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Those - 6 AND . The scheme of updating of opening of a skull on Fisher's method (an explanation in the text). an osteal plate it is possible to raise and turn on as a cusp that gives the chance to examine a surface of a hemisphere of a brain. If at and the osteal plate shows resistance, it it is necessary 173 Face-to-face cut on the middle (rice, 43, In,). The fingers entered into a longitudinal sulcus, shift a brain hemisphere a little, and at a head inclination from top to bottom it is buy generic ultram displaced from top to bottom and a hemisphere and there is visible a corpus collosum which dissect is longitudinal, Also it is longitudinal cut a brain part, then an optic nerve and a leg of a brain from each party. If now quickly to incline a head towards the opened hemisphere it drops out on the substituted palm. With other hemisphere arrive as. After excision of hemispheres it is possible to examine well all crescent process and to open a sine, and on the basis generic ultram of a skull - a cerebellum which dissect in the middle or in two places. It gives the chance to take a cerebellum and an oblong brain, and also to open sigmoid both cross-section sine and a tympanic cavity. Upon termination of research a skull cavity close the osteal plates kept on the places. A skin return into place and sew up. The head form at this method does not change almost. If osteal plates sink down, it is necessary to prop up them from within rags, cotton wool or the crumpled paper. Opening of cavities of an ear make in the usual way. If pus is thus found out, do smears and investigate . Spinal cord opening is recommended to be made in all cases as hemorrhages epi-dural, subdural and in substance of a brain are observed quite often and can serve as generic ultram a cause of death. at children it is more convenient to open the channel in front, after opening of cavities of a body and extraction of all organs of a neck, a breast and a stomach as it is described on p., with that only a difference, that for a section of handles and vertebra use not a gouge, and scissors to which they easily give in.
Take a spinal cord the same as and at opening the channel behind. Body cavities open with a midsection from a chin to a pubis, bypassing a belly-button at the left, as usually. Pos it turn on the right half of abdominal wall and examine umbilical vessels. Note their thickness, tortuosity, contents (liquid blood, convolutions, thrombuses). For finding-out of a condition of umbilical vessels of newborns the basic cut finish, not reaching on 2 sm to a belly-button, and from here conduct two slanting cuts to each inguinal area. In generic ultram a direction of these cuts of a skin dissect also an abdominal wall, and in the bottom part of a stomach the triangular dermo-is muscular-peritoneal flap is formed. Having grasped its forceps for an umbilical funicle or for belly-button area, raise up. Thus the umbilical vein going in a direction to a liver, stretches and is well visible. It from a covering peritoneum, make an incision, but do not cut at an umbilical ring and open generic ultram with small blunt scissorses on all ultracet online extent to a liver. Having investigated a vein, cut it at a belly-button, and a triangular flap reject from top to bottom and examine its internal surface where the umbilical arteries going from an umbilical ring to epigastri? arteries of a basin are visible, and between them on an average line lig. vesico-umbilicale medium - the rest urachus. Them also examine on cuts. It is recommended to do smears of contents of umbilical vessels and to investigate them even when there are no visible changes. At suspicion on generic ultram an umbilical sepsis it is necessary to make microscopical research of the slices which have been cut out from vessels of a cord and a belly-button with a skin. For this purpose it is necessary to cut out a dermal flap together with a belly-button and to fix in the straightened kind, then to make some cross-section sections of umbilical vessels and to take from them slices on various distances from a belly-button and one slice from a belly-button with a skin. Now survey a locating of organs of an abdominal cavity and write down their condition. Further open a thorax, but not on costal cartilages, and on ribs for wider generic ultram opening of pleural cavities. Examine and note position and a condition of organs of a thoracal cavity, contents of the pleural are hollow - 175 , open a warm shirt, allocate a gland, measure it and weigh. To define, whether the born child breathed or not, it is recommended to dress a trachea before thorax opening, and generic ultram then to take organs as it usually becomes, and to open lungs under water. Occurrence of blisters of air in water will say that the child breathed, their absence - that the child did not breathe. However it is necessary to remember, that at late opening and the come processes of cadaveric decomposing in a lung there can be gases. At research of lungs it is necessary to define their buoyancy together with heart, then each lung and its shares separately, and also the cut out large and fine slices. Buoyancy of lungs or their slices specifies that the child breathed, so, veins. However it is necessary to mean thus measures of revival of the child (artificial breath) and putrefactive decomposing at which gases are formed. At opening of heart and vessels note a condition of an oval aperture between auricles, a duct, underdevelopments, developmental anomalies and measure a circle of large vessels (a pulmonary artery and an aorta) over valves. For bacteriological research and a Wassermann reaction take blood from heart before its opening by rules of bacteriological technics. At research of organs of breath pay attention to contents of a larynx, a trachea and bronchuses (an aspiration of amniotic generic ultram waters, milk), and also a nose and a mouth. Pneumonia at newborns meets often, and is diagnosed hardly.