SA: Diseases of Diestrus and Anestrus

Question 1

Cystic endometrial hyperplasia (Pyometra Complex)

Answer 1

Diestral dz that occurs during P4 phase of cycle
60-90d postestrus in bitch (anytime in queen)

Question 2

CS of pyometra

Answer 2

Depression (toxemia)
Leukocytosis
Vulva discharge (open)
PU/PD (endotoxins from E. coli)

Question 3

Dx of pyometra

Answer 3

Vaginal cytology
Min data base (CBC and chem)
Guarded culture of cranial vagina

Question 4

Medical therapy for pyometra

Answer 4

Lysis (PGF2a) of the CL and evacuation of the uterus
Abx, antiemetics, anti-inflamm, uterine lavage

Question 5

How should you treat pyometra

Answer 5

Treat to effect: uterine contents gone per US and P4 below 3 ng/ml

Question 6

PGF2a

Answer 6

Dinoprost or Cloprostenol
Causes smooth muscle contraction for uterine evacuation
Lyse the CL

Question 7

Medical therapy consideration

Answer 7

Young or able to pass on one litter (will relapse)
Culture/ sensitivity
PGF2a has side effects (30-40m duration)

Question 8

Pyometra recommedation

Answer 8

Tx, breed next occuring estrus then spay

Question 9

Puppy Vaginitis

Answer 9

Small amount of purulent discharge in a prepubertal bitch
Dx: cytology, cystocentesis

Question 10

Tx for puppy vaginitis

Answer 10

Benign neglect → goes away with first estrus
Postpone the spay until resolves

Question 11

Adult Vaginitis

Answer 11

Seen in spayed bitches
Rule out: perivulvar dermatitis, inverted juvenile vulva, UTI, FBs, tumors

Question 12

Tx for adult vaginitis

Answer 12

Mild: hormonal tx- estrogen (DES to thicken vaginal epithelium)
Severe: epsioplasty- correct vulva confirmation
Probiotics

Question 13

Misalliance

Answer 13

Confirm pregnant first
US @ 1 month post mating
Tx: sx*, medical (b4 30 days)

Question 14

Mismating shots

Answer 14

Estrogen (within 72 hrs of breeding, while still in estrus)
Client release form signed (malpractice)

Question 15

What’s the problem with mismating shots?

Answer 15

Causes tubular blockage and disrupts/ alters uterine environment
25% incidence of pytometra

Question 16

Estrogen toxicity

Answer 16

BM suppression in dogs and ferrets
Lethal and irreversible
Don’t repeat ECP injection more frequently than once every 30 days

Question 17

Options to mismating shots

Answer 17

Spaying
Waiting till day 28-30d (abort)
Allowing whelping (euthanasia or placement of pups)
Alizin

Question 18

Feline mammary hyperplasia

Answer 18

In young queens with CL present (13w-2y)
After OV→ rapid bilateral enlargement of mammary chain (2-5w)
Mastitic, painful and ulcerated