Veterinary Medicine: Common Clinical Problems
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Questions and Answers

What type of disorders are arteriovenous fistulas categorized under?

  • Hepatic metabolic storage disorders
  • Circulatory disorders (correct)
  • Biliary disorders
  • Parenchymal diseases
  • What is the term for the condition characterized by mild hepatic injury, mild-modest infiltrates in portal, lobular, and centrilobular regions, and no hepatocyte death?

  • Liver abscesses
  • Pyogranulomatous inflammation
  • Chronic hepatitis
  • Nonspecific reactive hepatopathy (correct)
  • What determines the activity of liver disease?

  • Amount of inflammation (correct)
  • Amount of fibrosis
  • Amount of regeneration
  • Extent of hepatocyte apoptosis
  • What is the term for inflammation of the bile ducts and surrounding tissues?

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

    What is the term for the accumulation of excessive glycogen in the liver?

    <p>Steroid-induced hepatopathy</p> Signup and view all the answers

    What is the term for the liver's exposure to inflammatory cytokines and endotoxin from the GI viscera?

    <p>Nonspecific reactive hepatopathy</p> Signup and view all the answers

    What is NOT a common clinical sign observed in dogs with chronic hepatitis?

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

    Which medication is classified under immune-modulating therapy for the treatment of chronic hepatitis in dogs?

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

    Which breed is NOT mentioned as having liver copper concentrations similar to Dalmatians?

    <p>Golden Retriever</p> Signup and view all the answers

    What is the primary recipient of copper in canine metabolism?

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

    Which diagnostic criteria for chronic hepatitis in dogs involves hepatic copper quantification exceeding a certain value?

    <p>Hepatic copper quantification &gt; 1000 ug/g dry weight liver</p> Signup and view all the answers

    In dogs with chronic hepatitis, what might characterize a more severe and progressive disease?

    <p>Presence of regenerative nodules</p> Signup and view all the answers

    What is the primary challenge in managing copper-restricted diets?

    <p>Finding a diet that is copper-restricted</p> Signup and view all the answers

    What is the consequence of restricting dietary protein prematurely?

    <p>Catabolism and prevention of liver regeneration</p> Signup and view all the answers

    What is a negative prognostic indicator in patients with liver disease?

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

    What is the average survival time for patients with cirrhosis or lobular dissecting hepatitis?

    <p>1-2 months</p> Signup and view all the answers

    What is a factor associated with poor prognosis in patients with liver disease?

    <p>All of the above</p> Signup and view all the answers

    When should dietary protein restriction be implemented in patients with liver disease?

    <p>Only when clinically indicated</p> Signup and view all the answers

    Study Notes

    Disorders and Conditions

    • Arteriovenous fistulas are categorized under vascular disorders.
    • Condition characterized by mild hepatic injury is known as mild portal inflammation with no hepatocyte death.

    Liver Disease Activity

    • Activity of liver disease is determined by the presence of inflammation and necrosis in the liver.
    • Inflammation of bile ducts and surrounding tissues is referred to as cholangitis.
    • Accumulation of excessive glycogen in the liver is known as glycogenosis.
    • Liver's exposure to inflammatory cytokines and endotoxin from the gastrointestinal viscera is termed endotoxemia.

    Clinical Signs and Diagnosis

    • Atypical clinical sign NOT commonly observed in dogs with chronic hepatitis is polydipsia (excessive thirst).
    • Azathioprine is classified as an immune-modulating therapy for chronic hepatitis treatment in dogs.
    • Breeds NOT mentioned with copper concentrations similar to Dalmatians include Beagle.

    Copper Metabolism

    • Primary recipient of copper in canine metabolism is the liver.
    • Diagnostic criteria for chronic hepatitis in dogs includes hepatic copper quantification exceeding 400 μg/g dry weight.

    Disease Severity and Management

    • In dogs with chronic hepatitis, more severe and progressive disease may be characterized by elevated liver enzymes.
    • Primary challenge in managing copper-restricted diets lies in ensuring adequate nutrition while minimizing copper intake.
    • Premature dietary protein restriction can lead to protein-energy malnutrition.

    Prognosis and Dietary Management

    • Negative prognostic indicator in patients with liver disease includes rapid progression of clinical signs.
    • Average survival time for patients with cirrhosis or lobular dissecting hepatitis is approximately 1 year.
    • Poor prognosis in liver disease patients is associated with factors like advanced age and concurrent illnesses.
    • Dietary protein restriction should be implemented only after clinical signs of liver failure develop.

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    Description

    Explore common clinical problems encountered in veterinary practice, including circulatory disorders, biliary disorders, and parenchymal diseases. Learn about different categories of diseases such as congenital vascular disorders and biliary cystic disease.

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