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SAM Final > 22. Gallbladder and biliary tract diseases in dogs and cats > Flashcards

22. Gallbladder and biliary tract diseases in dogs and cats Flashcards

1
Q

which animal is more susceptible to gallbladder diseases

A

cats > dogs

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2
Q

Types of cholangitis

A

neutrophilic cholangitis
lymphocytic cholangitis
lymphocytic portal hepatitis
liver fluke caused cholangitis

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3
Q

Aetiology of Acute Neutrophilic cholangitis

A

ascending bacterial infection
(bacteroides, entercoccus, strep, helico, e. coli, staph, clos)

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4
Q

Triggering factors of Acute Neutrophilic cholangitis

A

cholelitis
anatomical abnormalities
pancreatitis
parasites

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5
Q

what is triaditis

A

concurrent inflammation of the liver, pancreas and small intestine

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6
Q

clinical signs of triaditis

A

Fever
Weight loss
Acute vomiting
Anorexia
Diarrhoea
Depression
Dehydration
Apathy
Icterus
Abdominal pain

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7
Q

Aetiology of Chronic Neutrophilic Cholangitis

A

unknown cause
often concurrent with pancreatitis & IBD

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8
Q

Clinical signs of Chronic Neutrophilic Cholangitis

A

intermittent
Intermittent signs
Weakness
Vomiting
Weight loss
Hepatomegaly
Anorexia
Ascites
Apathy
Icterus

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9
Q

Lab D of Chronic Neutrophilic Cholangitis

A

leucocytosis
increased ; ALP, AKT, AST, GGT, BA, Br, cholesterol

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10
Q

Diagnosis of Chronic Neutrophilic Cholangitis

A

liver biopsy and histo path - gold standard
- laprascopically or US guided
FNA
US

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11
Q

Aetiology of Lymphocytic cholangitis

A

Unknown, possible immune related
chronic bacterial infection

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12
Q

Clinical signs of Lymphocytic cholangitis

A

Varying appetite
Nausea
Hepatomegaly
Icterus
Weight loss
Ascites

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13
Q

Lab D of Lymphocytic cholangitis

A

neutrophilia
Non regen anaemia
Increased ; ALT, AST, AP, BA, Br,
decreased ; albumin
lymphopenia

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14
Q

Diagnosis of Lymphocytic cholangitis

A

Liver biopsy - gold standard
US
FNA not reliable

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15
Q

Prognosis of Lymphocytic cholangitis

A

wont recover
survive 1-3yes

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16
Q

Lymphocytic portal hepatitis

A

non specific lymphocytic infiltration of portal region

17
Q

Treatment of cholangitis

A

AB
Analgesia
Surgery
Antiinflammatories
Immunosuppressants
Supportive therapy

18
Q

Supportive therapy

A

Vit K1, B12
Silymarin
SAMe
NAC
diet

19
Q

Antiinflammatories

A

Pred
UDCA

20
Q

surgery

A

cholecystectomy
cholecystoduodenostomy

21
Q

Analgesia

A

Buprenorphine
Butorphanol
Fentanyl patch

22
Q

AB

A

Acute & suppurative - in lymphocytic cholangitis.
suupurative - 6 week course - amoxiclav, cefazolin, cephalexin, metronidazole
Chronic, systemic, recurrent - fluroquinolones - marbofloxacin. 4 week course

23
Q
A

SAM Final (48 decks)

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