VRU 2019 Flashcards
(145 cards)
What is the most common differentials for enlarged parathyroid?
- Adenoma
- Hyperplastic glands
- Adenocarcinomas are less likely
What echogenicity was adenocarcinoma in the parathyroid gland?
Heterogeneous rather than homogeneous.
Should size (3-4mm) be the cut off for parathyroid glands?
No… normals have been seen up to 7mm
Is it useful to repeat CTA when looking to see if pancreatitis has worsen in dogs?
No… nothing really changes.
This was because in humans pancreatic necrosis is usually noted 24-48 hours after first complaint and therefore repeating CTA can help with looking for necrosis in this window if the first CTA was performed immediately. Pancreatic necrosis holds a shitty prognosis so it is good to note this.
Is the frequency of gas in the pylorus and duodenum increased with three views in cats?
No it does not
What is the normal liver length:length of thoracic vertebrae in cats?
4.2 +/- 0.5
Does the liver length:length of thoracic vertebrae in cats correlate with CT liver volume?
Yes
Why should the length:length of thoracic vertebrae in cats not be performed in cats under 1 year old?
They have not attained full vertebral growth
Radiographs are more or less sensitive than CT when assessing patients for blunt thoracic trauma?
Less sensitive - For detecting rib fractures, pneumo, contusions and pleural effusion
Radiographs overestimated what when compared to CT when assessing patients for blunt thoracic trauma?
Severity of lung contusions.
What phase of contrast is best for visualizing thymomas on CT?
Delayed
What is the difference in appearance of large thymomas vs small?
Large thymoma - cystic, heterogenous and vascular invasive — more likely to reoccur
Small thymoma - homogeneous
What are post operative complications and incomplete tumor resection associated with what, when discussing thymomas?
Shorter outcomes (died earlier)
What is the HUs for the overall attenuation of a gallbladder mucocele vs sludge vs normal gallbladder?
Mucocele: 49HU
Sludge: 40 HU
Normal: 36 HU
This makes precontrast images the best to differentiated
Where is mineral commonly located in a gallbladder with a mucocele? Is this a common spot to see mineralization in a normal gallbladder or one with sludge?
In the center… no, only mucoceles have this distribution
What is the perioperative mortality with GB removal?
27%
How much more likely are ruptured gallbladder mucocele patients to die perioperatively than non-ruptured?
3x more
JVIM 2018: what was the sensitivity in US finding a ruptured gallbladder mucocele?
56%
Holland et al: Aortic./CVC ratio in dogs with systemic hypertension, what was the ratio for normal dogs vs hypertensive dogs?
- 0 for normal
- 5 for systemic hypertension dogs.
Lamb et al: Prevalence of pulmonary nodules on CT, What neoplastic etiology was most likely to have pulmonary mets on CT?
Hemangiosarcoma (41% of dogs with hemangio had mets)
Osteosarcoma (26% of dogs with osteosarc had mets)
Carcinoma (25%…)
Histiocytic (24%…)
STS (23%….)
Lamb et al: Prevalence of pulmonary nodules on CT, What neoplastic etiology was least likely to have pulmonary mets (nodules) on CT?
Mast cell tumor (4% of dogs with mast cell tumor had pulmonary nodules)
SCC (none)
Lamb et al: Prevalence of pulmonary nodules on CT, When only one nodule was found how many disappeared or did not change on follow up CT (out of 9 dogs)?
5/9 either disappeared of did not change
(median period of 188 days)
(range 14-1821)
Schlacks et al: CT Pulmonary cryptococcosis, What are differentials for pulmonary mineralized mass in a cat?
Neoplasia
Pyoggranulomatous (Coccidiodes, cryptococcus, toxo, parasitic and Mycoplasma)
Schlacks et al: CT Pulmonary cryptococcosis, What is the difference in distribution of cryptococcsis in cats vs horse?
Horse commonly have pulmonary granulomas while cats normal just infect the nasal passage.









