2025
Geneeskunde van de
gezelschapsdieren II
2e Ma DGK
1-1-2025
,INHOUDSOPGAVE
Voortplanting en verloskunde ...............................................................................................................7
Problemen bij drachtige hond en kat ..................................................................................................7
Fokkerijbesluit ..............................................................................................................................7
Onderzoek (drachtige) fokteef ........................................................................................................7
Abnormale dracht .........................................................................................................................8
Opvolgen dracht, dystocie en indicaties sectio................................................................................. 14
Opvolgen dracht bij de teef .......................................................................................................... 14
Identificatie van de risicopatiënt .................................................................................................. 15
Indicaties voor een keizersnede – hond ........................................................................................ 15
Indicaties voor een keizersnede – kat ........................................................................................... 18
Problemen na de partus .................................................................................................................. 19
Normaal puerperium ................................................................................................................... 19
Opvolging postpartum ................................................................................................................. 19
Uterusproblemen postpartum ..................................................................................................... 20
Melkklierproblemen .................................................................................................................... 22
Farmaca voor gebruik bij melkklierproblemen .............................................................................. 25
Neonatologie ................................................................................................................................. 25
Teef en pups na geboorte ............................................................................................................ 25
Opvolging pups door fokker ......................................................................................................... 25
Opvolging kittens door fokker ...................................................................................................... 27
Postnatale zorg door dierenarts ................................................................................................... 28
Veel voorkomende afwijkingen bij intacte teef en poes ..................................................................... 31
Pyometra – Teef .......................................................................................................................... 31
Pyometra – Kat ............................................................................................................................ 32
Mammatumoren – kat ................................................................................................................. 32
Mammatumoren – teef ................................................................................................................ 33
Fibroadenomateuze hyperplasie – kat .......................................................................................... 33
Vaginahyperplasie – teef.............................................................................................................. 34
Vaginatumoren – teef .................................................................................................................. 35
Aangeboren genitale afwijkingen .................................................................................................. 35
Tumoren van ovaria en uterus ...................................................................................................... 35
Vaginitis – teef ............................................................................................................................ 36
Veel voorkomende afwijkingen bij intacte reu en kater ...................................................................... 37
Cryptorchidie.............................................................................................................................. 37
Testisproblemen ......................................................................................................................... 37
Pagina 2 van 146
, Prostaatproblemen ..................................................................................................................... 40
Penisafwijkingen ......................................................................................................................... 42
Cyclusafwijkingen en infertiliteit ...................................................................................................... 44
Onderzoek infertiele teef en reu ................................................................................................... 44
Onvoldoende kennis van normale cyclus bij de teef ...................................................................... 46
Falen om loopsheid te tonen ....................................................................................................... 47
Abnormale lengte loopsheid ........................................................................................................ 48
Abnormale dekking ..................................................................................................................... 50
Afwijkende cycli bij de kat ............................................................................................................ 50
Kattin wordt niet krols ................................................................................................................. 50
Verlengde krolsheid .................................................................................................................... 51
Dekproblemen bij de kat.............................................................................................................. 51
Schijnbaar normale dekking, maar geen dracht ............................................................................ 51
Oncologie.......................................................................................................................................... 52
Klinische benadering oncologische patiënt ...................................................................................... 52
Vaststellen van neoplasie ............................................................................................................ 52
Bioptname.................................................................................................................................. 52
Stagering .................................................................................................................................... 53
Therapie ..................................................................................................................................... 54
Prognose .................................................................................................................................... 56
Communicatie met de eigenaar ................................................................................................... 57
Paraneoplastisch syndroom ........................................................................................................ 57
Vaak voorkomende tumoren ........................................................................................................... 58
Lymfoom hond ........................................................................................................................... 58
Lymfoom kat............................................................................................................................... 61
Huidtumoren .............................................................................................................................. 62
Schildkliertumoren ..................................................................................................................... 62
Mastceltumoren = Mastocytoma = MCT bij de hond ...................................................................... 63
Mastceltumoren = Mastocytoom = MCT bij de kat ......................................................................... 67
Tumoren in blaas en urethra ........................................................................................................ 68
Hemangiosarcoma = HSA ............................................................................................................ 70
Osteosarcoma ............................................................................................................................ 72
GI-tumoren................................................................................................................................. 74
Medische beeldvorming ..................................................................................................................... 78
Thorax ........................................................................................................................................... 78
Basis principes ........................................................................................................................... 78
Opnames ................................................................................................................................... 78
Pagina 3 van 146
, Pleura ........................................................................................................................................ 78
