surface it is possible to see well a duct with which open with scissors in that and buy cheap ultram in other direction. Now make a longitudinal section of a gland through decadron online a tail, a body and a head for what a forceps, holding it in the left arm, strongly fix an organ for a tail, having it on a liver. Note , a drawing of a surface of a cut, the fatty necrosises which are looking like yellow-white maculae, and so forth Survey buy cheap ultram of a mesentery and diaphragm finish research of this complex of organs. Mesentery. Note length of a root, the maintenance it of Adeps, a condition of the peritoneum covering it, lymphatic vessels and so forth Diaphragm. Note a thickness and a condition of its muscular layer and fascias both from a breast cavity, and from a stomach cavity, and also, on the one hand - a pleura condition, and with another - peritoneums. Now separate organs for weighing and clean with a little table. LIEN RESEARCH The lien taken separately put on a little table collars buy cheap ultram downwards. Examine its capsule which can be smooth, thin or rugosity, , the covered applyings, broken off and so forth Note the form and measure organ size. Normally lien approximately corresponds to size of a palm of the right arm of its owner. Define a consistence of an organ which can be soft, flabby, as at a sepsis, or firm, ligneous, as at an amyloidosis. Having buy cheap ultram turned a lien, examine its hiluses and the cut vessels. Now, again having put it on a little table collars from top to bottom and fixing its left arm, make a cut on an organ one movement of a knife 11 Pathoanatomical technicians 161 To itself, not an organ up to the end, i.e. Not parting it on . Having moved apart cut edges, examine a pulp of a lien and note its colour - red, rusty, aspidno-grey, mutno-grey and so forth, humidity of a pulp or its dryness and so forth Note a condition of follicles and , and also the centres of necrosises, infiltrates and so forth The buy cheap ultram knife blade, the cut put perpendicularly to a surface, do pulps and note quantity and its quality - liquid blood or a meal. If one cut it has appeared insufficiently make a number of the additional cuts parallel first. These cuts do not spoil an organ, promote full bracing and give the chance to survey an organ, as book sheets. In summary a lien weigh and clean with a little table. Then start research of organs of genitourinary system. RESEARCH OF GENITOURINARY ORGANS As together with kidneys adrenals research begin with them buy cheap ultram are allocated also. have on a little table kidneys buy cheap ultram from itself, and a bladder to itself, a forward surface up. Adrenals. The adrenals taken together with kidneys separate from kidneys and release from a fatty tissue. Note the form and their size (measure), define their consistence and dissect in kra-niokaudalnom a direction in parallel planes. Examine surfaces of a cut and note a condition of cortical and their cerebral substance: colour, humidity or dryness, a ramollissement, a hemorrhage, , tumours and so forth At last, weigh them. For microscopical research it is recommended to fix them not in a pure solution of formalin, and with an impurity of chromic salts, for example, 3-4 % of a solution a potassium - 90 ml and formalin available on sale - 10 ml. 162 Kidneys. Investigate at first right, then a left kidney, as well as all didymous organs. Examining a fatty capsule of a kidney, separate its stupid by or by means of a knife. Note the form and size of a kidney and its consistence. Then strongly grasp the left arm of a kidney for so that it has appeared cliped between the big finger on the one hand both index and average - with another, and the convex surface of a kidney has been turned up. So, strongly fixing a kidney in the left arm, movement of the big amputating knife to itself dissect an organ on a convex surface on two symmetric half.