Post-Parturient Bitch Disorders Flashcards
what are clinical signs of retained placenta?
green/black discharge for more than 12-24 hours
systemic illness
hungry, restless pupsq
what can retained placenta prolonged cause?
necrosis of uterine wall, toxemia, uterine distention, metritis, death
Dx of retained placenta
not all of them came out (count)
palp, rads, us, cbc
how to tx retained placentae
oxytocin digital manipulation Pr AM, NSaids, fluids OHE
what is subinvolution of the uterine horns
when the uterus does not return to normal size. usually both sides
What are possible complications from subinvolution?
Toxic Milk Syndrome - may see bloated crying pups
fluid debris retained,
incomplete contractions
Tx of subinvolution?
empty the uterus and restore tone with oxytocin, PGF2a, calcium gluconate,
Deal with the pups and give 10% dextrose to deal with bloating
etiologies of acute metritis
e coli, staph, strep
clinical signs of acute metrittis
ill
agalactia, neglect of pups
red fetid discharge and green/black
abd pain
Tx of acute metritis
get pups off, give fluids and dextrose supportive tx AM PGF2a, oxytocin, ergonovine OHE
What is SIPS?
trophoblastic cells don’t degenerate, continue to invade endometrium and myometrium
clinical signs of SIPS
persistent hemorrhagic discahrge and rarely anemia
What is unique about the Dx of SIPS?
occ’l syncitiotrophoblasts on cytology
Tx of SIPS
look at PCV, PGF2a and progetsin ovaban, then maybe OHE
Repeated - oxytocin and ergonovine (preventative too?)
How do you deal with a uterine prolapse? (usually in cats more)
look for damage, rinse and replace, give oxytocin/AM (a wk), may have to do the OHE
Which agalactia is treatable and which is not?
primary - lack of development of mammary tiisue - not Tx
secondary - is Tx, remove underlying cause.
feed the pups in the mean time