Small animal Flashcards
what is the pathognomonic finding with portosystemic shunts in cats?
copper colored iris bilaterally
describe the effusion that would be classical/suspicious of FIP?
straw or gold colored, sticky, viscous
high protein (globulin count), moderate cell count
what is the classical lesion associated with FIP that results in pleural and peritoneal effusion?
pyogranulomatous vasculitis (due to antigen antibody complexes depositing into the venular endothelium)
Mammary tumors in cats:
1) what percentage are malignant
2) what percentage metastasize
3) what is the recommended surgical procedure?
1) almost always
2) 90%
3) unilateral chain masectomy
Mammary tumors in dogs:
1) what percentage are malignant
2) what percentage metastasize
3) where should you screen for mets?
1) 50%
2) 50%
3) chest
Cryptococcus transmission
pigeon droppings & eucalyptus trees –> inhaled spores from where these are present
treatment of cryptococcus infection in cats
amphotericin B
monitoring of cryptococcus infection treatment in cats
monitor w/ latex agglutination antigen test to evaluate response to treatment
classical lesions of cryptococcus infection in cats
swelling over bridge of nose & lesions of retinas
blastomycosis common clinical signs
depression, anorexia, weightloss, fever, lymphadenopathy, harsh lung sounds, draining skin lesions, chorioretinitis, uveitis, cough
what would you see on chest radiographs for blastomycosis infection?
Bronchointerstitial “snowstorm” pattern of pneumonia (hilar areas)
what are the 5 commonly affected organs when infected with blastomycosis?
- skin
- bones
- eyes
- lymphatics
- lungs
treatment of blastomycosis
if not severely ill –> itraconazole for 60d +/- NSAIDs
if severely ill –> amphotericin B
why are corticosteroids contraindicated in treatment of blastomycosis
causes further immunosuppression
how can toxoplasmosis be transmitted?
ingestion of raw meat
Sporothrix is a fungi found in the soil, how can it be transmitted/introduced into the body?:
via a puncture from a thorn or through an open wound or cut when exposed to contaminated soil
Fanconi syndrome:
1) what is it
2) predisposed breed
3) what bloodwork changes
4) clinical signs?
- abnormal function of the renal tubules (proximal tubular disease)
- Basenjis
- hyponatremia, hypophosphatemia, hypokalemia, metabolic acidosis, hyperchloremia, low blood glucose
- PU/PD, decreased appetite, weight loss despite polyphagia, poor body condition, lethargy, abnormal bone development in young dogs
what percentage of otherwise healthy cats under the age of 10 with LUT signs have primary bacterial uti?
<2%
what is the most common bladder cancer seen in cats
Transitional cell carcinoma
what is the side effect of diazepam in cats
acute fulminant necrosis
what are some appetite stimulants?
- Diazepam cats
- Cyproheptadine cats
- Mirtazapine
- Capromorelin
- Megestrol acetate dogs
- Predniso(lo)ne
what three things can cause LV concentric hypertrophy?
- systemic hypertension
- hyperthyroidism
- HCM
Pulmonic stenosis
congenital defect, sm breed dogs
pressure overload of RIGHT heart
characterized by systolic murmur, best heard over LEFT base
concentric hypertrophy of RV (due to pressure overload)
enlarged pulmonary artery
treatment: balloon valvuloplasty
aortic stenosis
predisposed breed = boxers
murmur heard best over LEFT base
concentric hypertrophy of LEFT heart (enlarged LV, LA, Ascending aorta)
+/- syncope
treatment: beta blockers (atenolol) –> reduces myocardial oxygen demand
animals with aortic stenosis are at higher risk for…
infective endocarditis
what is the treatment of aortic stenosis
beta blockers (atenolol) - reduces myocardial oxygen demand
Tricuspid dysplasia
1. predisposed breeds
2. clinical signs
3. key findings
4. prognosis
- labs, GS, large breed males
- consistent w/ right heart failure (ascites, hepatomegaly)
- enlarged right heart, murmur on RIGHT side
- poor
why are furosemide and atenolol contraindicated treatments in pericardial effusion?
