Clinical Disease in Dog and Cat Flashcards

1
Q

What should you look at when there is vulval discharge? What does it tell you?

A
Colour of the discharge
Mucopurulent (creamy white) = pus
Haemorrhagic (red) = blood
Greeny black = placental separation 
Clear = fine
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2
Q

What do you need to establish about vulval discharge?

A

The origin - uterus or vagina

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3
Q

A bitch comes in with purulent discharge from the vulva but otherwise seems healthy, what could be the cause?

A

Vaginitis

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4
Q

What two types of vaginitis are there? Describe them

A

Juvenile (prepubertal) - secondary to bacterial contamination, will resolve spontaneously

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5
Q

What is pyometra?

A

Filling of the uterus with pus

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6
Q

What are the two types of pyometra? What is the difference?

A

Open - the cervix is open so mucopurulent vaginal discharge and slightly enlarged uterus
Closed - the cervix is closed so no discharge, grossly enlarged uterus and a systemically sick animal

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7
Q

Why is closed pyometra more dangerous?

A

No discharge means the clinical signs show when the disease is already far along with a high build up of toxins in the uterus

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8
Q

What are the most common tumours in the bitch?

A

Smooth muscle tumours of vaginal or vestibule

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9
Q

How do you tell the difference between vaginal hyperplasia and vaginal prolapse?

A

There is a hole in a vaginal prolapse

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10
Q

How does vaginal prolapse/hyperplasia come about?

A

Excessive response of vaginal mucosa to oestrogens during follicular phase of oestrus cycle

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11
Q

Define dystocia

A

Disturbance during parturition when normal delivery of the foetus through the birth is interrupted

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12
Q

What are the three types of dystocia?

A

Maternal - Maternofoetal - Foetal

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13
Q

What should cause concern during pregnancy?

A

Fluids 2-3 hours ago but no birth - Straining for 20-30 mins but no birth - Green/red vulval discharge - Sickness of dam

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14
Q

What is the most common maternal causes of dystocia?

A

Disturbance of labour - uterine inertia

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15
Q

What is the relationship between dystocia and litter size?

A

The smaller the litter size the more chance of dystocia

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16
Q

What is uterine inertia? Which type is most common?

A

Uterus doesn’t push out the foetus - Primary

17
Q

What is the difference between primary and secondary uterine inertia?

A

Primary - failure to respond to foetal signals

Secondary - exhaustion of the myometrium secondary to an obstruction of birth canal

18
Q

When should there be medical management of dystocia? Give a few examples

A

When there is no evidence of obstruction - exercise the dam, feather roof of vagina, treatment of oxytocin, treat hypocalcaemia (if present)

19
Q

What is the name for a missing testicle?

A

Cryptorchidism

20
Q

Why are pedigree dogs more likely to have missing testicles? Why are they dangerous?

A

Thought to be a sex linked autosomal recessive trait - They are susceptible to torsion and neoplasia

21
Q

What is testicular hypoplasia and anorchism/monorchism?

A

Hypoplasia - testicle is retained and smaller than normal

Anorchism/monorchism - testicle just hasn’t developed

22
Q

What can cause an increase in the size of a testicle?

A

Neoplasia - Orchitis/epididymitis - Torsion

23
Q

Is testicular neoplasia common in small animals?

A

Second most common in dogs - Rare in cats

24
Q

What are the three common tumours in the small animal testicle?

A

Seminoma - Interstitial cell tumour - Sertoli cell tumour

25
What is the main difference between scrotal testicle tumours and those affecting cryptorchid testicles?
Tumours in scrotal testicles are normally benign - Tumours in cryptorcoid testicles are normally malignant
26
Where do malignant testicular tumours normally metastassise?
Normally lymph nodes - rarely the viscera (lungs)
27
If a testicular tumour is functional, what type of cell tumour produces what?
Interstitial (leydig) = testosterone | Sertoli cell tumours = oestrogen
28
What are the clinical signs of acute orchitis/epididymitis?
Epididymal enlargement - Testicular pain - Scrotal oedema - Abcessate via scrotum - Systematically ill
29
What are the clinical signs of chronic orchitis/epididymitis?
Small and firm testicles - Adhesions between tunic and scrotum may reduce testicular mobility
30
Where do orchitis/epididymitis infections usually originate?
Urinary tract - may be direct or haematogenous
31
What are the Dx for a protruding penis?
Paraphimosis - Priapism - Trauma
32
a) a non-erect penis protrudes from prepuce and can't be retracted b) persistent erection of >4 hours not associated with sexual excitement
a) Paraphimosis - b) Priapism
33
What are priapisms categorised into?
Non-ischemic (entire penis partially rigid and non painful) | Ischemic (painful rigid shaft with a soft glans)