Chapter 45 - Pleural Effusion Flashcards

1
Q

What is more common in dogs and cats - BI-lateral or UNI-lateral pleural effusion?

A

bilateral

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2
Q

What is the typical breathing pattern of dogs and cats with pleural effusion?

A

rapid, shallow breathing, increased abdominal component. Ultimately some animals may exhibit orthopneic positioning. Cats may exhibit paradoxial breathing

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3
Q

What volume of pleural effusion causes clinical signs in dogs? In cats?

A

Dogs - 30-60mL/kg, 20mL/kg in cats

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4
Q

Transudates are a result of a disturbance in the balance of what three things? (relating to the vasculature)

A

capillary hydrostatic pressure, intravascualr oncotic pressure, and vascular endothelial permability

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5
Q

How low is abumin typically if hypoalbuminemia is the cause of a transudate?

A

<1.5

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6
Q

What is the total protein level and total nucleated cell count of a pure transudate?

A

TP <2.5, TNCC <1500

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7
Q

What is the total protein level and total nucleated cell count of a modified transudate?

A

TP 2.5-7.5, TCNN 1000-7000

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8
Q

What is the total protein level and total nucleated cell count of an exudate?

A

TP >3, TNCC >7000

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9
Q

Which lung lobes are most frequently affected by lung lobe torsions?

A

right middle and right cranial

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10
Q

What is the minimum PCV to call an effusion hemorrhagic?

A

10%, and within 10% of the peripheral PCV

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11
Q

Thoracic duct fluid has what three sources?

A

Lymph of herpatic origin, lymph from thehind limbs, and from the intestines

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12
Q

What is chyle specifically?

A

Lymph from the intestine with a high fat content.

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13
Q

The fat in chyle is in what form?

A

Chylomicrons (aggregates of triglycerides, phospholipid, lipoprotein and cholesterol

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14
Q

What is the typical specific gravity and TP of chylous effusions in dogs? In cats?

A

1022 - 1027, TP 2.5-6.2 in dogs, 1019 - 1050, TP 2.6-10 (cats)

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15
Q

In dogs, how high is the triglyceride content of an effusion to call it chylous?

A

> 100mg/dL

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16
Q

Describe medical management of chylothorax

A

Intermittent thoracocentesis, reduced fat diet, increased intake of medium chain triglycerides and the sue of benozpyrones.

17
Q

How does rutin work?

A

Rutin (benopyrone) is used to theoretically increase chyle reabsorption from the plerual space

18
Q

In what percentage of dogs does effusion persist post thoracic duct ligation? In cats?

A

20-50% of dogs, 50-80% of cats.