Difference between revisions of "Small Animal Emergency and Critical Care Medicine Q&A 22"
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[[Image:ECC 22a.jpg|centre|500px]] | [[Image:ECC 22a.jpg|centre|500px]] | ||
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*previous bleeding episodes (e.g. following spaying or castration) which might indicate a coagulation factor deficiency, | *previous bleeding episodes (e.g. following spaying or castration) which might indicate a coagulation factor deficiency, | ||
*recent use of medications which could cause platelet function disorders, vitamin K malabsorption or immune-mediated thrombocytopenia. | *recent use of medications which could cause platelet function disorders, vitamin K malabsorption or immune-mediated thrombocytopenia. | ||
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|q2=What diagnostic tests are indicated? | |q2=What diagnostic tests are indicated? | ||
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Thoracic radiographs are indicated to determine the source of the hemoptysis. | Thoracic radiographs are indicated to determine the source of the hemoptysis. | ||
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|q3=Your initial diagnostic tests reveal an ACT of 3 minutes and a normal platelet estimate. What initial treatment would you implement? | |q3=Your initial diagnostic tests reveal an ACT of 3 minutes and a normal platelet estimate. What initial treatment would you implement? | ||
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Treatment should consist of vitamin K1 therapy (loading dose of 5 mg/kg s/c then 2.5 mg/kg/day p/o), plus supportive care including oxygen supplementation if tachypneic or dyspneic, and whole blood or plasma | Treatment should consist of vitamin K1 therapy (loading dose of 5 mg/kg s/c then 2.5 mg/kg/day p/o), plus supportive care including oxygen supplementation if tachypneic or dyspneic, and whole blood or plasma | ||
replacement if indicated. | replacement if indicated. | ||
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</FlashCard> | </FlashCard> | ||
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[[Category:Small Animal Emergency and Critical Care Medicine Q&A]] | [[Category:Small Animal Emergency and Critical Care Medicine Q&A]] | ||
Revision as of 07:45, 18 August 2011
An 11-month-old, male Doberman Pinscher is presented with a 3-day history of coughing. In the past few hours he has started to produce frank blood and blood clots when he coughs.
| Question | Answer | Article | |
| Based on the clinical presentation, what historical questions should be asked of the owner? |
|
[[|Link to Article]] | |
| What diagnostic tests are indicated? | A coagulation profile is indicated, including a platelet count, PTT, OSPT and assays for fibrin degradation (or split) products and fibrinogen. An ACT and platelet estimate on a blood smear may help to indicate a coagulopathy. Thoracic radiographs are indicated to determine the source of the hemoptysis. |
[[|Link to Article]] | |
| Your initial diagnostic tests reveal an ACT of 3 minutes and a normal platelet estimate. What initial treatment would you implement? | Rodenticide toxicity is suspected. Treatment should consist of vitamin K1 therapy (loading dose of 5 mg/kg s/c then 2.5 mg/kg/day p/o), plus supportive care including oxygen supplementation if tachypneic or dyspneic, and whole blood or plasma replacement if indicated. |
[[ |Link to Article]] | |