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?

    <p>Acute pancreatitis</p> 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?

    <p>Peritoneal fluid glucose concentration</p> Signup and view all the answers

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

    <p>Tucked in abdomen</p> Signup and view all the answers

    What is a common outcome associated with polytrauma following RTA?

    <p>Poor outcome</p> Signup and view all the answers

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

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

    What is the initial treatment and stabilization approach for haemoabdomen?

    <p>Managing shock, controlling the source of bleeding, fluid resuscitation, blood transfusions, oxygen therapy, and monitoring PCV/TS</p> Signup and view all the answers

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

    <p>Road traffic accidents</p> Signup and view all the answers

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

    <p>Specific gravity, total protein, and nucleated cell count, predominant cell type</p> Signup and view all the answers

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

    <p>Evaluation of perfusion parameters, external wounds, and cardiac arrhythmias</p> Signup and view all the answers

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

    <p>Fluid analysis including assessing PCV, creatinine, potassium, lactate, glucose, and bilirubin levels</p> 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?

    <p>Rapid shallow breathing, shock, and signs of head, thoracic, and abdominal trauma</p> Signup and view all the answers

    Which of the following is a potential consequence of uroabdomen?

    <p>Hyperkalemia</p> Signup and view all the answers

    What is a diagnostic method for uroabdomen?

    <p>Contrast radiography</p> Signup and view all the answers

    What is a potential cause of septic peritonitis?

    <p>Bacterial infection from the gastrointestinal tract</p> Signup and view all the answers

    What is a diagnostic test for septic peritonitis?

    <p>Abdominal effusion cytology</p> Signup and view all the answers

    What is a management approach for uroabdomen?

    <p>Abdominal drainage</p> Signup and view all the answers

    What may be required for surgical management of uroabdomen?

    <p>Coeliotomy/laparotomy</p> Signup and view all the answers

    What is essential before definitive surgical correction for uroabdomen?

    <p>Medical stabilization</p> 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.

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