The Marine Mammal Center
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case studies

Page Title - Rehabilitate
Secondary Page Title - Clinincal Medicine and Surgery
Diagnostic Techniques/Surgery

Diagnosis of a stranded marine mammal that is admitted to our hospital is a fact-finding process. A primary goal throughout the process is to minimize placing the animal under unnecessary stress. Limiting handling by consolidating procedures such as blood draws and physical examinations is just one of the ways that we strive to minimize our impact on the overall well-being of our patients.

Our clinicians employ a variety of diagnostic approaches to gather information. Physical examinations, patient observation, blood tests, microbiological cultures, and parasitological examinations performed in our in-house laboratory help provide the necessary information to diagnose the patient.

In our lab, our laboratory technologist conducts a variety of analyses on blood and fecal samples as well as culturing tissues and wound swabs for a wide range of microorganisms. Analyzing these results depends upon having baseline data that indicate normal ranges and ranges indicative of specific disease processes against which to evaluate the findings. The Center has contributed to establishing these baseline normal values through its work with marine mammals. Specific analyses include CBCs (complete blood counts) that count and characterize blood cells; serum analysis for biochemical data; and fecal analysis for parasites.

Diagnostic imaging permits further investigation and minimizes the need for more invasive exploratory surgery. Techniques include radiology, ultrasound, laparoscopy and endoscopy conducted in our state of the art Geoffrey C. Hughes Marine Mammal Surgery Center.

Radiography (taking x-rays) is often used to diagnose injuries due to gunshot, as well as looking at fractures or other bone lesions. Radiographs are important in evaluating pulmonary problems and can be used to examine the gastrointestinal tract, especially if special contrast techniques are employed.

Ultrasound is most commonly used for soft tissue evaluation, especially for the abdominal contents. Eye examinations and tracking abscesses are also accomplished with the aid of ultrasound.

Endoscopy includes the use of flexible and rigid techniques. Flexible endoscopy involves the use of a long flexible instrument that has multiple fiber-optics and instrument channels that can be used to look at the inside of the gastro-intestinal tract as well as the airways. Rigid endoscopy refers to techniques such as laparoscopy, which employs minimally-invasive surgery to insert cameras and instruments through a 1cm incision in the abdominal wall. Laparoscopy allows excellent visualization of the abdominal contents to facilitate organ biopsies as well as diagnose such conditions as cancer.

 

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