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| + | |book = Small Animal Soft Tissue Surgery Q&A}} |
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| + | [[File:SA ST Sx 09.jpg|centre|500px]] |
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− | '''A seven-year-old, female, mixedbreed dog is presented with a distended abdomen, polydipsia/polyuria and progressive anorexia and lethargy. At this time there is no vulvar secretion but the owners recall the dog having a thick yellowish discharge 10–12 days previously that quickly disappeared. Last estrus was ten weeks ago. A caudal abdominal sonogram is shown.''' | + | '''A seven-year-old, female, mixed-breed dog is presented with a distended abdomen, polydipsia/polyuria and progressive anorexia and lethargy. At this time there is no vulvar secretion but the owners recall the dog having a thick yellowish discharge 10–12 days previously that quickly disappeared. Last estrus was ten weeks ago. A caudal abdominal sonogram is shown.''' |
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| Pyometra generally occurs between 9–12 weeks after estrus when the uterus is under progesterone influence from an active corpus luteum. The sonogram shows a dilated, fluid-filled uterus typical of pyometra. | | Pyometra generally occurs between 9–12 weeks after estrus when the uterus is under progesterone influence from an active corpus luteum. The sonogram shows a dilated, fluid-filled uterus typical of pyometra. |
− | |l1= | + | |l1=Hormonal Pyometra |
| |q2=What other procedures would you consider to confirm the diagnosis? | | |q2=What other procedures would you consider to confirm the diagnosis? |
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| Up to 50% of animals have concurrent nephropathy or hepatopathy, and most dogs have concurrent bacterial cystitis. | | Up to 50% of animals have concurrent nephropathy or hepatopathy, and most dogs have concurrent bacterial cystitis. |
− | |l2= | + | |l2=Hormonal Pyometra#Diagnosis |
| |q3=What is the treatment of choice? | | |q3=What is the treatment of choice? |
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| Medical management is appropriate only for open pyometra when an owner declines ovariohysterectomy because they desire to breed the bitch. | | Medical management is appropriate only for open pyometra when an owner declines ovariohysterectomy because they desire to breed the bitch. |
− | |l3= | + | |l3=Hormonal Pyometra#Treatment |
| </FlashCard> | | </FlashCard> |
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