Sunday, February 7, 2010
Vet School Views
Friday, February 5, 2010
The Complete Idiot's Guide To Brain Surgery-- Veterinary Edition
This morning in neuroanatomy my professor put up an image of _The Complete Idiot's Guide To Brain Surgery_ and then announced that they would shortly be coming out with a veterinary edition in case any of us wanted to attempt to remove some brain tumors in our general practices. There was dead silence. And then I said, "Are you joking?" And the entire class and professor laughed at me. I felt very silly. I sit in the front row too in that class, so I'm rather conspicuous. Sometimes I wish I sat in the back and kept my mouth shut.Meanwhile, there isn't even a _Complete Idiot's Guide To Brain Surgery_ in humans (it's a spoof). So now I'm really curious to know where she got the image. Did she photoshop it or get it off an internet site I can't find? (Addendum: She's not sure where she found the image, but she sent it to me and I got permission from its creator to use it).
Here are some choice quotations from neuroanatomy class today, "The brain in real life is like a poorly done jello mold-- sagging if left just by itself but it is floating in a cushion of CSF."
And then from our lab guide: "If your half brain is cut off midline you may have trouble seeing the 3rd ventricle since it is so narrow. If you have more than half a brain, try to find the 3rd ventricle with a probe via the mesencephalic aqueduct. If you have less than half a brain:), try to find a good example on another brain."
It's good to have some humor about these things.
Lastly, I noticed today that the sign on the door to our wetlab where we hold neuroanatomy gross lab says: "No Food! No Drinks! This is a pathogenic lab where people work with gross stuff." Uh huh.
Nervy
I learned some interesting things about nerves in my ruminant anatomy class yesterday morning.
Have you ever hit your funny bone? If you have, the sensory input comes from branches of the ulnar nerve, which travels towards the ulna bone, the caudal bone in the distal limb. However, I can't tell you how common it is for ruminants to hit their funny bone. Who knows what life is like when you walk on four legs?
I also learned something more clinical that I had not touched on since vet tech school. The radial nerve, which travels from medial to lateral, traveling over the lateral brachialis muscle distal to the teres major to supply extensors of the elbow, carpus and digits gives off a large sensory branch, the superficial branch. The superficial branch of the radial nerve gives off the lateral cutaneous antebrachial nerve and then continues in the distal limb associated with the cephalic and accessory cephalic veins.
This means that there are sensory nerves on either side of the cephalic vein since the cutaneous branch parallels the cephalic vein. When doing a blood draw on the cephalic vein of an animal (which is common), you may accidentally hit one of these sensory branches and the animal will yelp and jump. Uneducated assistants and some techs even don't know enough anatomy to know they just poked a nerve and will try to keep going, assuming the animal is just being recalcitrant. I've seen this happen. I've also hit this cutaneous nerve by accident myself on patients. Personally, it gives me the jitters and I try to avoid drawing blood from the cephalic vein, preferring femoral or saphenous in the back leg. However, this is the most common site for peripheral catheters so I still use it quite a bit. Luckily, for catheters you get to shave/clip the hair and so the vein is usually much more obvious.
Another thing we learned in ruminant anatomy class related to the distal limb was naming the distal most arteries. I quote my fabulous and funny professor on this subject: "That's why these names are about 3 feet long, because they are being very specific about where these arteries are."
The two most distal arteries in the ruminant thoracic limb are the palmar common digital artery III, which is a continuation of the median artery and which gives off the axial palmar proper digital arteries of digits III and IV.
In case you are wondering what these names refer to--
Have you ever hit your funny bone? If you have, the sensory input comes from branches of the ulnar nerve, which travels towards the ulna bone, the caudal bone in the distal limb. However, I can't tell you how common it is for ruminants to hit their funny bone. Who knows what life is like when you walk on four legs?
I also learned something more clinical that I had not touched on since vet tech school. The radial nerve, which travels from medial to lateral, traveling over the lateral brachialis muscle distal to the teres major to supply extensors of the elbow, carpus and digits gives off a large sensory branch, the superficial branch. The superficial branch of the radial nerve gives off the lateral cutaneous antebrachial nerve and then continues in the distal limb associated with the cephalic and accessory cephalic veins.
