3. Flashcards

1
Q

if male dog midline incision what do you have to do extra

A
  • Preparation of prepuce
  • Preputial branches of caudal superficial epigastric
  • Preputialis muscles
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2
Q

when to use paracostal

A
  • give access to cranial abdomen
  • combined with lateral throacotomy for trans-diaphragmatic procedures (omentalization of thorax)
  • liver
  • adrenals
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3
Q

how thick for biopsy sample for hollow organs

A

full thickness

  • need to preserve: 10% formalin
  • C/S ?
  • impression smears?
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4
Q

liver is divided into

A

** Left division**

  • Left lateral and medial lobes
  • Papillary process of the caudate lobe

Central division

  • Quadrate and right medial lobe

Right division

  • Right lateral and caudate lobes
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5
Q

the left division of liver includes

A
  • Left lateral and medial lobes
  • Papillary process of the caudate lobe

Central division

  • Quadrate and right medial lobe

Right division

  • Right lateral and caudate lobes
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6
Q

the central division of liver includes

A

Left division

  • Left lateral and medial lobes
  • Papillary process of the caudate lobe

Central division

  • Quadrate and right medial lobe

Right division

  • Right lateral and caudate lobes
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7
Q

the right division of liver includes

A

Left division

  • Left lateral and medial lobes
  • Papillary process of the caudate lobe

Central division

  • Quadrate and right medial lobe

Right division

  • Right lateral and caudate lobes
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8
Q

4 ways to do partial biopsy of liver

A

suture fracture
finger fracture
punch
lobectomy

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9
Q

for complete liver lobectomy what is important

A
  • Double ligation of blood vessel sealing device vessels and biliary ducts near the hilus
  • Suture, TA stapler,
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10
Q

biopsy techniques for spleen

A
  • FNA- not very helpful
  • tru-cut needle
  • excisional
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11
Q

how to do biopsy in intestine

A
  • Full-thickness longitudinal incision
  • Avoid mesenteric vasculature
  • Stay suture placed in biopsy
  • Appositional closure (longitudinal or transverse) engaging submucosa
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12
Q

blood supply to pancreas

A
  • splenic artery
  • cranial and caudal pancreaticoduodenal
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13
Q

how to biopsy pancreas

A
  • carfully!
  • suture fracture
  • dissection and ligation
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14
Q

how to biopsy kidney

A

– Tru-cut needle biopsy
– Wedge biopsy
– Partial nephrectomy
– Nephrectomy

  • careful for bleeding
  • careful for renal function- want to diuresis to prevent clots
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15
Q

how to biopsy bladder

A
  • full thickness
  • +/- C/S
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16
Q

how to do biopsy of prostate

A

Exposure
Extend incision caudally
– Stay suture in bladder

Technique
Avoid prostatic urethra
– Tru-cut needle biopsy
– Wedge
– Subtotal prostatectomy

17
Q

how to biopsy lymph node

A
  • normally wedge with mattress suture closure
  • remove whole LN- ligate vessels to avoid hemorrhage
18
Q

ancillary techniques to cover defects in abdomen

A

omental patch
serosal patch