Hepatobiliary articles

Question 1

JVIM 2019 What led to increased survival in GBMs

Answer 1

Suspicision of biliary rupture on ultrasound increased survivial in the sx group
Overall sx had best outcome, worse was medical then surgery

Question 2

JVIM2019 In GBM what shortened survival time in the univariate analysis

Answer 2

Increased creatinine, hyperphosphatemia, and increased ALTP

Question 3

JVECCS 2019 How was the abdomen packed to control bleeding from a liver lobectomy

Answer 3

Used a polyethylene sheet to prevent adhesions of gauze and lap sponges
Removed in 24-72 hrs

Question 4

AJVR 2019 In vitro how did 20% NAC affect viscosity of bile

Answer 4

Decreased viscosity in vitro

Question 5

JVIM 2019 What is the most common type of hital hernia in cats and what was the age finding

Answer 5

Type 1 sliding- same as dogs
> 3 years - may have been degenerative component, or not diangosised till other abnormalities were present
Airway obstruction may be compoenent

Question 6

JVIM 2019 how does probioic with E. Faecium SF 68 alter ALT, ALP

Answer 6

Does not alter ALT, ALP

Question 7

JVIM 2019 How does sodium benzoate and sodium phenylbutyrate affect ammonia in dogs with CPSS

Answer 7

Does not reduce ammonia like it does in people

Question 8

JVIM 2019 How was ultrasound at diagnosis GB rupture in GBM

Answer 8

Not sensitive, but highly specific
20% of dogs did not have US findings suggestive of GBM but did have gross/histsologic findings
*This paper rupture and bile peritonitis had higher mortatlity rate 2.7 x

Question 9

JVIM 2019 What were the indications of gall bladder rupture

Answer 9

Defect in GB wall with contents in cranial abdoemn

incongruity of bladder wall combined with pericholesytic effusion , cranial ab peritonitis or steatitis

Question 10

JAVMA 2018 How did GB rupture alter mortality rate

Answer 10

Not significantly associated with mortatlity

Question 11

JAVMA 2019 What was the mortality difference between elective and non elective GB removal

Answer 11

Overal 9%

Elective 2 %, Non elective 20%

Question 12

JVIM 2018 What decreased survival in dogs wth cholangitis and cholangeiohpeatitis

Answer 12

Lack of cholecystectomy and over 13 years

Question 13

JVIM 2017 What were the TEG findings with chronic hepatopathies

Answer 13

Variable, hypocoagulable TEG negative prognositic

Hyperfibrinolytic TEG associated with increased ALT, AST activity

Question 14

JVIM 2017 Using G in TEG how did TEC compare to PT/PTT

Answer 14

Using G 16 dogs found to be normal or hypercoagulable

14/16 dogs had prolonged PT or PTT

Question 15

JVIM 2017 What findings in cats were more likely to have positive cultures GB, was this significant in dogs

Answer 15

abnormal ultrasound findings 21 x more likely than normal
thickened wall was highest
Not true in dogs

Question 16

AJVR 2017 What is the bile acid composition in GBM

Answer 16

Less secondary hydrophobic acids such as taurodeoxycholic acid

Question 17

AJVR 2017 what is the correlation of blood and CSF ammonia in EHPSS

Answer 17

Positively correlated.

Venous is able to represent arterial as both are significantly eelvated

Question 18

AJVR 2017 When using a POC ammonia meter what sample should be used

Answer 18

Okay to use whole blood or plasma

Sample should stay the same for serial monitoring as there is a difference

Question 19

JAVMA 2017 How does cytology add to bacterial culture of bile

Answer 19

Good aggreement, highest without antibiotic use in previous 24 hrs

Question 20

JVIM 2017 How as serum leptin changed in dogs with GBMs

Answer 20

Increased in dogs with GMBs

Question 21

AJVR 2017 in hepatocutaneous syndrome what was noted in the urine

Answer 21

aminoaciduria—- lysinuria and prolinuria

Males 3:1