Document Detail

Clinical and clinicopathologic abnormalities in young dogs with acquired and congenital portosystemic shunts: 93 cases (2003-2008).
MedLine Citation:
PMID:  22947159     Owner:  NLM     Status:  In-Data-Review    
Objective-To determine whether clinical and clinicopathologic data could assist differentiation of congenital portosystemic shunts (CPSSs) from acquired portosystemic shunts (APSSs) in young dogs. Design-Retrospective case series. Animals-Dogs < 30 months of age with CPSSs (n = 62) or APSSs (31). Procedures-Medical records from 3 referral centers identified 31 dogs with APSSs and 62 dogs with CPSSs diagnosed from July 2003 to July 2008. Signalment, clinical signs, physical examination, and clinicopathological data were recorded, and statistical analyses were performed to determine differences between groups. Results-Univariable analysis showed APSS patients were older, heavier, and in poorer body condition, compared with CPSS patients. In CPSS patients, diarrhea was less prevalent, and neurologic signs were more prevalent. Ascites was more prevalent in APSS (Fisher exact test; OR, 50.2; 95% confidence interval [CI], 6.2 to 409.7), with no significant difference in albumin concentration between groups. The logistic regression model used to assess clinicopathological parameters showed lower Hct (OR, 1.42 × 10(-12); 95% CI, 1.42 × 10(-17) to 4.0 × 10(-6)), higher mean corpuscular volume (OR, 1.27; 95% CI, 1.08 to 1.50), and higher alanine aminotransferase concentrations (OR, 1.005; 95% CI, 1.001 to 1.009) were more likely in APSS patients. Conclusions and Clinical Relevance-Several clinicopathologic differences between dogs with congenital and acquired shunts were identified; however, assessed alone, these would be unlikely to enable differentiation between the 2 conditions. Awareness of the rarity of ascites in CPSS cases should prompt recognition of a likely diagnosis of APSS, allowing the veterinarian to target further diagnostics and counsel the owner appropriately.
Fiona H Adam; Alexander J German; J Fraser McConnell; Mary R Trehy; Nat Whitley; Alison Collings; Penny J Watson; Rachel D Burrow
Related Documents :
23241279 - Efficacy and safety of deep sclerectomy in childhood glaucoma in saudi arabia.
18798379 - Long-term efficacy and safety of sirolimus-eluting vs bare-metal stents.
8738859 - Effect of treatment with magnesium and potassium on mortality and reinfarction rate of ...
11721719 - Increased reperfusion by glycoprotein iib/iiia receptor antagonist administration in ca...
24927289 - The effect on perioperative bleeding of placental extraction from an exteriorized uteru...
20062919 - Clopidogrel response status assessed with multiplate point-of-care analysis and the inc...
21616259 - Ethanol lock therapy to reduce the incidence of catheter-related bloodstream infections...
18585939 - Vagus nerve stimulation for refractory status epilepticus.
10595609 - Manual compared with mechanical cervical oesophagogastric anastomosis: a randomised trial.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Veterinary Medical Association     Volume:  241     ISSN:  1943-569X     ISO Abbreviation:  J. Am. Vet. Med. Assoc.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503067     Medline TA:  J Am Vet Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  760-5     Citation Subset:  IM    
Small Animal Teaching Hospital, University of Liverpool, Neston, Cheshire, CH64 7TE, England.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Effect of extradurally administered morphine on postoperative analgesia in dogs undergoing surgery f...
Next Document:  Use of a spiral rectal diaphragm technique to control anal sphincter incontinence in a cat.