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26 Cards in this Set
- Front
- Back
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Compare endoscopic and sonographic findings in dogs & cats with histologically confirmed gastric neoplasia. |
95% endoscopy 50% ultrasound (agreement in location only 36% of the time) |
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Argument for surgical biopsies of feline GI? |
9 cats with lymphoma (FTB) but these were endoscopic biopsy results: - 1 lymphoma - 3 suggestive - 5 IBD |
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What are arguments for endoscopic biopsies of cats GI? |
The 2006 study didn't include ileal biopsies and 20/22 had adequate duodenal biopsies taken so it doesn't actually evaluate true yield of endoscopic biopsies. |
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Normal duodenal mucosal appearance? |
tan, granular, more friable than the stomach |
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JVIM 2012 sensitivity and specificity of intestinal lymphangiectasia in dogs? |
68% sensitivity, only 42% specificity |
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Where do duodenal ulcers (& strictures) occur? |
duodenal bulb |
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Indications for immediate gastric FB removal: |
large, sharp, irregular, caustic, heavy metal, obstruction, linear, worsening of clinical signs? |
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When is surgical removal better than endoscopic gastric FB removal? |
multiple pieces, large, firm (poor graspability), sharp, chronic (lodged?), duodenal |
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What is key for removal of FB? |
proper orientation and insufflation |
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What do you need to do prior to removing hooks, wires, and needles? |
radiographs to determine orientation and whether the tip is embedded or not |
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Fish hooks: best outcome |
single barbed, unembedded hook in the stomach |
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Fish hooks: worst outcome |
treble barb embedded in esophagus |
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Overall endoscopic success of esophageal vs. gastric fish hooks? |
64% vs. 68% |
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With sewing needles, where re the most common locations? |
esophageal and gastric |
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Perforation rate from needles? |
17% |
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Survival of dogs with sewing needles undergoing definitive treatment? |
98% (nice) |
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Overall mortality rate of esophageal foreign bodies in dogs |
11% (1 out of 10 will die!) |
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Negative prognostic factors for esophageal foreign bodies |
chronicity |
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How often is endoscopy successful at removal of esophageal foreign body? |
Only 75% of the time |
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Surgical versus endoscopic removal of esophageal foreign bodies - who does better following removal? |
similar outcomes (clinical signs, success rate, etc) |
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Worse case scenario esophageal foreign body |
Small patient with bone > 3 days |
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Mortality rate of dental chews? |
26% !!! |
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What's the deal with dental chew esophageal foreign bodies? |
Difficult to remove orally via endoscopy. They get moderate to severe esophagitis and often develop strictures. High mortality rate (26%) |
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What % of aspergillosis only affects sinus? |
20-30% |
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What clotrimazole formulation can you use? |
polyethylene glycol (propylene glycol results in dead dog from anaphylaxis or something) |
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Oral anti fungal success rate for asper? |
ketoconazole 47% fluconazole 60% itraconazole 60-70% |
