Feline Flashcards
low potassium
septic abdomen
total T4
see hyperthyroidism power sheet
acetylcysteine and S-adenosylmethionine
systolic blood pressure, serum chemistry panel and thyroid hormone levels
which is not a common sequela of hypertrophic cardiomyopathy in cats
* right heat failure
* systolic anterior motion of the mitral vale
* thromboembolism
* left heart failure
right heart failure
2 yr old, normal activity and appetite. non painful. How to treat?
* antibiotics
* radiation
* spay
* bilateral radical mastectomy followed by chemo
* bilateral radical mastectomy without chemo
spay
efferent to left eye
- no matter which eye light is shined in, there is no motor (or efferent) response in the left eye
pyelonephritis
- pollakiuria and dysuria are lower urinary tract signs that are not consistent with pyelonephrititis alone. They would be systemically sick: fever, anorexia, depression
If T. blagburni is not identified and treated properally, it will cause small bowel diarrhea indefinetly
see small animal parasites: protozoa
white cats with blue eyes are commonly born with what defect?
deafness
horner’s syndrome
MRI
Collagenolytic granuloma
mirtazapine as an appetite stimulant
cat with chronic cough
capillaria
IV calcium gluconate
see feline obstruction power page
herpesvirus infection
see herpes ocular video
fluconazole
- cryptococcus- encapsulated fungus
- treat with anti-fungals such as fluconazole or itraconazole
clindamycin for toxoplasma, fenbendazole for internal parasities such as hookworms, roundworms and giardia. Chlorambucil is a chemo drug for lymphoma
external beam radiation therapy for acromegaly
anemia, peripheral eosinophilia, tapeworm infection
see flea allergy power page
good, mean survival is greater than 2 years
bovine
supportive care and fluid therapy plus treatment with ampicillin, metro and ursodeoxycholic acid
dilated cardiomyopathy
epi will prolong the duration of lidocaine’s effects
what is the causative agent for feline infectious anemia?
mycoplasma heamofelis
has ear mites amd clotrimazole(antifungal) does not work for those
- the dog had yeasty ears not mites
cat with hyperthyroidism with mild clinical signs and normal serum total T4. Which diagnostic test would you run next?
free T4 by equilibrium dialysis
anterior uveitis
anterior uveitis video
hypoglycemia post surgery, which needs close BG monitoring
toxoplasma
- toxoplasma gondii tachyzoites multiplying within macrophages and neutrophils
vaginal cytology showing mostly cornified epithelial cells
cheyletiella
diazepam
biopsy of the pad lesions
FIP
see FIP powerpage
acidifying diet
see urolithiasis/stones power page
FIC
- lesions will most likely spontaneously regress
an ionized calcium level
fleas
calicivirus
electrocardiogram, retrograde urethrogram, coagulation panel
chemistry panel
see hyperthyroidism power page
place a penrose drain for 4 days
a large % of cats are seropositive for Toxoplasma gondii, but are not necessarily shedding oocysts
steroids
see chronic renal insufficiency power page
measure serum fTLI concentration
stargazer lilly
on the antimesenteric border
enema, laxatives, cisapride, fair prognosis
1-3 weeks from the end of the current estrus
metabolic acidosis, electroylte disturbances, hyperosmolality
- DKA
gastric lavage, activated charcoal, vit K daily for 30 days
see rodenticide toxicity power page
retrobulbar abscess
atenolol
draw blood for a fructosamine level
see diabetes mellitus
intoxication with cholecalciferol based rodenticide (Dcon)
see hypercalcemia power page
horners
disruption of the sympathetic trunk traveling along the neck.
feline panleukopenia virus
esophageal stricture
see hyperthroidism power page
portal systemic shunt
listen to portosystemic shunt video
fecal oral transmission
see feline infectious peritonitis power sheet
when light is directed into the abnormal eye, the pupil in the normal eye stays dilated
If T. blagburni is not identified and treated properly, it will cause small bowel diarrhea indefinitely
naloxone
progesterone
euthanize and test
coccidia are incredibly environmentally resistant and difficult to disinfect, coccidia are also species-sepcific so the baby is not at risk but the other cat could become infected
see parasite-protozoa page
treat with: Sulfadimethoxine
saddle thrombus
Diazepam
the other side may start to show the same signs within a few weeks to months.
