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Repro Diagnostics in Female
Exam 2
36
Veterinary Medicine
Professional
10/04/2016

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Cards

Term
What are the parts of a history that are important for female therio diagnostics?
Definition
-home environment
-vaginal discharge
-food (raw diet?)
-records
-use of animal
Term
What are the important parts of a breeding history for a bitch?
Definition
-number of litters
-pregnancy loss
-methods of breeding
-pyometras
Term
What is the leading cause of infertility in the bitch?
Definition
-inappropriate breeding time
Term
What hormone do we look for with timing for breeding in the bitch? When in her cycle do we look?
Definition
-progesterone
-proestrus and estrus
Term
What could cause failure of P4 increase in the bitch?
Definition
-lack of LH surge
-dysfunction at level of hypothalamus or pituitary gland
Term
What hormones are diagnostic for granulosa cell tumors in the mare and bitch?
Definition
-INhibin
-AMH
Term
For bitches, what issues can we see with a very minimal physical exam that can key us in on a possibly dystocia?
Definition
-breed
-ex: brachycephalics always need C-sections
Term
Why do we evaluate cardiac status in bitches?
Definition
-heart murmurs occur during estrus
-murmurs are common during pregnanct: slight inc in left ventricular size
Term
What specific musculoskeletal issues do we look for in females for breeding?
Definition
-Mres: suspensory ligament problems in certain breeds
-Bitches: cruciate ligament injuries in some breeds (ex: English bulldogs)
Term
What on a perineal exam may indicate the stage of her cycle? What else may be evident on this exam?
Definition
-vulvar swelling
-pathology
Term
What is a windsicker test? What does a positive look like?
Definition
-Caslick's procedure can be performed to prevent contamination of vestibule and vagina
-sounds like a burping and can see directly into her
Term
What kind of cytology do we perform on the bitch? The mare?
Definition
-vaginal
-endometrial
Term
How do we examine the vagina?
Definition
-manually
-speculum
-endoscope
Term
When do we use a Polansky speculum?
Definition
-vaginal surgery
Term
What do we look for with vaginal cytology in the bitch? Why?
Definition
-estrogen
-useful in timing of ovulation and breeding
Term
What pathological conditions can be diagnosed with vaginal cytology in the bitch?
Definition
-functional ovarian cysts
-Granulosa cell tumors
-ovarian remnant syndrome
Term
When we palpate the cervix, what are we looking for?
Definition
-patency
-serosal defects
-musculature defects
-adhesions
-discharge
Term
When is the best time to perform a cervical exam?
Definition
-during diestrus when under the influence of P4
Term
When is the worst time to perform a cervical exam?
Definition
-dystocia
Term
How do we evaluate the uterus?
Definition
-endometrial culture
-endometrial cytology
-endometrial bopsy
-ultrasonography
-hysteroscopy
Term
We always collect culture and cytology samples before biopsy samples are obtained. Why?
Definition
-biopsy causes bleding
Term
What are endmetrial biopsies used for?
Definition
-histology
-culture
-cytology
Term
Can you use the same endometrial biopsy sample for histology, culture, and cytology? Why or why not?
Definition
-NO
-histology requires a fixed sampled and cytology and culture cannot use a fixed sample
Term
Does endometrial biopsy interfere with fertility?
Definition
-NO
Term
What is the purpose of the Kenny Grading System for Endometrial Biopsies? What animals does it apply to?
Definition
-grading scale used to assist the veterinarian in providing prognosis for pregnancy or in the ability of a mare to carry a foal to term
-mares
Term
What are the grades on the Kenney Grading System for Endometrial Biopsies?
Definition
-Grade I: 80% chance of carrying to full term
-Grade IIa: 50-80% chance of carrying to full term
-Grade IIb: 30-50% chance of carrying to full term
-GRade III: less than 30% chance of carrying to full term
Term
Describe a grade I endometrial biopsy?
Definition
-normal
-no glandular atrophy, hypoplasia, slight infiltration of WBC into endometrium
Term
Describe a grade IIa endometrial biopsy.
Definition
-slight to moderate diffuse infiltration
-frequent and scattered fibrotic changes of 3 or less layers around glandular branches
-less than 2 nests per low power field
Term
Describe a grade IIb endometrial biopsy.
Definition
-widespread, diffuse, and moderately severe cellular infiltrates
-widespread, diffuse, and moderate fibrosis
-up to 4 layers of fibroblast layers around gland branches
-may include widespread, moderate, cystic gland debeneration
Term
Describe a grade II endometrial biopsy.
Definition
-widespres, diffuse, and severe cellular inflammatory change
-widespread, diffuse, and severe fibrosis
-more than 5-6 layers of fibroblast layers around gland branches
-more than 5 nests per low power field
-may include widespread, severe, cystic glad degeneration
Term
Why does variation exist amongst evaluated samples per the Kenny Grading System?
Definition
-environment
-competent breeding manager
-sound teaser program
-method of breeding
-male could be the issue
-individual problems
-category I and II most affected
Term
How do we collect endometrial cytology sample in the mare? In the bitch?
Definition
-Mare: swab or brush
-Bitch: uterine lavage via transcervical catheterization
Term
What are the three methods of ultrasonography for the uterus etc?
Definition
-transabdominal: when pregnant
-transrectal
-transvaginal: for collection of oocytes or twin reduction
Term
What pathologies of the uterine wall and lumen do we look for on ultrasound?
Definition
-cystic endometrial hyperplasia
-cysts
-luminal or vaginal fluid
-endometrial edema
-masses
Term
What ovarian structures do we look for on ultrasound?
Definition
-dilated oviducts
-masses, neoplasia
-cysts
Term
What is the purpose of a hysteroscopy?
Definition
-visualize structures within the vaginal canal or uterus
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