Clincal disease of the repro tract 1 (Female) Flashcards
What things give a good indication about the reasons of vulval discharge?
Age and neuter status!
Stage of reproductive cycle (meteostrus, pregnancy)
Colour of discharge
Location of discharge origin (uterus, vagina, urethra?)
What conditions is a mucopurulent discharge associated with?
Vaginitis
Early metoestrus
Open pyometra
Cystitis
What are the cause/treatment of:
a) Juvenile vaginitis
b) Adult vaginitis
a) Secondary to bacterial contamination/excess vaginal secretion - usually resolves after first season
b) Aim to treat specific causes, may respond to exogenous oestrogens
When does pyometra often present?
Within the first 8 weeks after oestrus
Outline the etiology of pyometra.
It is generally progesterone driven. Progesterone lowers immunity and uterine motility. There is also often cystic endometrial hyperplasia which can predispose to bacterial infection. The open cervix from the previous season is also a factor here.
How is pyometra diagnosed?
Ultrasound and radiography will show uterine enlargement without signs of pregnancy.
What are the common causes of vaginal trauma?
What is the treatment?
Iatrogenic
Forced seperation during mating
Supportive treatment, possibly BS ABs
What important questions should be asked when dx a vaginal mass?
Age, neuter status
Stage of repro cycle:
- Oestrus
- Pregnancy
Size, shape, consistency of mass
- Hole?
- Within wall or lumen?
- Location with respect to urethral orificeWhat is the most common neoplastic lesion of the vagina/vestibule?
Leimyomas/Leiomyosarcomas
Most often occur in entire bitches
What are the treatments for vaginal neoplasia?
Surgical Excision + OVH
Chemotherapy (vincristine) for TVT
What is the etiology of vaginal prolapse?
How can it be treated?
Excessive estrogen response during follicular phase leading to oedema and prolapse or hypertrophy.
Tx: Keep moist, suture vulva
- Surgical excision - Control of oestrus/neuter
What is the treatment for ambiguous genitalia?
Remove gonads and may need to remove penis partially/completelt and treat incontinance/other secondary problems
What are the different classifications of dystocia?
Maternal
Maternofoetal
Foetal
What are the common foetal causes of dystocia?
Increased size (litter size, gestational length, breed etc.)
Malpresentation (most common)
Abnormal development
Describe primary and secondary uterine inertia.
Primary: uterus fails to respond to foetal signals
Secondary: Exhaustion of the myometrium