psychogenic alopecia
Itraconazole
power lecture- cryptococcus
acid fast stain
cuterebra
the effusion is strongly suggestive of FIP
see FIP power page
british shorthair, devon rex
well circumscribed
expiratory push
administer mirtazapine as an appetite stimulant
atenolol
atelectasis
B. henselae
2
yohimbine (antagonil- alpha 2 antagonist)
xylazine is what type of med? is it reversible?
alpha 2 agonist
yohimbine- alpha 2 antagonist
opioid reversal
naloxone
midazolam is a — and can be reversed with —
benzo
flumazenil
crystalloids and insulin
protein losing nephropathy
what kind of drug is enalapril
ACE inhibitor
* vasodilator, antihypertensive, heart failure treatment
* prevents angiotensin 1 to angiotensin 2, this will reduce aldosterone and cause diuresis
* dilatory effects on efferent arterioles of glomeruli help to reduce protein losing nephropathies
ioized calcium
vaginal cytology showing cornified epithelial cells
if an LH level is —, an ovarian remant is likely. If it is — it does not rule it out
low
high
palpable nodule in the area of the thyroid gland
historical signs of hyperthyroid in a cat
weight loss, polyphagia, vomiting, hyperactivity.
physical exam sign of cat with hyperthyroidism
- thyroid nodule (or “slip”)
- tachycardia
- heart murmur or gallop
- vomiting
- weight loss with polyphagia
- hyperactivity
how to diagnosis hyperthyroidism in cat
- serum total T4 levels (> 4.0)
- elevated ALT, ALP, AST
- erythrocytosis
- HTN
how to treat hyperthyroidism in cats
methimazole (tapazole)
surgery
radioactive I-131
if total T4 < 4 in cat what to do if you suspect hyperthyroidism
free T4
TRH response testing
T3 supression test
— used to treat hyperthyroidism in cats can cause facial excoriations
methimazole
bathe, IV fluids, methocarbamol
how to treat pyrethrin toxicity in cats
- caused by some flea meds- can cause hypersalivation and tremoring
- wash
- methocarbamol- muscle relaxant for seizures
calcium gluconate
giardia- fenbendazole or metro
FIV- saliva and bites
* fighting disease
no treatment
* coccidian- not parasitic
* 2ndary to coprophagy
* eimeria: 4 sporocysts- parasitic in reptiles, birds, herbivores
isospora is an infectious — in dogs and cats that can be treated with —
coccidian
sulfadimethoxine (albon)
anterior uveitis
diabetes can cause cataracts in
dogs
* uncommon in cats
cisplatin
cisplatin can cause — in cats
fatal pulmonary edema
* cis- plat splats cats
flurorouracil can cause — in cats
neurotoxicity
- contraindicated
tritrichomonas foetus, ronidazole
* flagellated parasite that can cause unresponsive diarrhea
* difficult to diagnose
paragonimus kellicotti is a —, treated with —
lung fluke
eggs passed in feces
fenbendazole and praziquantal
taenia is a — that is treated with —
tapeworm
praziquantel
how to treat cryptosporidum
clindamycin
azithromycin
tylosin
prolongs the duration of the effects
* causes local vasoconstriction, preventing rapid systemic absorption
subtotal colectomy
superficial skin scape
difference between demodex in a cat vs a dog
demodex gatoi- itchy, superficial
demodex cati- contagious, deep
demodex canis- deep
surgery after stabilizing
blood pressure, chemistry and thyroid panel
chlamydophila felis
herpes or chlamydophila felis will cause systemic disease
