SA liver Flashcards

1
Q

what are the hepatic vascular anomalies associated with small, young dogs

A

extrahepatic portal systemic shunt
microvascular dysplasia

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2
Q

what clin path finding is NOT suggestive of a PSS

A

signs of cholestasis and Tbili increases

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3
Q

what are leukogram findings in PSS

A

neutrophilia and leukocytosis

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4
Q

what are elevated bile acids suggestive of

A

PSS, cholestasis, liver failure

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5
Q

what imaging modality is gold standard and what can also be used

A

CT is gold standard but US is helpful

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6
Q

what PSS can only be managed though medical management

A

microvascular dysplasia, portal vein hypoplasia, multiple acquired shunts

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7
Q

what do we use to decrease NH3

A

metronidazole and lactulose

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8
Q

what treatment has to be lifelong for any pet with a PSS

A

PPI omeprazole for gi ulcers

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9
Q

what are the liver antioxidants

A

SAMe, silymarin, N acetylcysteine, vitamin C

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10
Q

when do we use ursodiol

A

anti-inflammatory and immunomodulator, cholestasis, inflammation, mucoceles, cholecystitis, hepatitis.

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11
Q

what is our drug of choice for cholangiohepatitis

A

clavamox and fluoroquinolones

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12
Q

leptospirosis and rickettsial dz treatment?

A

doycycline

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13
Q

when do we want high quality protein diets for liver disease? when do we not want protein?

A

we want high protein in liver injury without encephalopathy, we do not want high protein in PSS patients

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14
Q

treatment for idiopathic hepatitis

A

pred, ursodiol, vit e, same

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15
Q

most significant biliary disease in dogs

A

gallbladder mucoceles

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16
Q

what is the most common form of liver neoplasia in dogs

A

Hepatocellular carcinoma

17
Q

most common form of liver neoplasia in cats

A

biliary cystadenoma

18
Q

ddx feline neutrophilic vs lymphocytic cholangitis

A

neutrophilic: fever, leukocytosis, bacti cause
lymphocytic: inflammation with lymphs no bacti cause

19
Q

treatment for feline neutrophilic cholangitis

A

clavamox + fluoroquinolones, if chronic add in antiinflammatories after antibiotics

20
Q

ddx chronic idiopathic hepatitis and copper hepatopathy

A

biopsy and Cu quant.

21
Q

what are the signs of nodular hyperplasia

A

old dog, increase in ALP, no signs. monitor

22
Q

chronic neutrophilia, inflammatory leukogram, vomiting, jaundice, fever, increase Bili, cholesterol, liver enzymes

A

bacterial cholangiohepatitis

23
Q

when do we opt for a liver biopsy

A

chronic enzyme elevation, mass on US, hepatomegaly

24
Q

what enzyme increase is sig in cat

A

any increase is significant in cats because they all have a short halflife

25
Q
A