Changes

{{Template:VetPrep}}

{{Template:VetPrep}}

 

A 10-year old male castrated cat presents for inappetence and depression of one week in duration.  On physical exam, the cat appears to be in good condition (BCS 4/9).  T:101.2F, HR:180, RR:30.  You note that the sclera appear slightly icteric.  Remainder of the physical exam is unremarkable.  

question="A 10-year old male castrated cat presents for inappetence and depression of one week in duration.  On physical exam, the cat appears to be in good condition (BCS 4/9).  T:101.2F, HR:180, RR:30.  You note that the sclera appear slightly icteric.  Remainder of the physical exam is unremarkable.  

You perform bloodwork which shows:

You perform bloodwork which shows:

You perform an abdominal ultrasound and find that the liver appears enlarged with normal echogenicity.  The gall bladder is mildly distended, no choleliths are seen.  You perform an aspirate of the liver and obtain a bile sample for culture and sensitivity which shows growth of aerobes and anaerobes that are sensitive to ampicillin,  trimethoprim-sulfa, amoxicillin, choloramphenicol, and tetracycline.

You perform an abdominal ultrasound and find that the liver appears enlarged with normal echogenicity.  The gall bladder is mildly distended, no choleliths are seen.  You perform an aspirate of the liver and obtain a bile sample for culture and sensitivity which shows growth of aerobes and anaerobes that are sensitive to ampicillin,  trimethoprim-sulfa, amoxicillin, choloramphenicol, and tetracycline.

You diagnose the cat with cholangiohepatitis and institute therapy.  Which of the following antibiotic plans is most appropriate?

You diagnose the cat with cholangiohepatitis and institute therapy.  Which of the following antibiotic plans is most appropriate?

choice3="Trimethoprim-sulfa for 2-4 months"

choice3="Trimethoprim-sulfa for 2-4 months"

correctchoice="5"

correctchoice="5"

feedback5="'''Correct!''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.

feedback5="'''Correct!''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.  

Therefore, the best answer is ampicillin for 2-3 months.

Therefore, the best answer is ampicillin for 2-3 months. [[Cholangitis|WikiVet Article: Cholangiohepatitis]]

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feedback1="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

feedback1="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

Therefore, the best answer is ampicillin for 2-3 months.

Therefore, the best answer is ampicillin for 2-3 months. [[Cholangitis|WikiVet Article: Cholangiohepatitis]]

"

"  

feedback4="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

feedback4="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

Therefore, the best answer is ampicillin for 2-3 months.

Therefore, the best answer is ampicillin for 2-3 months. [[Cholangitis|WikiVet Article: Cholangiohepatitis]]

"

"

feedback2="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

feedback2="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

Therefore, the best answer is ampicillin for 2-3 months.

Therefore, the best answer is ampicillin for 2-3 months. [[Cholangitis|WikiVet Article: Cholangiohepatitis]]

"

"

feedback3="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

feedback3="'''Incorrect.''' Cats with cholangiohepatitis should be treated with antibiotics for at least 2 months.  The antibiotic chosen should also be excreted unchanged in the bile.  All of the antibiotics listed undergo biliary excretion unchanged except for trimethoprim-sulfa which is primarily excreted through the kidneys and undergoes hepatic metabolism.   

Therefore, the best answer is ampicillin for 2-3 months.

Therefore, the best answer is ampicillin for 2-3 months. [[Cholangitis|WikiVet Article: Cholangiohepatitis]]

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