Mare BSE Flashcards

1
Q

OBjective of th Mare BSE

A

to determine the mares’ potential of conceiving and carrying to term

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2
Q

reasons for a mare’s BSE

A
prepurchase
sub-fertility in older mares
breeding management decisions
post-foaling trauma
unexplained infertility
behaviour changes
not cycling
funny findings like large ovaries, tumors, or adhesions
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3
Q

Components of the Mare’s BSE

A
Presenting complaint
complete history
PE
External genitalia
rectal palp/US
vaginal exam with speculum 
exfoliative endometrial cytoloty or culture
endometrial biopsy
hysteroscopy, others if needed
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4
Q

important parts of a reproductive history

A

yrs barren and foaled
problems with birthing
treatments for repro stuff

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5
Q

External genitalia exam includes

A
slope/position of vulva to anus
seal of vestibulovaginal junction
1/3 and 2/3 rule (2/3 below)
EHV 3 lesions
melanomas
scars
Sarcoids
mammary glands **** overlooked
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6
Q

Most important part of the caslick’s vulvoplasty

A

reminding teh clients to take them out before foaling

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7
Q

PNeumonvagina risk factors, and progression

A

age gets worse and bad conformation
air in vagina –> fecal contamination of repro tract –> vaginitis –> endometritis, placentitis, urine pooling, discomfort

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8
Q

What are we looking for on rectal/US

A
pregnancy
tone
feeling of ovaries
uterine edema (0-4)
free intrauterine fluid (0-4)
cysts
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9
Q

Basicall, what will tell us lymphatic cyst vs. pregnancy

A

for the size of the cyst, there should be fetal membranes present. An early pregnancy won’t be the diameter of the cyst

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10
Q

How is the exfoliative endometrial cytology sample taken?

A

with double-sheathed swab
clean hand, dirty hand
low volume lavage

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11
Q

What are we looking for on the endometrial cytology?

A

Neutrophils
debris
bacterial counts
other organisms (candida)

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12
Q

What % neutrophils corresponds to: non-inflammatory, mild inflammation, moderate inflmmation and severe inflammation on endometrial cytology

A

30%

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13
Q

Debris is measure how? and what are the parameters for each grade>?

A
on 1000X 
1-25
2-50
3-75
4->75%
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14
Q

What numbers of bacteria for the scores are correspond to grades 1-5

A
1 - 0/30
2 - 1/30
3 - 1/10
4 - 2-10/1
5 - 11-50/1
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15
Q

What is endometrial culture/cytology classified as and what are theparameters for that?

A

Healthy, infected, questionable
healthy - neg culture, 25% debris
infected - pure growth, >5% neuts, >25% debris

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16
Q

Endometrial cytology/culture false positive is

A

when positive culture and no cytology to back it = contamination

17
Q

Endometrial cytology/culture false negative is

A

negative culture but evidence on cytology

18
Q

Endometrial cytology/culture true positive

A

culure positive, >5 neuts, >25 debris, moderate bacteria

19
Q

Objectives of the endoetrial biopsy

A

estimate likelihoo of carrying to term

20
Q

What is so great about the endometrial biopsy? what are the downfalls?

A

gold standard to detect inflammation
can be use for culture and can imprint for cytology
need restraint because it is painful

21
Q

What is the Kenny Doig really good at and not so good at?

A

good - either really good or really bad (1, 3)
bad - doesn’t address glandular density or lymphatic dilation, the middle regions 2a, b are not predictive for estimation

22
Q

Conditions when you see an enlarged ovary and what are some characterisitics?

A
  1. transitional follicles - big follicles in big ovary
  2. Persistant Anovulatory Foll. (PAF, HemAF) - whenever, except anestrus, can delay return to estrus
  3. Accessory corpus lutea - from d40-120, but on both sides. self-limiting and bilateral
  4. Ovarian Tumors like Gran theca cell
23
Q

How to Tx PAF or HAF

A

P and E

PG curative for the luteinized follicles

24
Q

Who do we see GTC tumors in and when

A

any age

can be in anestrus

25
Q

How do you Dx GTC tumor?

A

AMH and GTCT panel
biopsy
clinical signs - nymphomania, contralateral small ovary

26
Q

DDx of GTC tumor

A

teratoma, cystadenoma, dysgerminoma