This means that there are sensory nerves on either side of the cephalic vein since the cutaneous branch parallels the cephalic vein. When doing a blood draw on the cephalic vein of an animal (which is common), you may accidentally hit one of these sensory branches and the animal will yelp and jump. Uneducated assistants and some techs even don't know enough anatomy to know they just poked a nerve and will try to keep going, assuming the animal is just being recalcitrant. I've seen this happen. I've also hit this cutaneous nerve by accident myself on patients. Personally, it gives me the jitters and I try to avoid drawing blood from the cephalic vein, preferring femoral or saphenous in the back leg. However, this is the most common site for peripheral catheters so I still use it quite a bit. Luckily, for catheters you get to shave/clip the hair and so the vein is usually much more obvious.
Another thing we learned in ruminant anatomy class related to the distal limb was naming the distal most arteries. I quote my fabulous and funny professor on this subject: "That's why these names are about 3 feet long, because they are being very specific about where these arteries are."
The two most distal arteries in the ruminant thoracic limb are the palmar common digital artery III, which is a continuation of the median artery and which gives off the axial palmar proper digital arteries of digits III and IV.
In case you are wondering what these names refer to--
- Over the digit, the vessel is described as palmar or dorsal, indicating the surface it runs along
- It is 'common' if it is supplying more than one digit (i.e. digits III and IV which are the two digits of the ruminant)
- It is axial (close to the midline) or abaxial (farther from the midline, more lateral) if supplying a single digit
Wednesday, February 3, 2010
Simon In The Sun
Above: One of my favorite shots of Simon, with Lindy in the background, making the most of our sunny weekend.
Below: Simon half-asleep.
Below: Simon and Lindy sprawled out in the sun.
Tuesday, February 2, 2010
Winter Goldfinches
just when I need something to remind me of life
of the unfettered lightness of happiness
versus the oppressive lead weight of depression
goldfinches arrive at my feeder
in their drab winter plumage
they are nothing like their bright yellow summer color--
not the eye candy I am used to--
yet they make my heart sing
remember spring
a goldfinch nest I once found in a tiny sapling
standing in a sea of cement
next to my mailbox
wild animals will make their homes
in the least likely of places
when forced to
just like i have no alternative here
to finish vet school
i must make my home in this grey, snowy place
but i remember being happy
and some of the lightness trickles back in
Monday, February 1, 2010
Words For Monday: Hystricognathi, Scuiridae and Myomorpha; Chalazion, Hordeolum and Sty
Last week in the comparative anatomy class we looked at a South American porcupine skeleton. These animals belong to the rodent infraorder hystricognathi, which also includes guinea pigs. In hystricognathi, part of the masseter muscle passes through the infraorbital foramen. Bizarre, I know.
And Scuiridae is a family of rodents that includes squirrels. So instead of remarking that someone is acting squirrely, one could say a person is 'scuiridy.' Of course, no one would have the faintest clue what you were talking about. Except me.
Myomorphs are a suborder of rodents that contains mice, rats, hamsters and gerbils among others. Their medial masseter muscle passes through the eye socket. I am not entirely sure how this is different than hystricognathi, but I think it is because the entire masseter muscle passes through the infraorbital formaen. At any rate, it is unique among mammals according to Wikipedia.
Meanwhile, in ruminant anatomy we learned that the dental arcades are called 'anisognathous' because they do not wear evenly, creating sharp point on the outer upper and inner lower teeth. I believe horses also have anisognathous dental arcades as they get their teeth 'floated' too.
Among other tidbits contained in my notes in this section is this: "Tongue is considered an 'organ meat' and is offered as a dressed organ at the time of butchering." I know some Native Americans prized buffalo tongue and next time some is available at the Ithaca Farmer's Market I plan to try it.
Ruminants have a groove running across their tongue (horizontally, not longitudinally!) partway down the tongue, the fossa linguae, that is the junction of the apex and torus of the tongue. I will be sure to locate the fossa linguae when I get my hands on some buffalo tongue.
Tomorrow we are studying and dissecting the ruminant eye. I really like the eye.
