Term
| What are the clinical signs of pericardial dz? |
|
Definition
-collapse
-weakness
-dyspnea
-cough small dogs |
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|
Term
| What do we see on PE w/ pericardial dz? |
|
Definition
-muffled heart sounds
-muffled lung sounds: pleural effusion
-weak femoral pulses
-pulsus paradoxus
-tachypnea
-ascites |
|
|
Term
| What is pulsus paradoxus? |
|
Definition
| -pulses weak on inspiration |
|
|
Term
| rue or FAlse: Cannot exclude pericardial dz on rads. |
|
Definition
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|
Term
| Is DV or VD better for viewing heart w/ pleural effusion present? |
|
Definition
| -VD b/c fluid pools near spine |
|
|
Term
| Will pericardial effusion secondary to CHF cause cardiac tamponade? |
|
Definition
| -NO, it will be in small amounts |
|
|
Term
| Where do we perform pericardiocentesis? |
|
Definition
| -right side: 4th or 5th IC just dorsal to costochondral jxn |
|
|
Term
| How do we definitiely diagnose pericardial efusion? |
|
Definition
| -U/S or pericardiocentesis |
|
|
Term
| What do we look for on ECG when performing pericardiocentesis? |
|
Definition
|
|
Term
| What do we normally see on cytology of pericardial effusion? |
|
Definition
| -reactive mesothelial cells and cannot rule out mesothelioma |
|
|
Term
| Which dog breeds are predisposed to aortic body tumors? How do we diagnose them? |
|
Definition
-brachiocephalic
-characteristic on echo |
|
|
Term
| Where do hemangiosarcomas usually occur? |
|
Definition
|
|
Term
| How do we diagnose mesothelioma? |
|
Definition
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|
Term
| Describe idiopathic percardial effusions. How do we treat them? |
|
Definition
-no underlying cause but frequently very hemorrhagic fluid
-one or more pericardiocenteses and/or pericardectomies |
|
|
Term
| What is restrictive pericardial dz? Can it be fixed by pericardiocentesis? |
|
Definition
-crap in the pericardium physically restricts the heart
-cannot be fixed by pericardiocentesis |
|
|
Term
| How do we surgically treat a restrictive pericardial dz? |
|
Definition
-surgically remove the pericardium
-put in a CompanionPort that can be usd to drain forever |
|
|
Term
| What are some medical therapy options for restrictive pericardial dz? |
|
Definition
-Tranexamic acid: antifibrinolytic
-Yunnan Baiyao: procoagulant |
|
|
Term
| What is PPDH? HOw do you get them? |
|
Definition
-Peritoneal Pericardial Diaphragmatic Hernia
-congenital ONLY: abnormal fusion of septum transversum w/ pleuroperitneal folds during embryonic development |
|
|
Term
|
Definition
| -only treat them when they are symptomatic |
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