furosemide –> decreases preload and makes diastolic filling worsen
atenolol –> decreases contractility
what parts of the heart are most commonly affected by infective endocarditis in the dog vs in large animals
dogs –> mitral/aortic valves
large animals –> tricuspid and pulmonary valves
why are pacemakers not helpful in DCM cases?
its a problem with contractility not rhythm
what medications can be used to treat DCM
betablocker, diuretic, acei (enalapril), pimobendane, +/- spironolocatane
what are possible clinical signs of right sided heart failure?
- tachypnea
- hepatomegaly
- exercise intolerance
- muscle wasting
- lethargy, weakness, venous distension, ascites, peripheral edema
what can taurine deficiency in cats cause?
retinal degeneration
DCM
what are common concurrnet diseases in cats with DKA
- Hyperthyrodisim
- cardiac disease
- pancreatitis
- bacterial infections
what are common concurrent diseases in dogs with DKA
hyperadrenocorticism
bacterial infections
pancreatitis
what is the screening test of choice in cats for hyperthyroidism
TT4 (increased)
what other tests may help diagnose hyperthyrodisim in cats
increased fT4
increased ALP, AST, ALT
erythrocytosis
hypertension
what is the treatment of choice in cats with hyperthyroidism, what is a major SE of this treatment
methimazole - facial excoriations
what are the common clinical signs in cats with hyperthyrodisim
- weight loss with polyphagia
- thyroid nodule/slip
- hyperactivity
- vomiting
- tachycardia
what is the causitive agent of rabbit fever aka Tularemia
Francisella tularenesis
what are clinical signs of rabbit fever in cats?
depression, fever, anorexia
general lymphadenopathy
oral ulceration
what are the three forms of disease in humans that rabbit fever (Tularemia) can cause?
- ulceroglandular
- pneumonic
- typhoidal
When performing a subtotal colectomy on a feline patient, what blood vessel limits the amount of colon that you are able to remove?:
ileocolic artery
list the structures that the blood vessels are associated with:
1. left colic artery
2. pudendal artery
3. iliocecal/colic artery
4. caudal mesentery artery
- feeds descending colon
- supplies external genitalia
- supplies ascending and transverse colon
- supplies rectum and descending colon
Tritochomonas foetus is a flagellated parasite that is most commonly found in kittens with unresponsive diarrhea, how is it treated?
ronidazole
Feline mammary hyperplasia:
1. benign vs malignant
2. signalment
3. cause
4. tx
- benign
- younger cats (preg and non-preg, unspayed females), rapid onset
- hormonal stimulation from a functional ovary producing PROGESTERONE
- OVH
what drug can cause feline mammary hyperplasia
megestrol acetate
what is the test of choice for heart worm in cats vs dogs, what are the limitations?
cats –> antibody HW test (indicates exposure, not necessarily infxn)
dog –> antigen HW test (detects antigens from adult female worms only)
what is the treatment of choice in dogs with HW
melarosamine
what are the 5 types of round cell tumors?
- mast cell
- lymphoma
- histiocytoma
- plasma cell
- transmissible venereal tumor
what are classical findings associated with chronic lymphocytic luekemia?
prominent LNs and spleen
what are the cons of phenothiazines (acepromazine)
no analgesia, hypotension, may decrease hematocrit due to splenic sequestrum of cells
what is the etiology and treatment of Salmon poisoning disease?
Neorickettsia helminthoeca
tetracycline
what is the treatment for carbon monoxide toxicity, why
100% oxygen –> reduces half life of carboxyhemoglobin comlexes from 4hours on room air to 30 mins
what drug can you use to evaluate laryngeal function (ie in suspected laryngeal paralysis case) and why is it used?
