SPLEEN 83

Question 1

VASCOLARIZATION SPLEEN

Answer 1

CELIAC (UNPAIRED)

3 BRANCHES: HEPATIC, LEFT GASTRIC, SPLENIC

SPLENIC GIVE RAISE UP TO 3 PANCREATIC ARTERIES AND 1-2 LONG VESSEL SHORT GASTRIC

CONTINUATION SPLENIC GASTROEPIPLOIC

Question 2

SPLEEN RESEVOIRS

Answer 2

90% BLOOD RAPID POOL. 30 SEC
9% INTERMEDIATE, 8 MINUTES
1% SLOW, 1 HOUR

Question 3

SPLENITIS

Answer 3

BACTERIAL, VIRAL, FUNGAL, PROTOZOAL

CATS WITH EOSINOPHILIC SYNDROME OR DOGS WITH EOSINOPHILIC GASTROENTERITIS MAY PRESENT EOSINOPHILIC SPLENITIS.

PYOGRANULOMATOUS SPLENITIS IN CATS WITH FIP

DIC WITH TROMBOSIS AND CLOSTRIDIUM SEEDING

Question 4

4 CAUSES OF SPLEEN CONGESTION

Answer 4

CONGESTIVE HEART FAILURE

PORTAL HYPERTENSION

VASCULAR OUTFLOW OBSTRUCTION

CAPSULAR RELAXATION TO CHEMICAL STIMULI (BARBITURICI, FENOTIAZINE..)

Question 5

DIFFERENCE DOG CAT SPLEEN

Answer 5

DOG HAS SINUSOIDAL SPLEEN CAN NONSINUSAL

CAS IS LESS PRONE TO SEVERE SPLENOMEGALY IN COMPARISON TO DOGS

Question 6

LOCALIZED FORMS OF SPLENOMEGALY

Answer 6

1) NODULAR HYPERPLASIA (SPLENIC FIBROHISTIOCITIC NODULES IS A HISTOLOGICALLY DISTINCT TYPE OF NODULAR HYPERPLASIA)
2) PSEUDOTUMOR
3) HEMANGIOMA
4) HAMARTOMA
5) ABSCESS
6) CYST
7) SEGMENTAL INFARCTION
8) PLAQUES
9) NEOPLASIA

Question 7

CAT SPLEEN CAN BE FOLDED OVER ITSELF AND APPEAR BIGGER?

Answer 7

FALSE, IT’S RARE TO SEE CATS SPLEEN FOLDED. MORE COMMON IN DOGS

Question 8

CEUSS DOG SPLEEN

Answer 8

MALIGNANT LESIONS: MORE HYPOECHOIC DURING EARLY AND LATE VASCULAR PHASES

BENIGNANT: ISOECHOIC IN LATE VASCULAR PHASE

Question 9

FNA FOR SPLEEN DIAGNOSTIC: USEFUL??

Answer 9

GOOD FOR HEMATOPOIETIC NEOPLASIA AND HYPERPLASIA (READY CELLULAR EXFOLIATION)

NON DIAGNOSTIC OFTEN IN TRAUMA, TORSION, VASCULAR DISORDERS, FIBROSIS, LYMPHOID ATROPHY, AMILOIDOSIS

Question 10

WHAT VESSELS HISTORILACCY WERE PRESERVED FOR SPLENECTOMY?

Answer 10

LEFT GASTROEPIPLOIC AND SHORT GASTRIC. IN FACT, IS NOT REALLY NECESSARY TO PRESERVE THESE VASCULAR STRUCTURES FOR GASTRIC BLOOD FLOW.

Question 11

WHAT VESSELS HISTORILACCY WERE PRESERVED FOR SPLENECTOMY?

Answer 11

LEFT GASTROEPIPLOIC AND SHORT GASTRIC. IN FACT, IS NOT REALLY NECESSARY TO PRESERVE THESE VASCULAR STRUCTURES FOR GASTRIC BLOOD FLOW.

Question 12

PCV VALUES TO DIAGNOSE HEMATIC PERITONEAL FLUID

Answer 12

HIGHER THAN PERIFERAL BLOOD IS SUPPORTIVE OF DIAGNOSIS OF HEMATIC LOSS

Question 13

SPLENIC TORSION SYMPTOMS AND HEMATOLOGIC FINDINGS

Answer 13

LETARGY, ANOREXIA, VOMITING, DHIARREA, PU-PD, WEIGHT LOSS, DISCOLORED URINE

LEUKOCITOSIS, ANEMIA, TROMBOCITOPENIA

Question 14

DIAGNOSIS AND MANAGEMENT SPLENIC TORSION

Answer 14

COLOR DOPPLER HILUS ULTRASONOGRAPHY

NO DEROTATION OF THE SPLEEN HILUS!

Question 15

HEMOABDOMEN, WHAT IS THE PROBABILITY IT IS NEOPLASTI??

Answer 15

63.3% ARONSHON 2009

88% PINTAR 2003

Question 16

LIVER ISTOLOGY OR JUST ABDOMINAL LAPAROTOMY EXPLORATION?

Answer 16

CLENDANIEL 2014: IN NO DOG WITH GROSSLY NORMAL LIVER DETECTED METASTASIS AT BIOPSY SAMPLING

Question 17

MEDIAN SURVIVAL TIME HEMANGIOSARCOMA

Answer 17

GORITZ 2013: MEDIAN SURVIVAL TIME 50 D

MEAN SURVIVAL 219

Question 18

ARRHYTMIAS DOGS SPLENECTOMY

Answer 18

MARINO 1994: 44% AFTER SPLENECTOMY. (50% LESS IF MEASURED 1 MINUTE EVERY 6 HOURS)
KNAPP 1993: 35%

MORE COMMON WHEN: ANEMIA, HYPOTENSION, LEUKOCITOSIS, SPLENIC MASS RUPTURE

MIOCARDIAL ISCHEMIA AND HYPOXIA?

Question 19

PROPHYLACTIC GASTROPEXY AFTER SPLENECTOMY

Answer 19

MAYBE RELATED TO STRETCHING GASTROSPLENIC, HEPATODUODENAL, HEPATOGASTRIC LIGAMENTS FROM GROWING MASS.

NO EVIDENCE BUT IS ANYWAY RECOMMENDEND