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|book = Small Animal Soft Tissue Surgery Q&A}}
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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.'''
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'''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.
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|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.
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|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.
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|l3=Hormonal Pyometra#Treatment
 
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