CLINICA VETERINARIA "ANIMALI"

EST. MVZ.JESUS MARIA PALACIOS RUIZ

34 SUR # 2310 COL. MIGUEL NEGRETE
FORRMATO DE NECROPSIA

No REGISTRO: FECHA: HC:

ESPECIE: RAZA: SEXO: EDAD: PESO:
FECHA DE NACIMIENTO: PROCEDENCIA:
REMITENTE: No. CC./ NIT:
TELEFNO/FAX: CORREO ELECTRNICO:
FECHA DE MUERTE: HORA: EUTANASIA: SI NO MTODO:

SIGNOS E HISTORIA:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________

DIAGNSTICO CLNICO: __________________________________________________________

MATERIAL RECIBIDO:
______________________________________________________________________________________________
________________________________________________________________

NECROPSIA:

1. APARIENCIA EXTERNA:
___________________________________________________________________________________________
___________________________________________________________________________________________
______________________________________________

2. SISTEMA DIGESTIVO, HGADO, BAZO, PNCREAS, TGI:

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________
3. SISTEMA URINARIO:
___________________________________________________________________________________________
_____________________________________________________________
4. SISTEMA REPRODUCTIVO:
___________________________________________________________________________________________
_____________________________________________________________

5. SISTEMA CARDIOVASCULAR:
___________________________________________________________________________________________
___________________________________________________________________________________________
______________________________________________
6. SISTEMA RESPIRATORIO:
___________________________________________________________________________________________
___________________________________________________________________________________________
______________________________________________
7. SISTEMA NERVIOSO:
___________________________________________________________________________________________
___________________________________________________________________________________________
______________________________________________
8. SISTEMA MUSCULAR Y SEO:
___________________________________________________________________________________________
___________________________________________________________________________________________
______________________________________________
9. RGANOS LINFOIDES:
___________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________________________
10. OTROS:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________

MUESTRAS TOMADAS: (FAVOR ESCRIBIR No REGISTRO DE CADA LABORATORIO)

PATOLOGIA LABORATORIOS MUESTRAS NoREGISTRO

TOMADOS CORTADOS MICROBIOLOGIA
PARASITOLOGIA
TOXICOLOGIA
PATOLOGIACLINICA
OTROS

DIAGNSTICO PRESUNTIVO: __________________________________________________

DIAGNSTICO FINAL:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________________________

EL
PATLOGO:_______________________________