03 - congenital: PDA and pulmonic stenosis Flashcards

1
Q

(PDA)

  1. dogs or cats?
  2. M or F more?
  3. heritable?
A
  1. dogs
  2. female
  3. yes
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2
Q

(PDA)

  1. results from lack of what?
  2. shunt direction?
A
  1. ductal smooth muscle
  2. left to right (aorta into pulm artery)
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3
Q

(PDA)

  1. common breeds: min poodle, maltese, german shephard, yorkshire terrier, shetland sheepdog, collie, pomeranain, lab, bichon frise
A
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4
Q

(PDA)

  1. murmur location
  2. timing
  3. pulse quality
A
  1. left base
  2. continous
  3. bounding
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5
Q

(PDA)

  1. enlargement of heart where?
A
  1. LV and LA
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6
Q

(PDA)

radiographs

normal in dogs with mild disease

  1. see what?
A
  1. LA and LV enlargement
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7
Q

(PDA)

blood pressure

  1. systolic?
  2. diastolic?
A
  1. normal
  2. decreased
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8
Q

(PDA)

  1. treatment?
A
  1. plug it or ligate it

(+medical mgmt for CHF)

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9
Q

(PDA)

(prog)

  1. small -> might not develop Cx
  2. large: develop Cx, shortened life span w/o tx
A
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10
Q

when would you see R to L shunting PDA?

A

when ^ pulmonary vascular resistance

can’t close it -> prog is poor

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11
Q

(pulmonic stenosis)

  1. common in dogs
  2. can get worse with age
  3. somteimes left coronoary artery encricles RV outflow tract causing this (bulldogs and boxers)
A
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12
Q

(pulmonic stenosis)

  1. heritable?
  2. breeds: english bulldog, west highland white terrier, boxer, chihuahua, mastiff, beagle
A
  1. yes
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13
Q

(pulmonic stenosis)

  1. Cx?
A
  1. may be normal, ex intol, lethargy, syncope, ascites, sudden death
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14
Q

(pulmonic stenosis)

  1. murmur location?
  2. timing?
  3. pulse quality?
A
  1. left base
  2. systolic
  3. normal
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15
Q

(pulmonic stenosis)

  1. enlargement of what chambers?
A
  1. RA and RV

(enlarged caudal vena cava)

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16
Q
  1. common tx options?
A
  1. balloon valvuloplasty, beta-blockers
17
Q
  1. prog
A
  1. mild - no problem
  2. mod - possible Cx

bad - Cx, shortened life