| Congenital portosystemic shunts in cats: investigation, diagnosis and stabilisation. | |
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MedLine Citation:
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PMID: 21338942 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PRACTICAL RELEVANCE: Although a relatively uncommon condition, the investigation, diagnosis and initial medical management of feline congenital portosystemic shunts is often undertaken within general practice. Early recognition and appropriate treatment are important to ensure a good outcome. CLINICAL CHALLENGES: Clinical signs associated with CPSSs in cats are extremely variable and can be intermittent. Signs can affect a variety of organ systems including the nervous system, and gastrointestinal and urinary tracts. Thus, the differential diagnosis list may be very long and a CPSS may not be suspected initially. More specific diagnostic tests and diagnostic imaging are indicated but may not be 100% accurate and may not be readily available to the general practitioner. AUDIENCE: This review highlights challenging aspects of the investigation and management of CPSSs for the practising veterinarian, but is also relevant to postgraduate students and provides a practical summary for specialists. PATIENT GROUP: In practice, domestic shorthairs make up the majority of cats with CPSSs. However, Siamese, Persian and Himalayan cats may be more commonly affected than other purebreeds. While cats with CPSSs are typically under 6 months old, the condition is seen in mature animals, which may not have exhibited clinical signs for months or years. EVIDENCE BASE: Despite several retrospective studies of cats with CPSSs, the evidence base for management of the condition remains limited. |
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Authors:
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Michael Tivers; Victoria Lipscomb |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of feline medicine and surgery Volume: 13 ISSN: 1532-2750 ISO Abbreviation: J. Feline Med. Surg. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-22 Completed Date: 2011-04-07 Revised Date: 2011-09-22 |
Medline Journal Info:
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Nlm Unique ID: 100897329 Medline TA: J Feline Med Surg Country: England |
Other Details:
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Languages: eng Pagination: 173-84 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 ISFM and AAFP. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Veterinary Clinical Sciences, Royal Veterinay College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK. mtivers@rvc.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Cat Diseases / congenital*, diagnosis, therapy Cats Diagnosis, Differential Portal System / abnormalities* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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