Doxopram –> central nervous stimulant that has effects on the resp centers and works by stimulating the reflex activation of carotid and aortic receptors
what is the bacterium causes cat scratch disease and how is it transmitted to humans
Bartonella henslae
infects owner via bacteria from flea feces when cat bites/scratches owner
what are 5 non-absorbable sutures?
- nylon (ethlion)
- polyproplene (prolene)
- silk
- polybuster (novafil)
- polymerize caprolactum (vitafil)
what 2 groups of medical management can be employed in a pyometra case that is not willing to undergo surgery?
- prostaglandins (prostaglandin F2 alpha)
- dopamine agonist (cabergoline, bromocripitine)
what test asses hepatic function?
pre and post-pranadial bile acid test (high = decrease in hepatic function)
does AST reflect liver function?
No its a hepatocellular leakage enzyme not specific to the liver (also in cardiac and skeletal muscles and erythrocytes)
does ALT reflect liver function
no its a liver specific leakage enzyme but is not indicative of function
what is the test of choice for EPI
TLI
why can you not use a type 2 external fixator in a femoral fracture repair in the dog? what can be used instead?
because the medial aspect of the femur cannot be approached due to being directly adjacent to the trunk of the dog.
Use type 1, intramedullary pin w/ cerclage wires or a bone plate instead.
pheocromocytomas are a tumor of what?
adrenal medulla (inner part of adrenal gland and consists of chromaffin cells which are responsible for making catecholamines - epinephrine and NE)
what lab values indicate insulinoma?
normal-high serum insulin levels (lose control of insulin secretion)
low BG levels
Trichuris vulpis:
- what kind of parasite
- what part of body does it commonly inhabit
- clinical signs
- treatment
- canine whipworm
- cecum
- diarrhea, hematochezia, weight loss
- fenbendazole
Extraocular polymyositis:
1. whos affected
2. what causes it
3. clinical signs
4. treatment
- YOUNG golden retrievers
- autoimmune reaction against muscle antigens
- BILATERAL, non-painful, no systemic signs
- treatment: prednisone +/- azathioprine
what is the mean circulating lifespan of a neutrophil in:
1. dog
2. cow
3. horse
- 5-9 hr
- 16hr
- 10-11hr
Tetraology of fallot is a congenital heart disease characterized by 5 things, what are they?
- pulmonic stenosis
- dextropositioning of the aorta (over riding)
- RV hypertrophy
- VSD
- shunting of venous blood across the VSD into arterial circulation ultimately causing polycythemia
describe a typical animal affected with Tertalogy of Fallot
- under developed in size
- hx of exercie intolerance, dyspnea, tachypnea, syncope due to hypoxemia
what would you expect to see on thoracic radiographs of an animal affected with Tetralogy of Fallot?
normal to mildly enlarged cardiac silhouette with RV enlargement and pulmonary hypoperfusion
what drugs can be used for the treatment of Afib?
- atenolol (betablocker) –> slows AV nodal conduction to decrease ventricular response rate
- procainamide (Class 1A anti-arrhythmic)
- diltiazem (calcium channel blocker) - slows av node conduction and ventricular reponse rate
- digoxin - Increases vagal tone to AV node tos low conduction and decrease HR
why should you NOT use Doxycyline in young growning animals
- delayed bone growth
- discolouration of teeth
what are the specific ocular manigestations associated iwth feline herpes virus
- corneal ulcers
- eosinophilic keratitis
- conjunctivitis
- corneal sequestrum
what test should you perform for FeLV?
