NAVLE - Zuku feline questions with complete solutions.

NAVLE - Zuku feline questions with complete solutions. A seven year old female spayed cat is presented for sudden collapse. The owner thinks she was hit by a car. She is howling in pain and dragging her hind limbs. Her pupils are responsive to light. She has a galloping heart sound and left systolic murmur. She has cold flaccid hindlimbs with pale, cyanotic nail beds and weak femoral pulses. Labwork: high CK and lactate. Hemorrhage in urine. Hyperglycemia. Diagnosis? - correct answers.Aortic thromboembolism "saddle thrombus" This a condition where a blood clot (likely secondary to HCM) lodges at the aortic bifurcation into the iliac arteries. Cats present with the listed signs and bloodwork. Neuro signs do not lateralize A two year old feral cat comes in for a neuter. He is growling in the carrier and lunging aggressively towards the owner. He has some facial scars and his bloodwork reveals hyperglycemia and glucosuria. Diagnosis? - correct answers.Stress-related hyperglycemia Even though this cat had both hyperglycemia and glucosuria, it is not exhibiting classic signs of Diabetes mellitus such as PU/PD and weight loss in spite of a big appetite A serum fructosamine level can differentiate stress-related hyperglycemia from DM A 10 year old cat presents for a 2 month history of weight loss, PU/PD, and polyphagia. On physical exam, the car is bright and alert. She has a BCS of 3/9, a grade 2/6 systolic heart murmur, and good pulse quality. Labwork reveals a profound hyperglycemia and glucosuria. Diagnosis and expectation for the owner? - correct answers.Diabetes mellitus Good quality of life can be achieved for several years with treatment. Up to 30% can achieve remission with tight glycemic control (long-acting insulin therapy and a low carbohydrate, high protein, wet food) and treating concurrent disease Why should you cross-match cats even if it's the cat's first transfusion? - correct answers.AB blood typing cannot detect Mik-related incompatibilities. Mik is a red cell antigen that can cause acute hemolytic transfusion reactions in cats that lack it because they form antibodies against it. 94% of cats that are tested have the antigen, but if a cat doesn't have it and is given blood from another cat, it could lead to a hemolytic reaction. So even if a blood product is type specific, you should still crossmatch it with the recipient's blood before transfusion What's the difference between Type B cats that receive type A blood and Type A cats that receive type B blood? - correct answers.Type B cats that receive type A blood are susceptible to fatal transfusion reactions as a result of SEVERE acute INTRAVASCULAR hemolysis Type A cats that receive type B blood have a weaker reaction that commonly results in EXTRAVASCULAR hemolysis What are the feline blood groups? - correct answers.A, B, and AB What blood should type AB cats receive? What is the universal donor blood type? - correct answers.Type AB or Type A; trick question! There are no universal donors in cats! What is the most effective treatment for a cat presented two hours after drinking ethylene glycol? - correct answers.Fomepizole (4-MP) -4-MP is more effective than ethanol when given at HIGH doses (extra-label) and within THREE HOURS of ingestion of ethylene glycol -More than THREE HOURS after ingestion, ethanol is the treatment of choice What are the four big things you should do when you see an ethylene glycol case? - correct answers.1. Decrease EG absorption: induce vomiting +/- gastric lavage followed by activated charcoal within 1-2 hours of ingestion 2. Promote diuresis with IV fluids 3. Address metabolic acidosis by adding bicarb to the fluids 4. Prevent the metabolism of EG with 4-MP or ethanol treatment (depending on how long it's been since ingestion) What is the greatest window of opportunity for intervention and a positive outcome in cats exposed to ethylene glycol? Dogs? - correct answers.Less than two hours for cats Less than 8-12 hours in dogs