Uroabdomen and Septic Peritonitis in Veterinary Medicine Quiz

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Questions and Answers

Which diagnostic method is most commonly used for diagnosing diaphragmatic hernia?

POCUS (correct)

Radiographs

Thoracic auscultation

Abdominal cytology

How is septic peritonitis managed in dogs?

Broad spectrum antibiotics and fluid resuscitation (correct)

Surgery +/- chest drain

Vitamin K/FFP if coagulopathy and surgical Ex-Lap

Emergency fluid resuscitation/shock and abdominal drain

What is a characteristic feature of bile peritonitis in dogs?

Ictericia (correct)

Varying severity of dyspnoea

Borborygmi on thoracic auscultation

Interrupted blood supply to the pancreas

What is a potential consequence of coagulopathies in bile peritonitis?

Acute pancreatitis (A) Signup and view all the answers

Which fluid concentration can be obtained by a veterinary point-of-care glucometer to identify septic peritonitis in dogs?

Peritoneal fluid glucose concentration (A) Signup and view all the answers

What is a characteristic physical exam finding for diaphragmatic hernia in dogs?

Tucked in abdomen (B) Signup and view all the answers

What is a common outcome associated with polytrauma following RTA?

Poor outcome (B) Signup and view all the answers

What are the sensitive imaging techniques for detecting free abdominal fluid and other trauma-related conditions?

Abdominal point-of-care ultrasound (POCUS) and FAST (Focused Assessment by Sonography for Trauma) (D) Signup and view all the answers

What is the initial treatment and stabilization approach for haemoabdomen?

Managing shock, controlling the source of bleeding, fluid resuscitation, blood transfusions, oxygen therapy, and monitoring PCV/TS (D) Signup and view all the answers

What is the common cause of haemoabdomen mentioned in the text?

Road traffic accidents (A) Signup and view all the answers

What are the parameters involved in categorizing fluid as transudate, modified transudate, or exudate?

Specific gravity, total protein, and nucleated cell count, predominant cell type (A) Signup and view all the answers

What are the signs of hemorrhage included in the physical exam for assessing abdominal trauma?

Evaluation of perfusion parameters, external wounds, and cardiac arrhythmias (B) Signup and view all the answers

What is the assessment method for haemoabdomen, uroabdomen, and peritonitis mentioned in the text?

Fluid analysis including assessing PCV, creatinine, potassium, lactate, glucose, and bilirubin levels (A) Signup and view all the answers

What are the components of the initial evaluation and management of trauma patients, as illustrated in the clinical scenario of Tess?

Rapid shallow breathing, shock, and signs of head, thoracic, and abdominal trauma (D) Signup and view all the answers

Which of the following is a potential consequence of uroabdomen?

Hyperkalemia (D) Signup and view all the answers

What is a diagnostic method for uroabdomen?

Contrast radiography (A) Signup and view all the answers

What is a potential cause of septic peritonitis?

Bacterial infection from the gastrointestinal tract (A) Signup and view all the answers

What is a diagnostic test for septic peritonitis?

Abdominal effusion cytology (C) Signup and view all the answers

What is a management approach for uroabdomen?

Abdominal drainage (B) Signup and view all the answers

What may be required for surgical management of uroabdomen?

Coeliotomy/laparotomy (B) Signup and view all the answers

What is essential before definitive surgical correction for uroabdomen?

Medical stabilization (C) Signup and view all the answers

Study Notes

Uroabdomen and Septic Peritonitis in Veterinary Medicine

Uroabdomen refers to the leakage of urine into the peritoneal or retroperitoneal space, leading to an accumulation of urine in the abdomen, which is rich in potassium, creatinine, and urea.
The accumulation of urine in the abdomen can cause dehydration due to the movement of water from the extracellular space to the abdomen.
Uroabdomen can result in hyperkalemia, azotemia, hyponatremia, hypochloremia, and metabolic acidosis.
The diagnosis of uroabdomen involves non-specific clinical signs, biochemistry tests for azotemia and hyperkalemia, imaging such as APOCUS and contrast radiography, and fluid analysis including Creafluid and K+fluid:K+blood ratio.
Management of uroabdomen includes fluid resuscitation, urinary catheterization, abdominal drainage, and addressing electrolyte imbalance.
Septic peritonitis is a life-threatening condition resulting from a dysregulated host response to infection, with septic shock representing a subset with particularly profound abnormalities.
Septic peritonitis can be primary, secondary, or tertiary spontaneous, with the source of infection typically bacterial, often from the leakage of the gastrointestinal tract.
Diagnosis of septic peritonitis involves haematology tests for neutrophilia to neutropaenia, biochemistry tests including lactate levels, A-POCUS, and abdominal effusion cytology.
Abdominal effusion cytology may reveal intracellular bacteria and degenerated neutrophils, and peripheral glucose to abdominal and abdominal lactate to peripheral ratios are used for diagnosis.
Surgical management of uroabdomen may require coeliotomy/laparotomy and potential procedures such as splenectomy, liver lobectomy, or nephrectomy.
Medical stabilization is essential before definitive surgical correction for uroabdomen.
The information is based on a clinical review of pathophysiology, diagnosis, and treatment of uroabdomen in dogs and cats, and images from the Textbook of Medical Physiology by Guyton and Hall.

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Description

Test your knowledge of uroabdomen and septic peritonitis in veterinary medicine with this quiz. Explore the pathophysiology, diagnosis, and management of these critical conditions in dogs and cats.