herpes- ocular, dendritic ulcers with systemic disease
chlamydophila- severe chemosis
upper GI obstruction
addisons will cause — potassium
high
GI obstruction will cause — on bloodwork
hypochloremic metabolic alkalosis
(chloride low)
(TCO2 high)
urethral obstruction causes — potassium
high
IFA positive= truly infected
efferent to the left eye
blood pressure
intramedullary pin
monitor and spontaneously regression
primary met acidosis with compensatory resp alkalosis
- ph tells you acidemic
- negative base excess or low HCO3 tells you met acidosis
- low PaCO2 test you resp alkalosis (hyperventilation)
respiratory acidosis is seen by —
high pCO2
respiratory alkalosis is
low pCO2 (hyperventilation)
high bicarb is
metabolic alkalosis
* normal anion gap (Na+K)-(HCO3+Cl)
* high bicarb
* Cl much lower than Na
* loss of HCl from vomiting
* ileus/ internal vomiting in large animal
* low K can cause paradoxic aciduria (high H)
* pt dehydrated tries to absorb NaCl, no Cl so it reabsorbs Bicarb instead= high bicarb in blood
* low K in blood from pt not eating
— pCO2 is respiratory acidosis
high
low bicarb can mean
metabolic acidosis
Titrational met acidosis
* normal AG, low bicarb, normal Cl
* KLUE=
* ketones- in urine= DKA
* lactate- dehydrated (high albumin, NaCl, PCV, BUN, Creat), low PCV= anemia= low O2
* uremic acid- azotemia
* ethelyn glycol- AKI= anuria and high K (monohydrate crystals)
* loss of bicarb
Loss metabolic acidosis
* normal AG, low bicarb, high Cl» Na
* renal loss- AKI, azotemia=casts, low NaCl, normal BG, + glucose in urine
* choke- LA
* GI disease- diarrhea
—- HCO3 is metabolic alkalosis
high
explain paradoxical aciduria
metabolic alkalosis (high bicarb) with acidic urine
- hypovolemia- body tries to reabsorb Na to maintain ECF and plasma volume, Cl follows Na and triggers RAAS
- GI obstruction/vomiting: loss or seg of HCl. Metabolic alkosis from drop in H+, low Cl- Cl not reabsorbed with Na, Bicarb replaces Cl and is reabsorbed with Na= acidifies urine
- RAAS (aldosterone): keep Na/excrete potassium, low K: if no K available to exchange for Na, then H excreted with Na is reabsorbes= acidifies urine
aluminum hydroxide (phosphorus binder/antiacid)
SCC-poor prognosis
acetaminophen: tylenol
hyperadrenocorticism
cats with DKA can also have —
while dogs with DKA can also have —
- Cats: hyperthyroidism, cardiac disease
- dogs: hyperadrenocorticism
- both: pancreatitis and bacterial infections
upper GI obstruction
eat normal diet
what can cause pancreatitis in dogs
- Fat – obesity, fatty meals, hyperlipidemia
- Systemic inflammation, trauma, ischemia
- Endocrine diseases – hyperadrenocorticism, diabetes mellitus
- Drugs – azathioprine, l-asparaginase, tetracycline
- In cats, the causes of pancreatitis are not as well understood
what drugs can cause pancreatitis in dog
Fat – obesity, fatty meals, hyperlipidemia
● Systemic inflammation, trauma, ischemia
● Endocrine diseases – hyperadrenocorticism, diabetes mellitus
● Drugs – azathioprine, l-asparaginase, tetracycline
● In cats, the causes of pancreatitis are not as well understood
Clinical signs of pancreatitis in dogs
- Mainly GI signs: vomiting, diarrhea, anorexia, cranial abdominal pain. A dog that hunches in a “praying posture” is a diagnostic clue for pancreatitis.