I've learned from reading my notes that the limbus is the junction of the scleral and corneal components of fibrous tunic of the eye. And that the space between the palpebral and bulbar conjunctiva is the conjunctival sac. My notes give this interesting tidbit: "Grazing and browsing animals are subject to foreign bodies lodging in the conjunctival sac. Excessive tearing, blepharospasm or discharges may result."
The next paragraph continues: "Small openings are associated with the margins of the upper and lower eyelids. These are the openings of the tarsal glands that secrete an oily substance that contributes to the tear film [helps prevent evaporation of the tear film]. Small sebaceous and sweat glands are associated with the eyelashes and unicellular mucous glands line the palpebral conjunctiva. Any of these glands may become inflamed and/or blocked. The resulting swellings are called a chalazion if they involve the tarsal glands and a hordeolum, or sty, if they involve the lid margin."
In human medicine a chalazion is also called a meibomian gland lipogranuloma apparently. Kind of makes sense since in human med the tarsal gland is the meibomian gland.
Got to love human med, where everything is named after someone. According to Wikipedia, a stye or hordeolum is "an infection of the sebaceous glands of Zeis at the base of the eyelashes or an infection of the apocrine sweat glands of Moll."
Apparently styes are smaller and less likely to cause lasting damage. One frequent cause of chalazia in people (not cows!) is not properly removing eye makeup which then gathers in the tarsal gland and leads to the formation of a cyst. There are times when I am glad that I don't wear makeup!
So many new words every day now. It's enough to make one's head spin.
And Scuiridae is a family of rodents that includes squirrels. So instead of remarking that someone is acting squirrely, one could say a person is 'scuiridy.' Of course, no one would have the faintest clue what you were talking about. Except me.
Myomorphs are a suborder of rodents that contains mice, rats, hamsters and gerbils among others. Their medial masseter muscle passes through the eye socket. I am not entirely sure how this is different than hystricognathi, but I think it is because the entire masseter muscle passes through the infraorbital formaen. At any rate, it is unique among mammals according to Wikipedia.
Meanwhile, in ruminant anatomy we learned that the dental arcades are called 'anisognathous' because they do not wear evenly, creating sharp point on the outer upper and inner lower teeth. I believe horses also have anisognathous dental arcades as they get their teeth 'floated' too.
Among other tidbits contained in my notes in this section is this: "Tongue is considered an 'organ meat' and is offered as a dressed organ at the time of butchering." I know some Native Americans prized buffalo tongue and next time some is available at the Ithaca Farmer's Market I plan to try it.
Ruminants have a groove running across their tongue (horizontally, not longitudinally!) partway down the tongue, the fossa linguae, that is the junction of the apex and torus of the tongue. I will be sure to locate the fossa linguae when I get my hands on some buffalo tongue.
Tomorrow we are studying and dissecting the ruminant eye. I really like the eye.
I've learned from reading my notes that the limbus is the junction of the scleral and corneal components of fibrous tunic of the eye. And that the space between the palpebral and bulbar conjunctiva is the conjunctival sac. My notes give this interesting tidbit: "Grazing and browsing animals are subject to foreign bodies lodging in the conjunctival sac. Excessive tearing, blepharospasm or discharges may result."
The next paragraph continues: "Small openings are associated with the margins of the upper and lower eyelids. These are the openings of the tarsal glands that secrete an oily substance that contributes to the tear film [helps prevent evaporation of the tear film]. Small sebaceous and sweat glands are associated with the eyelashes and unicellular mucous glands line the palpebral conjunctiva. Any of these glands may become inflamed and/or blocked. The resulting swellings are called a chalazion if they involve the tarsal glands and a hordeolum, or sty, if they involve the lid margin."
In human medicine a chalazion is also called a meibomian gland lipogranuloma apparently. Kind of makes sense since in human med the tarsal gland is the meibomian gland.
Got to love human med, where everything is named after someone. According to Wikipedia, a stye or hordeolum is "an infection of the sebaceous glands of Zeis at the base of the eyelashes or an infection of the apocrine sweat glands of Moll."
Apparently styes are smaller and less likely to cause lasting damage. One frequent cause of chalazia in people (not cows!) is not properly removing eye makeup which then gathers in the tarsal gland and leads to the formation of a cyst. There are times when I am glad that I don't wear makeup!
So many new words every day now. It's enough to make one's head spin.
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