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SA Med Hematology L3 Flashcards | StudBud
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SA Med Hematology L3
SA Med Hematology L3
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T5 Guttin Slides
Flashcards
14 cards
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Practice quiz
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Questions
14
Answers
1
How would you go about ruling out a drug/toxin trigger?
History
Specific Drug Blood Panels
Radiographs
Serology
2
Read the prompt.
Some patients do not survive treatment
Some patients survive but have another episode later that may be fatal
Some patients may do well in the hospital and go home with treatment
The prognosis is referred to as guarded.
3
What would you put on your problem list that would
specifically
indicate a possible IMD?
Pyrexic
Waxing and waning episodes
Increased HR
Effusive painful joints
4
Read the prompt.
Doxycycline
Aspirin
Prednisone
Rivaroxaban
5
What is the
most important
fact to keep in mind when you put a patient on Prednisone (steroid)?
Maintain a low physiologic dose for the lifetime of the pet
Wean them off slowly with frequent checks
Start them at a high dose and immediately stop in 4 months
Start them on a low physiologic dose and work your way up
6
Why would you choose to add a secondary immunosuppressive
Px is on a high dose of pred but problems have not subsided
Diabetic patient has a concurrent dz best tx'd with Pred
Had to stop weaning because clinical signs recurred
Px is experiencing severe PU/PD effects
7
What would you put on your differential list?
Histiocytic Sarcoma?
Toxicity?
Immune mediated Disease?
Infectious Disease?
8
Recalling your differential list, what diagnostics would you like to run first to rule things out?
CBC/Chem
PT/PTT
Radiographs
Serology
9
To feel better about ruling out IMHA in the prev. case, what other tests could you run?
Radiographs to rule out neoplasia
SNAP to rule out Babesia
PCV/TS to rule out anemia
UA to rule out Bilirubinuria
10
Read the prompt.
IDK, I don't trust the tech.
Results suggest IMHA
Respect your tech.
Results rule out IMHA
11
Read the prompt.
Continue the TMS and add Prednisolone
Stop the TMS
Rule out other triggers
Perform xrays to rule out HCM
12
What are the common triggers of an associative immune med. disease?
Neoplasia
Drug/Toxin
Inflammatory
Infectious
13
What differentials are coming to mind?
Idiopathic GI upset
Need more history
Associative IMD due to drugs
Maltese doing Maltese things
14
Do NOT give immune compromised patients vaccines - you WILL cause a relapse
False
True
