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SA Sx > Female Sx > Flashcards

Female Sx Flashcards

1
Q

What are the three types of vestibulovaginal stenosis?

A

Septal stenosis
Annular stenosis
Vaginal stenosis

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2
Q

What are the three types of vestibulovaginal stenosis?

A

Septal stenosis
Annular stenosis
Vaginal stenosis

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3
Q

What are dx methods for vestibulovaginal stenosis?

A

Aseptic exploration
Contrast rads
Vaginoscopy
UG and repro tracts

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4
Q

What measurement is considered severe stenosis?

A
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5
Q

What is the best dx test to determine stenosis?

A

Vaginoscopy

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6
Q

What patients require tx?

A

Breeding dogs or OHE dogs w/ CS

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7
Q

This type of vestibulovaginal stenosis has a band of tissue oriented dorsoventrally- double vagina

A

Septal stenosis

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8
Q

What is the tx for septal stenosis

A

Episiotomy

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9
Q

Which commissure is incised on a episiotomy?

A

Dorsal commissure

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10
Q

What are two methods hemorrhage is controlled in episiotomy procedure?

A

electrocautery and doyen forceps

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11
Q

How many layers should an episiotomy procedure be closed in?

A

3 layers

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12
Q

What is an annular stenosis?

A

V-v junction ring shaped lesion

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13
Q

What approach is taken if the annular stenosis is caudal to pelvis?

A

dorsal approach and vaginal resection and anastamosis

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14
Q

What approach is taken if the annular stenosis is intrapelvic?

A

transpelvic approach or vaginectomy

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15
Q

What is vaginal hypoplasia?

A

Narrowing of vaginal vault- occurs between vestibulovaginal junction and cervix

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16
Q

What is the tx for vaginal hypoplasia?

A

Vaginectomy

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17
Q

What is the conformational abnormality where the vulva is engulfed by skin?

A

Recessed vulva (hooded vulva)

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18
Q

What are the tx options for recessed vulva?

A

Cleansing, weight loss and episioplasty

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19
Q

What are the tx options for recessed vulva?

A

Cleansing, weight loss and episioplasty

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20
Q

What are dx methods for vestibulovaginal stenosis?

A

Aseptic exploration
Contrast rads
Vaginoscopy
UG and repro tracts

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21
Q

What measurement is considered severe stenosis?

A

less than .2 mm

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22
Q

What is the best dx test to determine stenosis?

A

Vaginoscopy

23
Q

What patients require tx?

A

Breeding dogs or OHE dogs w/ CS

24
Q

This type of vestibulovaginal stenosis has a band of tissue oriented dorsoventrally- double vagina

A

Septal stenosis

25
Q

What is the tx for septal stenosis

A

Episiotomy

26
Q

Which commissure is incised on a episiotomy?

A

Dorsal commissure

27
Q

What are two methods hemorrhage is controlled in episiotomy procedure?

A

electrocautery and doyen forceps

28
Q

How many layers should an episiotomy procedure be closed in?

29
Q

What is an annular stenosis?

A

V-v junction ring shaped lesion

30
Q

What approach is taken if the annular stenosis is caudal to pelvis?

A

dorsal approach and vaginal resection and anastamosis

31
Q

What approach is taken if the annular stenosis is intrapelvic?

A

transpelvic approach or vaginectomy

32
Q

What is vaginal hypoplasia?

A

Narrowing of vaginal vault- occurs between vestibulovaginal junction and cervix

33
Q

What is the tx for vaginal hypoplasia?

A

Vaginectomy

34
Q

What is the conformational abnormality where the vulva is engulfed by skin?

A

Recessed vulva (hooded vulva)

35
Q

What is the signalment for a patient with recessed vulva

A

medium-large breed dogs, overweight and early OHE

36
Q

What are the tx options for recessed vulva?

A

Cleansing, weight loss and episioplasty

37
Q

When is vaginal edema/hyperplasia seen?

A

Proestrus/esturs due to high estrogen levels

Young dog in first 3 heat cycles

38
Q

What is the difference between vaginal hyperplasia and vaginal prolapse?

A

Donut shaped appearance with vaginal prolapse

39
Q

What is the method of reduction with a vaginal prolapse?

A

Hyperosmotic fluids

40
Q

What is it called when there is recurrence of estrus cycle following OHE

A

Ovarian remnant syndrome

41
Q

What are the estrogen and progesterone levels in a patient with ovarian remnant syndrome?

A

Estrogen: greater than 15 pg/mL
Progesterone: greater than 2 ng/mL

42
Q

Where is the ovarian remnant usually located and when can removal be done?

A

Caudal kidney pole and performed during estrus

43
Q

How can you avoid leaving ovarian remnants in the abdominal cavity?

A

After ligation/transection of pedicle, open up bursa to make sure all ovarian tissue is removed

44
Q

Term for inability to expel fetus through birth canal

45
Q

T/F: majority of dystocia cases are fetal related

A

FALSE- 75% accounts for maternal causes

46
Q

What is primary uterine inertia?

A

Parturition fails to proceed and no neonates born

Caused by oversized or undersized litters

47
Q

What is secondary uterine inertia?

A

Normal delivery of part of litter and then uterine fatigue is developed

48
Q

What are some causes of secondary uterine inertia?

A

Fetal obstruction, pelvic obstruction, fetal malposition, and fetal size

49
Q

In dystocia, patients have a lack of uterine contractions in response to ___ reflex

50
Q

What is fetal stress syndrome associated with?

A

fetal HR drop to around 140 BPM

51
Q

T/F: Primary uterine inertia can be treated medically

A

TRUE

Oxytocin and repeat in 30 minutes as needed

52
Q

How far from the abdominal wall should the umbilical cord be clamped?

A

2-6 cm from abdominal wall

53
Q

T/F: secondary uterine intertia can be treated medically

SA Sx (22 decks)

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