Abdomen Exam Flashcards
what organs are part of the retroperitoneal space
kidneys
ureters
adrenal glands
aorta
caudal vena cava
some LN
differentials for retroperitoneal fluid
hemorrhage (trauma, coagulopathy, neoplasia)
urine leakage
AKI
foreign body abscess
why might you see gas in the retroperitoneal space?
cranial connection to mediastinum of thorax & caudal connection to intrapelvic region
significance of mineralization in cat adrenal glands? dogs?
cats - insignificant
dogs - benign adenoma or primary malignant neoplasia
what are you comparing the size of kidneys to when measuring?
L2
bilateral enlarged kidney ddx
renal lymphoma
FIP
hydronephrosis
AKI
congenital PSS
metastatic neoplasia
polycystic kidney disease
unilateral enlarged kidney ddx
hydronephrosis
compensatory hypertrophy
primary renal tumor
renal cysts
metastatic neoplasia
bilateral small kidney ddx
CKD
renal dysplasia/hypoplasia
unilateral small kidney ddx
CKD
atrophy secondary to chronic obstruction
causes of cranial displacement of the bladder
prostatomegaly
causes of caudal displacement of the bladder
perineal hernia
mid-abdominal mass
causes for lack of visualization of the bladder with normal peritoneal detail
small bladder
pelvic bladder (dog)
herniated
ectopic ureters
causes for lack of visualization of the bladder with poor peritoneal detail
young or under conditioned
peritoneal effusion (CHF or ruptured bladder)
causes of emphysematous cystitis
diabetes mellitus
corticosteroids
chronic UTI
gas-producing bacteria
what are the most common uroliths?
struvite & calcium oxalate
what view can you do to help see uroliths?
paddle shot
3 portions of male urethra
prostatic
membranous
penile
what is the purpose of a ‘butt shot’
to better see male urethra, esp uretholiths
when should you do a cystourethrogram?
rupture or stricture of lower urinary tract
what ddx would you have for small gas bubbles present in hepatic parenchyma?
abscess or necrotic tumor
how is the gastric axis displaced with hepatomegaly? microhepatic?
hepatomegaly - displaces gastric acid caudally
microhepatic - displaces gastric acid cranially
dxx for microhepatia
chronic liver dz
cirrhosis
PSS
ddx for enlarged/abnormal prostate?
prostatic neoplasia
BPH
prostatitis
prostatic abscess
if the prostate has mineralization what might you be concerned about
prostatic carcinoma
chronic prostatitis
if you have a male dog that was neutered as a puppy and you see an enlarged prostate with mineralization, what might you be concerned about?
neoplasia
which prostatic abnormality is found in both neutered and intact male dogs
prostatic neoplasia
severe enlargement of the prostate can be indicative of what?
BPH
prostatic abscess
paraprostatic cyst