ELISA, if positive then submit IFA (if positive= truly positive)
Isosopora:
- type of parasite
- clinical signs
- treatment
- coccidia
- diarrhea
- sulfonamides
Primary hyperparathyrodism:
1. classic signs
2. bloodwork findings
3. most common cause in dogs
- PU/PD
- azotemia mild, high total & ionized clacium, low phosphorous
- adenoma of parathyroid glands
at what age in cats can fetal skeletons be visible on xray
36-42d
at what age stage ind ogs can fetal skeletons be viisble on xray
42 days
what is the only infectious cause in cats that can cause corneal ulcers
herpes virus (dendritic/linear ulcers)
when performing an enterotomy in a dog its best to cut on what border?
antimesenteric
what drug is used to treat central diabetes inspidius
DDAVP (desmopressin = synthetic ADH)
what skin lesions do patients with sertoli cell tumors develop
males may have bilateral alopecia w/ occasional pruriptius and papular eruptions, hyperpigmentation
does central diabetes inspidius cause derm lesions?
noh
what view should be taken to assess suspected intrathoracic tracheal collapse?
end expiratory view (intrathroacic pressure is highest at end expiration and may worsen the intrathoracic airway collapse)
- end inspiration view is the standard view of a thoracic series
what is collie eye anomaly characterized by
choroidal hypoplasia
what would you see on fundic exam with collie eye anomaly
varying degrees of visual dysfunction with signs of bizarre choroidal vessels
Persistent right aortic arch:
- what is it
- who gets it and how
- clinical signs
- treatment
- vascular ring anomaly
- inherited defect predisposed in GS and irish setters that causes constricting obstruction of the esophagus @ the level of the base of the heart
- regurg (usually manifests as a puppy when its weaned off of milk onto solids)
- transect ligamentum arteriosum
what drug is used to treat nephrogenic diabetes inspidius, how does it work?
Hydrochlorothiazide (thiazide diruetic that reduces urine output)
In what direction do most coxofemoral luxations in the dog occur?
80% occur in the craniodosrsal direction
there are several congenital conditions that can occur and cause elbow dysplasia, what are they and which is the most common
- fragmented medial coronoid process (most common)
- OCD of humoral head
- elbow incongruency
- ununited anconeal process
what are the 4 eye problems that Cocker Spaniels are predisposed to developing?
- cataracts
- distichiasis
- retinal abnormalities
- primary glaucoma
which way does the stomach rotate in GDVs
counter clockwise when viewed from cranial to caudal in dorsal recumbency
clockwise when viewed caudal to cranial
what radiograph should be taken for GDVs
right lateral abdomen
what can occur with high doses of xylitol toxicity ?
acute hepatic necrosis & failure
(causes rapid release of insulin!!!)
what are treatment options in the case of xylitol toxicity?
- IV dextrose
- IV fluids and electrolytes
- anti nausea
- gi protectants
increasing __________ deliver to the brain, decreaes ICP
oxygen
what is Acanthosis nigricans and what breed is predisposed?
genetic dermatosis characterized by hyperpigmentation of the axillary and groin regions which can spread to other parts of the body and may cause secondary infections (bacterial, yeast, seborrhea).
Daschunds are predisposed.
tx symptomatic (not cureable)
what aer the shock bolus doses of isotonic crystalloids vs synthetic colloids in a dog
isotonic crystalloids - 90ml/kg
synthetic colloids - 10-20ml/kg
what aer the shock bolus doses of isotonic crystalloids vs synthetic colloids in a cat
isotonic crystalloids - 40-60ml/kg
cats - 5-10ml/kg
Why would you want to start aggressive IVF therapy & check a chem panel in a suspected Addisonian dog that presents with bloody diarrhea, inappetence, and is dehydrated?
addisonian patients often present in hypovolemic shock –> the first step to treating them is to restore the vascular volume w/ IVF and run a chem panel to look at the extent of their electrolyte abnormalities (hyponatremia, hyperkalemia, elevated BUN)
do hypothyroid dogs have a voracious appetite?
no –> weight gain w/ lack of appetite is due to slower metabolism
what endocrine disorder is most commonly associated with thinning and fragility of the skin?
cushings
calcinosis cutis is a clinical sign of what endocrine disorder?
cushingsh
what skin abnormalities may be noted with hypothyroid dogs?
hyperpigmentation, seborrhea, alopecia, pyoderma
VPCs
- what do they look like
- treatment?
