ER Clinics

Question 1

Malformation of intestinal lymphatic system resulting in protein-losing enteropathy

Answer 1

Lymphangiectasia

Question 2

T/F: Lymphangiectasia can be congenital/acquired

Answer 2

True

Question 3

Top lymphangiectasia breeds:

Answer 3

Norwegian Lundehunds (50%)
Yorkies
Maltese
Rotties
Shar-Peis

Question 4

Lymphangiectasia bloodwork:

Answer 4

Hypoproteinemia
Lymphopenia
Lipogranulomatous inflammation of surrounding tissue

Question 5

Lymphangiectasia CS:

Answer 5

History of soft stool
Weight loss
Polyphagia

Question 6

Lymphangectasia diagnosis:

Answer 6

Exclusion of other protein-losing diseases

Histopath of intestinal wall

Question 7

Lymphangiectasia treatment:

Answer 7

1. Dietary manipulation (low fat, high energy, digestible)
2. Glucocorticoids @ anti-inflam doses
3. Supplement with fat soluble vitamins

*this diet reduces diarrhea but exasperates weight loss

Question 8

Lymphangiectasia prognosis:

Answer 8

Poo/grave (can show remission)

Question 9

Normal canine temp:

Answer 9

99.5-102.5

Question 10

Normal canine HR:

Answer 10

80-120

Puppy: 110-120

Question 11

Normal feline temp:

Answer 11

100-103.1

Question 12

Normal canine resp:

Answer 12

15-34

Question 13

Normal feline HR:

Answer 13

100-140

Question 14

Normal feline resp:

Answer 14

16-40

Question 15

Canine anti-inflammatory pred dose:

Answer 15

1/2-1mg/kg

*convert to dex by dividing by 7

Question 16

Canine methadone dose:

Answer 16

0.2mg/kg

IV/SC/IM q4-8h

Question 17

Common anti-emetic in cats/dogs:

Dose/route

Answer 17

Cerenia (Maropitant)

1mg/kg SQ SID

Used in dogs over 2mo and cats over 4mo
Hepatic metabolism (reduce by 50% in liver patients)

Question 18

Euthanasia calculations:

Answer 18

Euthasol 1ml/10lbs + dilute

Propofol 4mg/kg

Question 19

Butorphanol calculations:

Answer 19

0.2mg/kg IV/IM

Question 20

Dexmeditomidine calculations:

Answer 20

5mcg/ml IV

A2 adrenergic (reversed with atipamzole)