Gross Necropsy Form 4 page

National Sea Turtle Stranding & Salvage Network Stranding and Gear Interaction Data Collection

5 Gross Necropsy Form 4 page

OMB: 0648-0496

Document [pdf]
Download: pdf | pdf
OMB #0648-0496 Exp Date: XX/XX/20XX

SEA TURTLE STRANDING & SALVAGE NETWORK – GROSS NECROPSY FORM (4-PAGE)
IDENTIFICATION
STSSN #: ________________________

Other identifier(s)/#: _______________________

Rehab: Y N

Found dead: Y N

If no, date of death: ____/____/______ leave blank if unknown (Use mm/dd/yyyy for dates)

Euthanized: Y

Frozen/Thawed: Y N

N

Date necropsied: ____/____/______
Necropsy description:

Condition at necropsy: 1 2 3 4 5

Examiner: _________________

Complete examination

Disposition of carcass: Buried on beach

Partial examination

Buried off site

Rendered

Species: CC CM DC LK EI LO HYBRID UNK

Affiliation: ________________________

Limited examination
Incinerated
Sex: Male

Other
Female

Undetermined

ANATOMIC LOCATION CODES:
Head (H)
Neck(N) Eyes(E) Mouth(M) Carapace(C) Plastron(P) Tail(T) Vent(V)
Front flipper - Right(R) Left(L) Rear flipper - Right(F) Left(G) All appendages(Y) Pectoral girdle(J) Pelvis(I) Esophagus(Es)
Stomach(St) Small intestine(Si) Colon(Co)
Cloaca(Cl)
Examples:
Enter anatomic codes after numbered entries and by applicable descriptors in shaded areas

EXTERNAL INJURIES:

Y

N

CBD(Could Not be Determined/Evaluated)

 PHOTOS w/ scale

1-Parallel chop wounds_____ 2-Single/non-parallel chop wound_____
3-Blunt/crushing____ 4-Amputation____
5-Entangle-type_____ 6-Penetrating_____ 7-Bite wound _____ 8-Incised/mutilation_____ 9-Other____
Hemorrhage/clots___ Exudate/fibrin___
Partial healing___
Completely healed___
None___
CBD___
Coelom breached___ Brain/spinal cord damaged___
Lung exposed___
Other organs exposed___
CBD__
External Injury Comments & External Diagram:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
 DORSAL PHOTO
 VENTRAL PHOTO
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________

MAN-MADE MATERIAL:

Y

N

Assoc with injury? If yes, enter number(s) from injury section here:_______ (e.g., 5)

Hook(s)____
Monofilament line____
Multifilament line(<5mm) ____ Multifilament line(>5mm) ____
Netting____
Trap ____
Oil ____
Paint ____
Other____

Buoy____

If entangled, how many of wraps around body part?:_____, which part?_____ 1 (use anatomic codes)
indicate the same for any additional areas involved:___,___2 ; ___,___3 ; ___,___4 ; ___,___5 (Example: _4_,_R_)
If a ligature (entanglement-type) mark/wound present:
Depression in skin only
Skin incised/ulcerated
Muscle/bone exposed
Flipper necrotic/gangrenous
Flipper missing
Description of Material: (include color, shape, size, and any identification numbers)
PHOTO w/ scale
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Disposition of Material:
OTHER EXTERNAL ANOMALIES:

Y

N

CBD

Heavily encrusted w/ epibiota
FP_______:

Papillary texture?

Ulceration/dermatitis_______:

PHOTO

Leeches: Few
On eyes?

Many

In mouth?

Superficial crusts-

FP severity (circle):

few/small

Masses (non-FP or uncertain)______

Gooseneck barnacles
1

2

3

Deep/ulcerated-

large

few/small

large

Other_________

Other External Anomalies Comments: (include any entries of “Other”)
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

INTERNAL EXAMINATION (additional space for comments on pg.4)
MUSCLE STATUS:
FAT STATUS:

Well-muscled/No atrophy

Abundant/No atrophy

MUSCULOSKELETAL: EXAMINED

Partial atrophy

Partial atrophy
CBD

Severe atrophy

CBD

Severe atrophy(depleted)

PHOTO

CBD

Joint fluid: No findings Cloudy/solid material Bloody

Skeletal findings: No findings Fractures Dislocation Avulsions Deformities Other (note location(s) in comments)
Musculature findings:
Findings/Comments:

No findings Trauma

Hemorrhage

Pallor

Necrosis

Other

________________________________________________________________________________________________
COELOM: EXAMINED
CBD
Coelomic fluid Volume: _____ml
actual est.
Coelomic fluid: No findings
Cloudy/solid material
Blood-tinged
Blood clots
Exudate/fibrin
Other
Viscera (general): No findings
Encysted parasites
Organs pale
Adhesions
Masses
Other
Findings/Comments:
_________________________________________________________________________________________________
Internal FP? (list locations & number/site):
HEART & MAJOR VESSELS: EXAMINED

CBD

Pericardial fluid:  No findings Cloudy/solid material
Heart/vessel Findings: No findings

