After that it dissect scissors

After that it dissect scissors to the right of a uvula, and from the prosector at the left and movement of scissors to the right turn on a uvula with a soft palate part. Now examine the bottom surface and handles of a soft palate: note size of tonsils, degree of their protrusion and fauces, their mucosa, cryptas, slightly squeeze them and examine allocated stoppers, cut them healt news and note colour of a tissue, a consistence, ab-stsessy, wounds, cicatrixes and so forth Pharynx and an esophagus. All remains in the same position. Intestinal scissors dissect on a back surface and in the middle a back wall of a pharynx and an esophagus on all € an extent. Turn on in the parties of edge of a cut of a pharynx and an esophagus and examine their mucosa, bulb-shaped sine and a pharyngeal tonsil if the pharynx is separated highly enough together with fornix pharyngis.
Further note esophagus contents, measure its length and width in the top, average and bottom third. Pay attention to ulcers, cicatrixes, diverticulums, aortic aneurysm perforation in an esophagus and so forth if they are. Esophagus diverticulums settle down on Back and on to its wall. If it is necessary with at l with and about m and diverticulums, pour to a wall, an esophagus cut back It is necessary to conduct not in the middle, and to reject aside, that Not to spoil news health diverticulums. Traction , settling down on a forward wall, from - also establish their connection with subjects Organs. 123 At an esophageal stenosis before it to cut, investigate degree of passableness a probe, a catheter or a finger. It is necessary to mean and cadaveric changes of an esophagus which maceration and digestion can be two sorts. At a posthumous maceration the mucosa of cords becomes and can even disappear, baring . At posthumous digestion by a gastric juice that is observed in the bottom part of an esophagus, the wall gets is dirty-brown colour, is blasted and even is punched in a pleural cavity or in a mediastinum. For survey of the lymph nodes located at a bifurcation of a trachea, a knife the bottom part of an esophagus, holding its forceps, also note size of knots, colour, a cut surface and so forth Larynx, trachea and bronchuses. Them open with pugovochny scissors also on a back surface, dissecting thus and a forward wall of an esophagus if last does not represent interest as a preparation.
If the esophagus needs to be kept, opening of a larynx and a trachea make on a forward wall. For this purpose cut tongue on an average line and further open a larynx and a trachea on a forward wall. Even before larynx opening examine an input in it, the epiglottis, arytenoid cartilages, examine about, larynx-light from above, and find out a condition goloso-howl clefts. Leaving all preparation in former position, with tongue to itself and a back surface up, open, as it has been told, a larynx and a trachea in the middle and further the right bronchus, and then and left, not damaging thus an aorta bent through the left bronchus. Having put the big fingers of both arms on outstanding plates of a thyroid cartilage and having brought under a larynx other fingers, move apart plates in the parties and examine opened lumen of a larynx. If there was an ossification of cartilages as it, is observed in advanced age at delution in the parties of plates of a thyroid cartilage the big resistance is tested; it is necessary to apply effort to its overcoming, and the thyroid cartilage with a crunch is fractured. 124 If resistance is great and to break the be health stiffened cartilages it is not possible, them dissect osteal scissors. Now examine and note contents of a larynx, a trachea and bronchuses, applyings on their mucosa, its condition and so forth If there is a suspicion on an aspiration of a contained stomach make definition of reaction by a litmus paper. Note deformations of a larynx, narrowing or expansion, cicatrixes, ulcers, , tumours and so forth Pay attention to colour of a mucosa, of vessels - a plethora or an anaemia, humidity or dryness, its tumescence and so forth At it is necessary to cut a mucosa and to define, than this tumescence - an edema, blood, pus and so forth is caused At an input in a larynx the mucosa sometimes happens rugosity. It depends on the strong edema which has decreased after mors. If there is a suspicion on alien bodies it is better to make opening on a place, before extraction of organs. For this purpose knife a forward wall of a trachea in the middle and further continue a cut upwards and downwards scissors. Having moved apart cut edges, it is possible to examine trachea and larynx contents. RESEARCH OF LUNGS All , not raising it over a little table, turn tongue from itself, phrenic surfaces of lungs to itself. Examine lungs and note their form, size, attacks or protrusions, colour, measure length, width and a thickness of each lung. Examine a pleura at first right, and then the left lung, note its colour, a thickness, a transparency, thickenings, cicatrixes, wounds, hemorrhages and so forth For definition of shine or dimness of a pleura it is necessary to spend cautiously on a lung surface the dry knife put slantwise; not to scrape, but only to remove a liquid, its covering and to look sideways on from - 125 Light. Very gentle fresh applyings are thus well visible, being moistened, they shine and can be quite often seen. Having convinced of that applyings are available, it is necessary them slightly a knife and to define, how they are taken out: easily or hardly. Fresh applyings are taken out easily, old - hardly or are not taken out at all. Now, having put a knife aside, it is cautious each lung both arms, at all not kneading