- wide and bizarre QRS
- treatment with class 1 antiarrythmic (mexiletine or lidocaine)
How would you evaluate whether or not the mandibular branch of cranial nerve V is functionally intact in a dog?
look for symmetry and tone of mucsles of mastication
what is the treatment of a hip luxation?
if otherwise healthy joint capsule area –> toggle pin fixation
if severe OA present (chronicity) –> total hip replacement of FHO
Pannus:
- what is it
- who gets it
- what causes it
- clinical signs
- treatment
- chronic superficial keratitis
- large breed dogs
- multifactorla (UV light, immune mediated, genetics)
- chronic, progressive, bilateral; starts laterally; vascularization, granulation, pigmentation
- control, not cure –> topical steroids (pred acetate or dexamethasone); adjunctive tehrapy (topcial cyclosporine A)
Emphysematous cystitis
- what causes it
- what are typical underlying diseases
- tx
- presence of gas forming bacteria
- cushings, DM, Chronic UTIs, bladder stones
- tx underlying dz and cystitis will typically resolve with amb therapy
what is hypertrophic osteopathy? clinical signs? causes?tx?
- periosteal prolifration in DIAPHYSIS of affected bone (usually metacarpal/tarsal first)
- pain, swelling, lameness
- primary or metastatic pulmonary neoplasia
- anti-inflammatories
For a suspected iatrogenic cushings dog from high-dose prednisone administration, what would you expect on blood samples submitted for ACTH & cortisol levels?
low ACTH
high cortisol
splenic hemangiosarcoma is often associated with ______
DIC
a bunny hopping gait is most often seen in what type of orthopaedic abnormality
hip dysplasia
causes of anterior uveitis (broadly)
infectious, immune mediatd, traumatic, idiopathic
suggestive findings of anterior uveitis?
rubiosis iridis
aqueous flare
hyphema
hypopyon
keratitic precipitates
decreased IOP
What are 10 causes of non-cardiogenic pulmonary edema
- electrocution
- vasculitis
- liver dz
- seizures
- toxins
- dic
- envenomation
- dic
- direct trauma
10 sepsis
dx of feline asthma is based on /what finding on lower airway cytology
increased eosinophils
what is a key clinical finding in a dog with parvoviral infection?
leukopenia
what are 5 treatment options for mites in cats?
- milbemycin
- ivermectin
- selamectin
- moxidectin
- thiabendazole
what are the ECG findings associated with hyperkalemia?
- increased R-R interval
- widened QRS
- Lack of P waves
- tall tented t waves
By definition what is IBD?
lymphocytic plasmocytic enteritis
what is the main treatment for IBD
control underlying cause, control inflammation, control bacterial growth –> steroids (pred) & hypoallergenic diet = mainstays
what would be the pros and cons of metalclopramide use be in the tx of IBD
pro –> could potentially help vomiting from underlying IBD
con –> pro-motility could worsen diarrhea
what is the best way to confirm a susupicion of retinal detachment on ocular exam?
- measure systolic BP
- serum chem to assess renal values
- thyroid horomones to assess hyperT4
What can be associated with low calcium on a chemistry panel but does not typically result in clinical signs of hypocalcemia in dogs? why
hypoproteinemia –> calcium measured on a chem panel is the protein-bound calcium which will appear low when the animals proteins are low
what form of calcium is considered the active form? what is the advantage of measuring this
ionized calcium
is not affected by the animal having low blood protein levels
what is the treatment of choice for a Taenia infection in dogs?
praziquantel
what structure is most often damaged in dogs with cranial cruciate ligament ruptures?
medial meniscus –> closely associated with medial collateral ligament w/ prevents meniscus from moving around within the joint when the femoral condyle compressses & slides against it
what are predisposing/inciting factors of Immune-mediated polyarthritis
- systemic infxns (sle)
- inflammatory, infectious, neoplastic
- reactions to drugs or vaccines