SA liver Flashcards
what are the hepatic vascular anomalies associated with small, young dogs
extrahepatic portal systemic shunt
microvascular dysplasia
what clin path finding is NOT suggestive of a PSS
signs of cholestasis and Tbili increases
what are leukogram findings in PSS
neutrophilia and leukocytosis
what are elevated bile acids suggestive of
PSS, cholestasis, liver failure
what imaging modality is gold standard and what can also be used
CT is gold standard but US is helpful
what PSS can only be managed though medical management
microvascular dysplasia, portal vein hypoplasia, multiple acquired shunts
what do we use to decrease NH3
metronidazole and lactulose
what treatment has to be lifelong for any pet with a PSS
PPI omeprazole for gi ulcers
what are the liver antioxidants
SAMe, silymarin, N acetylcysteine, vitamin C
when do we use ursodiol
anti-inflammatory and immunomodulator, cholestasis, inflammation, mucoceles, cholecystitis, hepatitis.
what is our drug of choice for cholangiohepatitis
clavamox and fluoroquinolones
leptospirosis and rickettsial dz treatment?
doycycline
when do we want high quality protein diets for liver disease? when do we not want protein?
we want high protein in liver injury without encephalopathy, we do not want high protein in PSS patients
treatment for idiopathic hepatitis
pred, ursodiol, vit e, same
most significant biliary disease in dogs
gallbladder mucoceles
what is the most common form of liver neoplasia in dogs
Hepatocellular carcinoma
most common form of liver neoplasia in cats
biliary cystadenoma
ddx feline neutrophilic vs lymphocytic cholangitis
neutrophilic: fever, leukocytosis, bacti cause
lymphocytic: inflammation with lymphs no bacti cause
treatment for feline neutrophilic cholangitis
clavamox + fluoroquinolones, if chronic add in antiinflammatories after antibiotics
ddx chronic idiopathic hepatitis and copper hepatopathy
biopsy and Cu quant.
what are the signs of nodular hyperplasia
old dog, increase in ALP, no signs. monitor
chronic neutrophilia, inflammatory leukogram, vomiting, jaundice, fever, increase Bili, cholesterol, liver enzymes
bacterial cholangiohepatitis
when do we opt for a liver biopsy
chronic enzyme elevation, mass on US, hepatomegaly
what enzyme increase is sig in cat
any increase is significant in cats because they all have a short halflife
