Feline Top 20 Diseases - Part 4 Flashcards

1
Q

what is the classic case presentation of a cat with HCM?

A

often asymptomatic - but, systolic murmur or gallop sound, signs of CHF (tachypnea, open mouth breathing), signs of ATE (cyanotic nail beds, loss of pulses, & paraplegia), & sudden death

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2
Q

what cat breeds have a genetic predisposition to developing HCM?

A

maine coons & ragdolls - signs can present as early as 4 months

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3
Q

what is seen on thoracic rads of a cat with HCM?

A

normal or cardiomegaly, dilated left atrium (valentine shape on VD view), pulmonary edema/congestion, & pleural effusion

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4
Q

what is seen on echo of a cat with HCM?

A

on m mode - atrial dilation, left ventricular thickening that is 6mm or greater, papillary muscle hypertrophy, systolic anterior motion of the mitral valve in obstructive cardiomyopathy

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5
Q

what acute treatment is used for a cat with CHF due to HCM?

A

supplemental O2, thoracocentesis if needed, furosemide/nitroglycerine, & avoid fluids & beta blockers unless tachyarrhythmia is present

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6
Q

what chronic treatment is used for a cat with HCM?

A

beta blocker (atenolol) started at a low dose, furosemide, clopidogrel, & potassium supplementation if hypokalemia is present

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7
Q

what are common triggers for CHF in previously compensated cats with HCM?

A

iv fluids, corticosteroids, or recent anesthesia

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8
Q

what is the classic case presentation of a cat with ear mites?

A

usually a kitten with head shaking, pruritus, erythematous ears with dark brown debris, papules on rump/tail/neck, & present ear-pedal reflex (scratches with pelvic limb when ear is rubbed)

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9
Q

what is the etiology of ear mites in cats?

A

otodectes cyanotis

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10
Q

how are ear mites diagnosed in cats?

A

otoscopy seeing live mites & inflammation & cytology of ear swab in mineral oil

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11
Q

how are ear mites in cats treated?

A

removing the mites from the ears, miticidal otic drugs, systemic miticidal (selamectin or ivermectin) for ectopic mites, treat all animals in the home, make sure the environment is clean, & separate affected cats from non-affected cats

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12
Q

T/F: cats may become infected with ear mites from infected dogs in the household

A

TRUE

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13
Q

what cats are commonly affected by ringworm?

A

juvenile or geriatric cats, persians & himalayans may be at an increased risk

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14
Q

what is the classic case presentation of a cat with ringworm?

A

generally non-pruritic, scaling, crusting, ulceration, alopecia, localized especially to the head or can be generalized

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15
Q

what are the risk factors for ringworm in cats?

A

FeLV, malnutrition, stress, immunosuppression, crowding, & poor sanitation

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16
Q

what is the etiology of ringworm in cats?

A

98% caused by microsporum canis

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17
Q

how is ringworm in cats diagnosed?

A

DTM best for culture collected with a toothbrush that was rubbed on the lesion, wood’s lamp, & biopsy/histopath if other tests are inconclusive

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18
Q

how is ringworm in cats treated?

A

topical - lime sulfur or enilconazole systemic - itraconazole or griseofulvin environmental - remove hair & water/bleach 1:32

19
Q

what are atypical lesions caused by ringworm?

A

kerion (nodular masses) or mycetoma (pyogranulomatous lesion)

20
Q

what are 3 main ophthalmic diseases in cats?

A

chlamydiosis, FIP uveitis, & corneal scratches

21
Q

what is the classic case presentation of a cat with chlamydiosis?

A

young cat/kitten with unilateral & then bilateral conjunctivitis (ocular discharge, redness) - may have a concurrent URI

22
Q

what cats are most often affected by FIP uveitis?

A

young purebred cats

23
Q

what is the classic case presentation of FIP uveitis?

A

anorexia, lethargy, changes in iris color, keratitic precipitates, aqueous flare, & other systemic signs

24
Q

what is the classic case presentation of corneal scratches in a cat?

A

blepharospasm, epiphora, & conjunctival hyperemia

25
Q

how is chlamydiosis diagnosed in a cat?

A

clinical signs +/- conjunctival swab PCR

26
Q

how is FIP uveitis diagnosed?

A

aqueous flare & hyphema seen on ophthalmic exam, decreased IOP, but difficult to diagnose antemortem

27
Q

how are corneal scratches diagnosed?

A

fluorescein stain shows bright green delineation, culture of severe/deep ulcers, & descemtoceles are fluorescein stain negative

28
Q

what drug is contraindicated for corneal ulcers in a cat?

A

steroids!!!

29
Q

T/F: you should avoid putting pressure on the jugular vein in a cat with uveitis or corneal ulcers

A

TRUE

30
Q

how is chlamydiosis treated?

A

systemic & topical doxycycline

31
Q

what is the classic case presentation of feline asthma?

A

young adult cat with a history of coughing, wheezing, tachypnea, and maybe dyspnea & respiratory distress

32
Q

what cats are at an increased risk of feline asthma?

A

urban cats & siamese/himalayan breeds

33
Q

what is seen on thoracic rads of a cat with suspected feline asthma?

A

bronchial pattern, pulmonary inflammation, & pulmonary hyperinflation

34
Q

how is feline asthma diagnosed?

A

thoracic rads, may see an eosinophilia on a cbc, & rule out differentials

35
Q

how is status asthmaticus treated?

A

oxygen, minimize handling, bronchodilators by nebulization (albuterol) or parenteral (terbutaline), & parenteral glucocorticoids

36
Q

what is status asthmaticus?

A

dyspnea or respiratory distress

37
Q

what chronic therapy is used for feline asthma?

A

bronchodilators - theophylline, aminophylline, or terbutaline & prednisolone

38
Q

T/F: cats cough with asthma but do not cough with cardiac disease!!!

A

TRUE

39
Q

should you give beta blockers to a cat with asthma? why?

A

no - can worsen bronchoconstriction & should not be given to asthmatics

40
Q

can you use bronchodilators as monotherapy for feline asthma?

A

nope

41
Q

how is FIP uveitis treated?

A

topical glucocorticoids and topical mydriatics 1% atropine sulfate

42
Q

how are feline corneal scratches treated?

A

topical broad spectrum antibiotics, autologous serum for anticollagenase activity, buprenorphine for pain, topical mydriatics, & an ecollar

43
Q

how do you rule out differentials for feline asthma?

A

do a BAL with cyctology +/- culture for mycoplasma, heartworm antigen/antibody test, & fecal baermann to rule out parasites