- Severe necrotizing pancreatitis can cause hypovolemia, fever, tachycardia, jaundice, and the systemic inflammatory response syndrome (SIRS).
clinical signs of pancreatitis in cats
Tend to have non-specific lethargy and anorexia and may or may not have any of the other GI signs like dogs: vomiting, diarrhea, anorexia, cranial abdominal pain
how to treat dogs with acute pancreatitis
- Treatment is largely supportive and can be controversial, but it is generally agreed that delaying
feeding, post-duodenal feeding by tube, and/or feeding a NO fat diet is helpful
● Hospitalization and aggressive intravenous fluid therapy if indicated
● H2 blockers (i.e. Ranitidine) and anti-emetics
● Analgesics
● Antibiotics are only indicated if pancreatic necrosis or sepsis is suspected
● Plasma or heparin administration may be indicated in severe cases
Treatment for chronic pancreatitis in dogs is to maintain a low-fat and highly digestible diet and to monitor closely for signs that require intervention
what type of dogs get exocrine pancreatic insufficiency
German Shepherds, Collies and English Setters
Chronic — is the most common cause of EPI in cats.
pancreatitis
— is the most common cause of EPI in the dog
Pancreatic acinar atrophy
clinical signs of EPI
Small bowel diarrhea with voluminous, yellowish or gray feces, polyphagia, pica, weight loss, and dermatological problems
how to treat EPI
- give enzymes: powered pancreatic extracts
- Parenteral cobalamin, vitamin K and oral vitamin E supplementation
- Highly digestible, low-fiber diet
difference in feeding of a cat or dog with pancreatitis
cat: continue normal feeding
dog: hold food or give NO fat diet
which demodex in cats is itchy and contagious
demodex gatoi: superficial
demodex cati: deep
thoracocentesis
osteosarcomas are worse in dogs or cats?
dogs
in cats, they are slow to met and amputation can be curative
hyperkalemia
hyperkalemia changes the ability of the cell wall to repolarize, resulting in — cell membrane potential
decreased
this causes a decrease in myocardial excitavility and conduction = bradycardia
admit patient for fluid therapy and supportive care
pleural fluid triglyceride > serum triglyceride
pleural fluid glucose < serum glucose
infectious
not itchy from cat
ileocolic artery
no treatment at this time
have housemate empty box, takes 1-3 days to sporulate
humulin-R (regular insulin)
what insulin for cats that have been in DKA in the past
glargine (lantus)
PZI
- longer acting insulin
left shift on bloodwork would indicate
immature neutrophils
and high neutrophil count
primary hyperparathyroidisim and surgery
cryptococcosis
what meds can cause fatal dysbiosis in GP rabbits and degu
beta lactams: ampicillin
lincomycin
clindamycin
erythromycin
steroids
diazepam rectally
herpes and chlamydophila: topical tetracycline
serum T4: hyperthyroid
I-131
negri bodies may be seen with
rabies
how to treat giardia
fenbendazole or metronidazole
small yeast with large capsule in a CSF tap may be
cryptococcus
latex agglutination titer of — on CSF and — in serum indicated cryptococcus infection
1:100
1:10,000
hyperkalemia
signs of DM in cats vs dogs
plantigrade stance in cats
cataracts in dogs
both: PU/PD, polyphagia, weight loss, recurrent infections
what type of diet for a diabectic dog
Diet: A consistent diet is critical, the type of food, amount, and time of feeding.
i. High fiber, moderately fat-restricted diets are recommended.
ii. High protein and low carbohydrate diets for cats may be beneficial.
how to treat DKA
- Aggressive IV Fluids – 0.9% saline with potassium and phosphate supplementation as needed.
- Regular insulin: Regular insulin is the fast-acting insulin of choice for severe DKA. It can be given intermittently (q 6-8 hrs) or by continuous IV infusion.
- With either, frequent blood glucose monitoring and insulin dose adjustment is necessary to achieve gradual decline in blood glucose level.
- Bicarbonate Therapy - if metabolic acidosis is severe and/or not improving with IV fluids.
- Identify and address any concurrent infections or diseases.
hyperthyroid
what are the round cell tumors
lymphoma
mast cell tumor
plasma cell tumor
histiocytoma
transmissible venereal tumor
+/- melanoma
methimazole (tapazole)
histopath of FIP will show
- disseminated pyoganulomatous and fibronecrotic reactions around small veins
- gold standard for diagnosis