Mediastinum .............................................................................................................................. 80
Cardiovasculaire structuren ........................................................................................................ 82
Longparenchym .......................................................................................................................... 84
Abdomen ....................................................................................................................................... 87
Radiografische opnames ............................................................................................................. 87
Beoordeling RX ........................................................................................................................... 87
Abdominale organen ................................................................................................................... 88
Reproductie – Vrouwelijk dier ...................................................................................................... 99
Reproductie– Mannelijk dier ...................................................................................................... 101
Oncologie .................................................................................................................................... 103
Primaire bottumor..................................................................................................................... 103
Gewrichtstumor – synoviaal sarcoma......................................................................................... 103
Hemangiosarcoma ................................................................................................................... 103
Pulmonaire neoplasie ............................................................................................................... 104
Lymfoom .................................................................................................................................. 104
Histiocytair sarcoma ................................................................................................................. 104
Lung-digit syndroom ................................................................................................................. 104
Hypertrofische osteopathie ....................................................................................................... 104
Endocrinologie ............................................................................................................................. 105
Bijnieren ................................................................................................................................... 105
Schildklier ................................................................................................................................ 106
Endocriene pancreas ................................................................................................................ 107
Oftalmologie ................................................................................................................................ 107
CT/MRI ..................................................................................................................................... 107
Echografie ................................................................................................................................ 107
Diervoeding ..................................................................................................................................... 109
Voeding bij GI aandoeningen ......................................................................................................... 109
Energiedensiteit ........................................................................................................................ 110
Specifieke aanbevelingen per aandoening .................................................................................. 110
Voeding bij pancreas aandoeningen .............................................................................................. 114
EPI ........................................................................................................................................... 114
Pancreatitis .............................................................................................................................. 114
Diabetes mellitus ...................................................................................................................... 115
Voedingsstoffen van belang ....................................................................................................... 116
Voeding bij urineweg aandoeningen............................................................................................... 117
Struviet = magnesium ammonium fosfaat .................................................................................. 117
Pagina 4 van 146
Geneeskunde van de
gezelschapsdieren II
2e Ma DGK
1-1-2025
,INHOUDSOPGAVE
Voortplanting en verloskunde ...............................................................................................................7
Problemen bij drachtige hond en kat ..................................................................................................7
Fokkerijbesluit ..............................................................................................................................7
Onderzoek (drachtige) fokteef ........................................................................................................7
Abnormale dracht .........................................................................................................................8
Opvolgen dracht, dystocie en indicaties sectio................................................................................. 14
Opvolgen dracht bij de teef .......................................................................................................... 14
Identificatie van de risicopatiënt .................................................................................................. 15
Indicaties voor een keizersnede – hond ........................................................................................ 15
Indicaties voor een keizersnede – kat ........................................................................................... 18
Problemen na de partus .................................................................................................................. 19
Normaal puerperium ................................................................................................................... 19
Opvolging postpartum ................................................................................................................. 19
Uterusproblemen postpartum ..................................................................................................... 20
Melkklierproblemen .................................................................................................................... 22
Farmaca voor gebruik bij melkklierproblemen .............................................................................. 25
Neonatologie ................................................................................................................................. 25
Teef en pups na geboorte ............................................................................................................ 25
Opvolging pups door fokker ......................................................................................................... 25
Opvolging kittens door fokker ...................................................................................................... 27
Postnatale zorg door dierenarts ................................................................................................... 28
Veel voorkomende afwijkingen bij intacte teef en poes ..................................................................... 31
Pyometra – Teef .......................................................................................................................... 31
Pyometra – Kat ............................................................................................................................ 32
Mammatumoren – kat ................................................................................................................. 32
Mammatumoren – teef ................................................................................................................ 33
Fibroadenomateuze hyperplasie – kat .......................................................................................... 33
Vaginahyperplasie – teef.............................................................................................................. 34
Vaginatumoren – teef .................................................................................................................. 35
Aangeboren genitale afwijkingen .................................................................................................. 35
Tumoren van ovaria en uterus ...................................................................................................... 35
Vaginitis – teef ............................................................................................................................ 36
Veel voorkomende afwijkingen bij intacte reu en kater ...................................................................... 37
Cryptorchidie.............................................................................................................................. 37
Testisproblemen ......................................................................................................................... 37
Pagina 2 van 146
, Prostaatproblemen ..................................................................................................................... 40
