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22 Cards in this Set
- Front
- Back
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What is acute necrotizing pancreatitis?
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Pancreatic acinar and fat necrosis (necrosis is the pridominant feature)
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What is acute suppurative pancreatitis?
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Primarily neutrophillic pancreatitis
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What is chrtonic non-suppertive pancreatitis?
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lymphocytic inflammation nand acinar cell atrophy
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How is acute necrotizing pancreatitis differentiated from chronic non-suppurative pancreatitis?
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Need histopathology
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What is the most common feline pancreatic neoplasm?
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adenocarcinoma
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What is the clinical significance of pancreatic pseduocyst?
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uncertain
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Pancreatic abscesses generally occur secondary to?
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complication of pancreatitis
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What is pancreatic atrophy?
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necrosis and apoptosis of exocrine pancreatic cells
end stage chronic non-suppuritive pancreatitis |
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How much pancreas must be lost for exocrine pancreatic insufficiency to occur?
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>95% is lost
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What are some etiologies of pancreatitis (8):
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billary tract disease
infection gi disease trauma GI disease OP toxicity lipodystrophy |
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What billary disease increases risk for pancreatitis
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cholangitis
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What two diseases commonly cause hypoperfusion (ischemia) which may lead to feline pancreatitis
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hypotension
heart disease |
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What are the most common clinical signs of feline acute necrotizing pancreatitis
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anorexia
lethargy |
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Diagnosing feline pancreatitis
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ultrasound
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What labratory findings occur commonly with feline pancreatitis?
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increased bilirubin
hypocalcemia increased ALT/ALKP fPLI - feline pancreatic lipase immunoreactivity (FP & FN) |
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TX for feline pancreatic disease?
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Supportive care
NPO for vomiting fluids pain antiemetic +/- calcium support H2 blockers low dose dopamine infusion (increase pancreatic blood Q) Broad spectrum AB - ANP is sterile but predisposes to colonic bacteria translocation |
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Is EPI a common cause of diarrhea in cats?
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no
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Why dose EPI occur?
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secondary to chronic non-suppurative pancreatitis with fibrosis and acinar atrophy
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Clinical signs of feline EPI
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weight loss
ravenous appetite soft voluminous feces |
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Diagnosing feline EPI
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serum TLI
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TX for feline EPI
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pancreatic enzyme replacement
cobalamin deficiency - B12 injections 100 ug every month |
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What are two complications of actue necrotizing pancreatitis
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diabetes mellitus
hepatic lipidosis |
