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Necropsy Form: Organ Findings Findings

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Necropsy Form

Date of Death: Clinician:


Date of Necropsy:
Patient Name: Age:
Species:
Owner:
History:

Clinical diagnosis:
Died □ Euthanized □ Method of euthanasia:

Body weight: Body condition score:


General body condition:

Organ Findings Organ Findings


Skin Yolk sac
Subcutis Large intestine
Feathers Cloaca
Umbilicus Vent
Pectorals Spleen
Air sacs Liver
Pericardial sac Gall bladder
Thyroid Ovary
Parathyroid Testes
Thymus Adrenal
Oropharynx Kidneys
Tongue Ischiatic nerve
Trachea Brachial plexus
Syrinx Muscles
Lungs Bones
Heart Bone marrow
Great vessels Growth plate
Esophagus Joints
Crop Ear
Proventriculus Eye
Ventriculus Brain
Small intestine Leptomeninges
Ceca Pituitary gland
Pancreas Spinal cord

Histopath □ Culture □ Cytology □ Impression Smear □

Tissue frozen for toxiciology, viral isolation □

LafeberVet.com Clinician’s signature ____________________________

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