O exame ultrassonográfico é uma ferramenta diagnóstica imprescindível na avaliação da integridade renal, já que fornece informações importantes a respeito da arquitetura e das dimensões renais. Os rins são facilmente visualizados na ultrassonografia, a qual permite avaliar o parênquima do órgão, diagnosticar possíveis afecções, e monitorar o grau de comprometimento tecidual. Os gatos apresentam predisposição ao desenvolvimento de nefropatias, especialmente os mais idosos, por isso o uso do ultrassom demonstra alto grau de importância no diagnóstico precoce. O presente trabalho avaliou 12 gatos provenientes da rotina do Hospital Veterinário da Universidade Federal do Paraná, Setor Palotina, nos quais o tamanho renal demonstrou média e desvio padrão de 3,52 ± 0,45cm para o rim esquerdo e 3,64 ± 0,34cm para rim direito, a ecogenicidade de cortical se mostrou aumentada em sua maioria, sendo um achado normal devido ao acúmulo de gordura tubular. Os parâmetros de topografia, forma, contorno e características de pelve renal se mostraram dentro da faixa de normalidade, sendo as alterações em relação e diferenciação corticomedular, e ecogenicidade de cortical as de maior importância.
Background: Pneumothorax is characterized by the accumulation of air in the pleural space, either due to trauma or secondary to other conditions. Typically, pneumothorax is correlated with blunt trauma of the pulmonary parenchyma or penetrating trauma of the thoracic cavity, such as on being trampled upon or bitten, respectively. The therapeutic approach of this condition is rarely described in wild animals; therefore, the present study aims to describe the clinical manifestations, diagnostic method, and therapeutic aproach in a specimen of Tamandua tetradactyla with closed pneumothorax received for emergency care after being hit by a vehicle.Case: A southern tamandua (T. tetradactyla) was received in our hospital after being hit by a vehicle. The patient presented with a state of stupor, nystagmus, a restrictive respiratory pattern, and muffling on auscultation of respiratory and cardiac sounds in the left antimer. Simultaneously with the physical examination, venous access was established, pain control was intravenously performed and oxygen therapy was started. After stabilization, the patient underwent abdominal ultrasound (abdominal-focused assessment with sonography for trauma) and thoracic radiographs. The abdominal ultrasound confirmed the presence of a small amount of free fluid in the evaluated recesses, i.e., hepatodiaphragmatic, splenorenal, cystocholic, and hepatorenal, suggesting the need for periodic ultrasonographic monitoring associated with the clinical evaluation of the patient because of suspicion of active hemorrhage. The thoracic radiographic image (ventrodorsal recumbency) revealed increased pulmonary opacity due to lobar retraction, marked by an enlarged gap between the pulmonary lobes and thoracic wall, and the formation of a radiolucent area between both structures. The lateral recumbency evidenced the dorsal displacement of the cardiac apex in relation to the sternum. In addition to the thoracic alterations, a transverse fracture in the middle third of the diaphysis of the left fibula was identified by radiographic examination. After extensive hair clipping and skin antisepsis of the left hemithorax, thoracentesis (an adapted technique from that used in domestic animals) was performed with access via the 8th intercostal space in its most dorsal presentation using a 21-gauge Butterfly needle attached to a three-way medical valve and 20-mL syringe. The procedure allowed 100 mL air to be drained until the negative pressure of the cavity was restored. At the end of the drainage, the patient showed a remarkable improvement in the respiratory pattern, and follow control radiographs showed full pulmonary expansion and no recurrence. The possibility of active abdominal hemorrhage was disregarded because ultrasound monitoring after 6 h revealed no change in the amount of free fluid in the suppressed recess.Discussion: Pneumothorax is an important condition that can be detected in injured domestic and wild animals that are run over. The association between a detailed clinical evaluation and radiographic examination was essential for the diagnosis and initiation of the appropriate therapy, contributing to the prognosis of the patient. The adaptation of the thoracocentesis technique used in domestic animals proved to be suitable for the treatment of this Tamandua tetradactyla.
Background: The southern tiger cat (Leopardus guttulus) is a vulnerable wild felid whose occurrence is restricted to the Atlantic Forest biome of Brazilian South and Southwest regions. Various strategies must be used to improve the conservation of species of felids, including preservation of forests and greater therapeutic support for animals in poor health condition. Enteral nutrition through a nasoesophageal tube is an option for patients in poor or critical condition; however, this procedure carries the risk of accidental ingestion of the tube. The objective of this work is to describe a conservative approach for the management of ingestion of a linear foreign body in a Leopardus guttulus patient.Case: A young female southern tiger cat was taken for veterinary treatment. The patient had an estimated age of nine weeks, 0.846 kg of body weight, and exhibited cachexia, hypothermia, severe dehydration, and apathy. During the examination, blood samples were taken, and initial treatment commenced with fluid therapy, antibiotic therapy, and anti-inflammatory therapy along with administration of analgesics and a gastric protector. Since the patient did not want to eat, it received a nasoesophageal feeding tube under mild sedation. The patient was positioned in sternal recumbency, its head was tilted up, and a no. 6 nasoesophageal tube was ventromedially inserted through the right nostril. The tube was later confirmed to be correctly positioned at the ninth intercostal space by a radiographic study. The feeding tube allowed administration of drugs and microenteral nutrition with a hypercaloric diet; this minimized handling of the patient, which preserved its wild behavior. After the seventh day of treatment, a piece of the tube was found lying at the bottom of the cage. Since ingestion of the remainder of the tube by the patient was suspected, it was taken to the diagnostic imaging division. At the ultrasonographic exam, the stomach exhibited hypermotility and was filled with a moderate amount of mucous content. The stomach wall was thin, and its stratified structure was preserved. Ultrasound imaging did not reveal any alterations suggestive of obstruction or inflammation such as free liquid, thickened wall, or loss of the stratified structure of the layers of the stomach. A hyperechoic tubular structure compatible with the feeding tube used was detected in the fundus of the stomach. After verification of the presence of the tube-derived material in the digestive system, the medical team opted for a conservative therapy consisting of administration of fibers, to increase intestinal motility. The patient was followed up daily by means of imaging exams. The patient did not exhibit signs of intestinal obstruction during the follow-up period. Two days after commencement of the conservative therapy, the remnant of the feeding tube that had been ingested by the patient was expelled along with the feces.Discussion: In spite of the accidental ingestion of the feeding tube by the patient, the use of this device was effective to provide nutritional and pharmacological support to the Leopardus guttulus cub, leading to its recovery. Managing malnutrition is fundamental for the recovery of any patient. Inappetence is alarming especially in felines, which quickly develop hepatic lipidosis during extended periods of anorexia. The conservative approach used, with the aid of serial imaging exams, was enough to treat ingestion of the linear foreign body by the patient.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.