Basics Flashcards

(41 cards)

1
Q

What are the common ‘female’ problems that owners consult the vet about? (15)

A
Neutering
Stopping a season
Suspected pregnancy
Misalliance
Calling
False Pregnancy
Lactation
Dystocia
Mating time
Fertility problems
Vulval discharge
Vulval mass
Vulval swelling
Abdominal distension
Systemic illness
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2
Q

What are the common ‘male’ problems that owners consult the vet about?

A
Neutering
Behavioural modification
Testicles missing
Testicles of different sizes
Difficulty defecating
Systemic illness
Preputial discharge
Penis sticking out
Penile mass
Penile/testicular injury
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3
Q

What is misalliance?

A

Inadvertent mating

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4
Q

What is the first question you should answer when faced with a potential reproductive problem?

A

Is this just a manifestation of normal reproductive physiology?

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5
Q

What do we use to diagnose reproductive problems?

A

History
Clinical signs
PE findings
Combination of a variety of diagnostic tests

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6
Q

What things should be taken from a history with a reproductive problem?

A
Define owners problem/reason for visit
Age, breed and sex
Neutered/entire
Females - last season (when, normal, mating?), breeding history
Current/planned use of animal
Previous illnesses/surgery
Additional general information
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7
Q

What should you perhaps do if a breeder is coming in with a reproductive problem>

A

Touch up on reading to ensure you know what you are talking about

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8
Q

Why would use of the animal affect your decision in reproductive problems?

A

Depends on decision to neuter if owner wishes to breed from the animal

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9
Q

What should be examined clinically in the female?

A
General PE
Vulva
Mammary glands
Vaginal examination (possibly)
Rectal examination (possibly)
Response to behavioural stimuli
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10
Q

What should be examined clinically in the male?

A
General PE
Scrotum and testes
Prepuce and penis
Mammary glands (possibly)
Rectal examination
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11
Q

What do we want to assess in a general physical examination with a potential reproductive problem?

A

BCS
Pyrexia
Signs of anaemia/shock
Lymphadenopathy

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12
Q

What do we want to focus on in abdominal examinations with a potential reproductive problem?

A
Abdominal mass
Uterine enlargement
Fluid thrill
Visceral displacement
Pain
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13
Q

What is fluid thrill?

A

Free fluid within the abdomen

Blot the abdomen and can feel it come through wall on the opposite side

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14
Q

What do we check mammary glands for?

A
Enlargement
Lactation
Masses
Pain
Discharge
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15
Q

What should we check the scrotum for?

A
Check skin
Presence of two testicles
Size
Shape
Consistency
Mobility
Pain
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16
Q

What should we check the vulva/prepuce for?

A

Size
Shape
Position
Abnormalities
Discharge - colour, consistency, smell, inflammation
Mucous membranes and junction
Extrude penis - shaft and external urethral orifice

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17
Q

How well tolerated are digital rectal examinations? Vaginal examinations?

A

Rectal well tolerated

Vaginal usually resented in dogs and not possible in most cats

18
Q

When are vaginal examinations possible in cats and easier in dogs?

A

During parturition as muscle relaxed

19
Q

What should you use when undertaking a rectal examination?

A

Lube
Gloves
Adequate restraint

20
Q

What are you checking in a rectal examination?

A
Anal sacs
Urethra
Prostate
Vagina
Enlarged dorsal lymph nodes
Pelvic diameter
21
Q

What are the signs of oestrus?

A

Vulval enlargement

Standing on

22
Q

What is an extremely important thing in coming up with differential diagnoses?

A

Neutered status - eliminates hormone driven reproductive disease

23
Q

What do haematology and biochemistry allow detection of?

A

Changes that are suggestive of: infection/sepsis, azotaemia, hypo/hypercalcaemia, hypoglycaemia, anaemia

24
Q

What are urinary tract infections closely related to?

A

Reproductive tract infections

25
What are hormonal assays particularly helpful for?
Detecting incompletely excised gonadal tissue Aid pregnancy diagnosis Predict ovulation Predict optimal mating time
26
What are the four commercially available hormonal assays in the UK?
Testosterone Oestrogen Progesterone Relaxin
27
What are the two main diagnostic images used in reproductive problems?
Radiography | Ultrasound
28
What is becoming an increasingly important diagnostic imaging tool in reproductive diagnosis?
Cross sectional imaging - CT
29
What is ultrasound most useful for?
``` Imaging parenchymatous organs Distinguishing fluid from soft tissues Image guided centesis and biopsies Assessing viability of pregnancy Detecting free abdominal fluid Determining origin of organ enlargement Abdominal pathology/change ```
30
What is ultrasound not good at?
Imaging intrapelvic structures Detecting bony change Detecting foetus number
31
What is radiography most useful for?
Imaging bony changes - foetal mineralisation, foetal number, pelvic anatomy, injury to os penis Contrast techniques - extent and location of luminal abnormalities Thoracic radiography - pulmonary metastases
32
What is a good method of examining the lumen of the vagina?
Endoscopy
33
What are the two scopes used to examine the vagina?
Short scopes - vestibule, caudal vagina, place urethra catheters Longer scopes - rigid or flexible, entire vagina
34
What can be a useful aid to breeding management?
Vaginal mucosa - changes in appearance tell stage of oestrus cycle
35
What does endoscopy allow detection of?
Strictures Septae Neoplasia Foreign bodies
36
What is an important tool for assessing the stage of the reproductive cycle in the bitch?
Vaginal cytology
37
How are aspirates normally obtained?
Under ultrasound guidance
38
What are the four ways that biopsies may be taken?
Incisional Excisional Needle Grasping forceps
39
Why is vaginal/preputial bacteriology not that useful?
Usually normal flora | Doesn't advance diagnosis that much
40
What is important for evaluation of male infertility?
Collection of ejaculate | Rarely collected on investigation of clinical disease
41
When should exploratory laparotomy/laparoscopy be used?
Only when confirming differential diagnosis | Need a specific surgical plan following investigation