FIP Flashcards

(21 cards)

1
Q

who gets FIP

A

<2 or >10
pure breeds

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2
Q

CS of the wet form

A

effusion, dyspnea, tachypnea, fluid wave

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3
Q

CS of dry form

A

C-KILLL- CNS, kidney, intestines, LN, lungs, liver masses/organomegaly

pyogranulomatous pneumonia

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4
Q

what are other differentials for FIP

A

lymphoma, toxoplasma, pancreatitis, CHF, septic peritonitis

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5
Q

Alb:glob ratio that supports FIP

A

<0.4

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6
Q

what diagnostic results support FIP

A

lymphopenia, ACD, IMHA, azotemia

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7
Q

what radiographic findings can be seen if the lungs are involved

A

unstructured- structured intersitial

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8
Q

what US findings can you see

A

subcapsular rim of kidney, hyperechoic mesentary, GI wall thickening, effusion

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9
Q

what type of effusion supports FIP

A

modified transudate
AGP >1.5

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10
Q

what also has a + rivalta test

A

bacterial peritonitis and lymphoma

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11
Q

what in house test is highly suggestive FIP

A

Viral RNA qPCR

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12
Q

what do you do if you are suspicious of FIP but the owners dont have money for testing and treatment

A

do a 5 day treatment trial

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13
Q

first line treatment

A

remdesivir injectable

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14
Q

what are other treatment options if severely cost constricted

A

molnupuravir, paxlovid, mefloquine

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15
Q

what drug is the try before they die drug

A

mefloquine antimalarial drug

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16
Q

when should the effusion be clear on treatment

17
Q

when should the globulins return to normal on treatment

18
Q

what are options for nonresponders

A

increase dosing to BID, consider alternate day therapy with antivirals

19
Q

once you finish treatment how do you monitor

A

recheck at 4 and 12 weeks for relapse

20
Q

what is the prognosis

A

85% survival. if they die they die in the first week

21
Q

general CS with FIP

A

fever- nonresponsive to NSAIDs, lethargy, anorexia, icterus, poor doers