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CRP to differentiate pyometra from cystic endometrial hyperplasia
Pyometra is one of the common emergencies in small animal practice, often requiring immediate (surgical) intervention. On the other hand, cystic endometrial hyperplasia is an important differential diagnosis, but the differentiation of both can be a problem. A group from Sweden tried a very popular parameter in human medicine, C-reactive protein, to differentiate both problems.

Hematological parameters, plasma C-reactive protein (CRP), and tumor necrosis factor were analyzed in 64 dogs with a presumptive diagnosis of pyometra.
Final diagnosis (i.e., pyometra or cystic endometrial hyperplasia [CEH]) was determined by histopathology.

As a single test, the percentage of band neutrophils had the highest sensitivity in the prediction of pyometra (sensitivity, 94%). The combination of percentage of bands and CRP had the highest sensitivity (97.7%; specificity, 75%) in predicting the presence of pyometra. The most common clinical signs noted in the study were vaginal discharge, polyuria, polydipsia, lethargy, and gastrointestinal signs.

A combination of three or more of these clinical signs was significantly associated with pyometra.

Source: Boel A. Fransson, Erika Karlstam, Annika Bergstrom, Anne-Sofie Lagerstedt, Jean S. Park, Marc A. Evans and Claude A. Ragle (2004): C-reactive Protein in the Differentiation of Pyometra From Cystic Endometrial Hyperplasia/Mucometra in Dogs. In: Journal of the American Animal Hospital Association 40:391-399 (2004)







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SMALL ANIMAL PRACTICE

Electroretinography as a prognostic indicator after retinal reattachment surgery
Retinal detachment is one of the ophthalmological emergencies, and even if the diagnosis is made early and a reattachment surgery is performed immediately many dogs do not regain postoperative vision. This 18‐month prospective study recorded signalment, duration, cause, and extent of retinal detachment and pre‐operative vision status. Rod and mixed rod‐cone ERG responses were recorded prior to RRS. Referring veterinary ophthalmologists assessed vision 2 months postoperatively to determine whether pre‐operative electroretinography (ERG) predicts postoperative vision in dogs undergoing retinal reattachment surgery (RRS).

  • Computed tomographic lymphography for lymph node staging in dogs with malignant tumors members
  • Characterization of ocular melanosis-affected canine melanocytesmembers
  • Nasopharyngeal sialoceles in brachycephalic dogsmembers
  • Enterococcus faecium SF68 on serum cobalamin and folate concentrationsmembers
  • Gastrointestinal eosinophilic sclerosing fibroplasia limited to the mesentery in a catmembers
  • Ion acid-base disturbances and associated mortality in dogsmembers
  • First description of ultrasonic bone curette in canine otic surgerymembers
  • Staining hair samples with a modified Wright-Giemsa stain to diagnose feline dermatophytosismembers
  • Oral extended release hydrocodone as analgesia after TPLOmembers
  • 25OH vitamin D3 serum concentration in dogs with acute polyradiculoneuritismembers
  • Type 1 immune mediated polyarthritis in dogs and temporal relationship to vaccination members
  • Phosphorus and protein supply before diagnosis of chronic kidney disease members


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