Trauma

Blood in heart chambers:
Blood-tinged

Endocarditis/arteritis

Blood clots

Fibrin

Y

N

CBD

Other

Vessels thickened Adhesions

Other

Findings/Comments:

LIVER & GALL BLADDER: EXAMINED

CBD

Liver Findings: No findings Pallor Atrophy (shrunken, black) Trauma
Biliary Findings: No findings

Gall bladder thickened

Masses (<2mm)

Bile ducts thickened

Masses (>2mm)

Other

Ulcers Exudate Stones Other

Findings/Comments:

___________________________________________________________________________________________________________

INTERNAL EXAMINATION (cont.)
ANATOMIC LOCATION CODES:

Mouth(M)

ALIMENTARY TRACT: EXAMINED

Esophagus(Es)

Stomach(St)

CBD

Small intestine(Si)

Colon(Co)

Cloaca(Cl)

Mouth examined?

No findings
Abnormal
Ingested fish
Ingested shrimp
10-Ulcers/exudate____
11-Trauma/perforation____
12- Obstruction/blockage_____
13-Intussusception_____
14-Plication ______
15-Fluke eggs_____
16-Nematodes_____
17-Other______
<5% affected____
MAN-MADE MATERIAL:

Hook____

5-25%____

Y

N

>25-50%____

>50%____

N/A

Assoc with injury? If yes, enter the number(s) here:_____(e.g., 14)

Line____ Misc hard plastic____ Misc soft plastic____
Balloon____ Oil/tar____ Other____

Saved?

Plastic bag____
PHOTO

w/ scale

Disposition of Material: ___________________________________________________________________________________

Mouth:

Empty

Contents (describe): _________________________________________________________

Esophagus:

Empty

Contents (describe): _________________________________________________________

Stomach:

Empty

Contents (describe): _________________________________________________________

Intestine (first ½):

Empty

Contents (describe): _________________________________________________________

Intestine (last ½):

Empty

Contents (describe): _________________________________________________________

Findings/Comments: (include any entries of “Other” & description of any man-made material)

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SPLEEN: EXAMINED

CBD

PANCREAS: EXAMINED

Spleen Findings:

CBD

No findings

Pancreas Findings:

Trauma

No findings

Enlarged

Trauma

Masses

Masses

Other

Other

Findings/Comments:

UROGENITAL: (kidneys, reproductive, urinary bladder) – EXAMINED

CBD

Kidneys/Bladder Findings:
No findings Trauma Enlarged Asymmetrical
Gonads identified as: Testes Ovaries
Unknown (Indicate sex on Page 1)
Testes–characterization: Cylindrical Ellipsoidal Flat
Ducts:

Not expanded from wall

Distinct ridge

Masses

Other

Testes-size: ________length x ________width (cm)

Pendulous

Obvious white coils

Ovaries–characterization: All follicles <4mm Developing follicles (4-24mm) Corpus luteum (>7mm) Corpus albicans
Ovary length: ________ (cm)
Oviduct–characterization:
White, straight (<3mm diameter) Partially convoluted (3-15mm diameter)
Very convoluted (>15mm diameter) Contains eggs (>24mm)
Findings/Comments:
_________________________________________________________________________________________________________________________

RESPIRATORY: Trachea/bronchi: EXAMINED CBD
Trachea/bronchi findings: No findings Froth-some Froth-lots
Lungs: EXAMINED CBD
Lungs findings: No findings

Wet/frothy

Sand/sediment

Sand/sed
Trauma

Trauma
Exudate

Exudate
Other

Other

CBD

CBD

Findings/Comments:

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

CENTRAL NERVOUS SYSTEM – Brain: EXAMINED
Brain findings: No findings
Spinal cord: EXAMINED

Trauma

CBD

Hemorrhage

Necrosis

Exudate

Fluke eggs

Other

CBD

Spinal cord findings: No findings

Trauma

Hemorrhage

Necrosis

Exudate

Fluke eggs

Other

Findings/Comments:

_________________________________________________________________________________________________
_________________________________________________________________________________________________
SUMMARY COMMENT SECTION
Comments / Summary of findings: Please summarize your findings: include any injuries, obvious major abnormalities, nutritional condition, and
review of digestive contents. For example: 1. Parallel chop wounds with blood clots; 2. Abundant fat; 3. Crab shell in stomach and intestine.

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SPECIMEN COLLECTION INVENTORY
Specimen (label w/ ID#) Fixed

Frozen-bagged

Frozen-Foil

Other (specify)

Location

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for
failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the
information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information
collection is 0648-0496. Without this approval, we could not conduct this information collection. Public reporting for this information
collection is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to
this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information
collection, including suggestions for reducing this burden to the NOAA National Marine Fisheries Service, Office of Protected
Resources, Attn: Stacy Hargrove ([email protected]).


File Typeapplication/pdf
File TitleMicrosoft Word - STSSN.necropsy.4pg.V5.print
Authorwendy.piniak
File Modified2023-06-05
File Created2023-05-30

© 2024 OMB.report | Privacy Policy