Penisafwijkingen ......................................................................................................................... 42
Cyclusafwijkingen en infertiliteit ...................................................................................................... 44
Onderzoek infertiele teef en reu ................................................................................................... 44
Onvoldoende kennis van normale cyclus bij de teef ...................................................................... 46
Falen om loopsheid te tonen ....................................................................................................... 47
Abnormale lengte loopsheid ........................................................................................................ 48
Abnormale dekking ..................................................................................................................... 50
Afwijkende cycli bij de kat ............................................................................................................ 50
Kattin wordt niet krols ................................................................................................................. 50
Verlengde krolsheid .................................................................................................................... 51
Dekproblemen bij de kat.............................................................................................................. 51
Schijnbaar normale dekking, maar geen dracht ............................................................................ 51
Oncologie.......................................................................................................................................... 52
Klinische benadering oncologische patiënt ...................................................................................... 52
Vaststellen van neoplasie ............................................................................................................ 52
Bioptname.................................................................................................................................. 52
Stagering .................................................................................................................................... 53
Therapie ..................................................................................................................................... 54
Prognose .................................................................................................................................... 56
Communicatie met de eigenaar ................................................................................................... 57
Paraneoplastisch syndroom ........................................................................................................ 57
Vaak voorkomende tumoren ........................................................................................................... 58
Lymfoom hond ........................................................................................................................... 58
Lymfoom kat............................................................................................................................... 61
Huidtumoren .............................................................................................................................. 62
Schildkliertumoren ..................................................................................................................... 62
Mastceltumoren = Mastocytoma = MCT bij de hond ...................................................................... 63
Mastceltumoren = Mastocytoom = MCT bij de kat ......................................................................... 67
Tumoren in blaas en urethra ........................................................................................................ 68
Hemangiosarcoma = HSA ............................................................................................................ 70
Osteosarcoma ............................................................................................................................ 72
GI-tumoren................................................................................................................................. 74
Medische beeldvorming ..................................................................................................................... 78
Thorax ........................................................................................................................................... 78
Basis principes ........................................................................................................................... 78
Opnames ................................................................................................................................... 78
Pagina 3 van 146
, Pleura ........................................................................................................................................ 78
Mediastinum .............................................................................................................................. 80
Cardiovasculaire structuren ........................................................................................................ 82
Longparenchym .......................................................................................................................... 84
Abdomen ....................................................................................................................................... 87
Radiografische opnames ............................................................................................................. 87
Beoordeling RX ........................................................................................................................... 87
Abdominale organen ................................................................................................................... 88
Reproductie – Vrouwelijk dier ...................................................................................................... 99
Reproductie– Mannelijk dier ...................................................................................................... 101
Oncologie .................................................................................................................................... 103
Primaire bottumor..................................................................................................................... 103
Gewrichtstumor – synoviaal sarcoma......................................................................................... 103
Hemangiosarcoma ................................................................................................................... 103
Pulmonaire neoplasie ............................................................................................................... 104
Lymfoom .................................................................................................................................. 104
Histiocytair sarcoma ................................................................................................................. 104
Lung-digit syndroom ................................................................................................................. 104
Hypertrofische osteopathie ....................................................................................................... 104
Endocrinologie ............................................................................................................................. 105
Bijnieren ................................................................................................................................... 105
Schildklier ................................................................................................................................ 106
Endocriene pancreas ................................................................................................................ 107
Oftalmologie ................................................................................................................................ 107
CT/MRI ..................................................................................................................................... 107
Echografie ................................................................................................................................ 107
Diervoeding ..................................................................................................................................... 109
Voeding bij GI aandoeningen ......................................................................................................... 109
Energiedensiteit ........................................................................................................................ 110
Specifieke aanbevelingen per aandoening .................................................................................. 110
Voeding bij pancreas aandoeningen .............................................................................................. 114
EPI ........................................................................................................................................... 114
Pancreatitis .............................................................................................................................. 114
Diabetes mellitus ...................................................................................................................... 115
Voedingsstoffen van belang ....................................................................................................... 116
Voeding bij urineweg aandoeningen............................................................................................... 117
Struviet = magnesium ammonium fosfaat .................................................................................. 117
Pagina 4 van 146
