Thoracic Cavity

Question 1

Frykfros von Hekkel
Thoracic bite wounds in dogs
VetSurg 2020

Answer 1

increased odds for surgery
~Presence of pneumothorax
~Pseudoflail chest
~Rib Fx

Mortality
~Pleural effusion
~Positive bacterial culture

Level of wound management associated with length of hospitalization

Question 2

Blondel
Migrating FB
VetSurg 2021

Answer 2

Preop ultrasound 88%
Pre-op MRI 57%

Intra op removal
~pre op only 59%
~intraop AUS 90%

Resolution 90%

Question 3

Lamb
CT with suspected wooden foreign body
VetRadUS 2017

Answer 3

Sensitivity 79%

Median attenuation 111 HU

Question 4

Thorsten
Enhanced US of intrathoracic mass
VetRadUS 2019

Answer 4

Neoplastic 63% bronchial artery
Non-Neoplastic 78% Pulmonary artery

Thymomas heterogeneously in centripetal
Lymphoma enhanced homogeneous centrifugal

Question 5

Frauenthal
Coyote attack in dogs
JVECC 2017

Answer 5

86% dogs <10kg

Morality 16%
~Associated with rib fx

Bite wounds on thorax had mortality of 21%

SIRS 59%

Question 6

McCarthy
Animal Trauma Triage Score for Prognosis of Canine Rib Fractures
VCOT 2018

Answer 6

Animal Trauma Triage
>7 sensitives for mortality

1 point increase corresponded to 2.1 x decreased likelihood of survival

Dog bite
~mean hospital stay 3d longer

Question 7

Matiasovic
Impalement injuries
JSAP 2018

Answer 7

FB retrieval 37%

Survival rate
~Overall 90%
~For thoracotomy 93%

Question 8

Lux
Cats with thoracic trauma
JAVMA 2018

Answer 8

Intrathoracic Sx 65%
Mortality peri-op 13%

Survival
~no cardiopulmonary arrest
~animal trauma triage score (6.4 vs. 10)

Question 9

Lux
Dogs thoracic trauma
JAVMA 2018

Answer 9

Survival
~Female vs. male x 6
~No cardiac arrest x 102

ATT score
~for nonsurvivors was 8
~<7 had odds of survival 5 x of >7

Question 10

Layers transected during lateral thoracotomy

Answer 10

Skin
SC
Cutaneous trunci m.
Latissimus dorsi m
Pectoralis
Scalenous/ Ext Abd Obl
Serratus ventralis seperated
Intercostal m.
Pleura

Question 11

Entrance of the thoracic duct into the vascular system

Answer 11

Left Jugular at level of left axillary v.

Question 12

Approach for thoracic duct ligation dog vs. cat

Answer 12

Dog: Right 8-11

Cat: Left 8-11

Question 13

Procedures that can be performed under Inflow Occlusion

Answer 13

~Pulmonic Dilation Valvuloplasty
~Patch-Graft Valvuloplasy
~Double chambered right ventricle
~Pulmonary a. Banding for VSD
~Modified Blalock-Taussing Shunt for Tetralogy of Fallot
~Triatriatrum Dexter

Question 14

Pulmonic Stenosis

Answer 14

Bulldogs

~Anomalous Left coronary a.: Dilation valvuloplasty contraindicated