URATE SOLUTIONS m
A person calls to to say she adopted a friend's dog and requests a copy of
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mthe dog's medical record and radiographs. The former owner is a client a
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t your clinic. Which one of the following choices is the most appropriate
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action to take? m m m
A - Require original owner consent or court order to release information
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B - Give caller a copy of medical record only
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C - Give caller a copy of medical record and radiographs
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D- m
mAfter physical exam, start a new medical record documenting previous i
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ssues
E- m
Give a summarized record with personal identifiers (vet, owner names)
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blocked out - Precise Answer ✔✔Am m m m m
According to the AVMA's Principles of Veterinary Medical Ethics (2008
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revision)
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"Ethically, the information within veterinary medical records is consider
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ed privileged and confidential. It must not be released except by court or
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der or consent of the owner of the patient. Veterinarians should secure a
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written release to document that request."
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,A 5 year old domestic short-
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haired spayed female cat is presented with the complaints of anorexia, ch
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ronic vomiting, and weight loss.
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Physical examination reveals icterus, dehydration, and fever. Thickened
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small intestinal loops are appreciated with abdominal palpation, and seru
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m biochemistry shows increased bilirubin and liver enzymes.
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The cat is diagnosed with extrahepatic biliary obstruction with accompan
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ying cholangitis and inflammatory bowel disease. Which one of the follo
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wing normal anatomic features may predispose cats to this triad of diseas
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es?
A- m
mNarrowing of the duodenum distal to the entry of the common bile and p
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ancreatic ducts m
B- m
Common opening of the pancreatic and common bile ducts into duoden
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um
C - Enlarged duodenal papilla in comparison to other species
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D - Decreased proportion of alpha-
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smooth muscle actin in muscle fibers of the wall of the gall bladder in ca
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ts
E - Decreased diameter and increa - Precise Answer ✔✔B
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,In cats, there is a common opening of the pancreatic and common bile du
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cts into the duodenum. It is thought that this may predispose them to asc
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ending cholangitis and pancreatitis after vomiting associated with inflam
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matory bowel disease, resulting in extrahepatic biliary obstruction.
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Other possible etiologies of EHBO include neoplasia, biliary stricture, d
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uodenal obstruction, diaphragmatic hernia, and parasitic infection.
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In all cases, there is a lack of bile entry into the intestinal tract, leading to
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mdecreased absorption of fat and fat soluble vitamins such as vitamin K, p
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otentially resulting in coagulopathies.
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Except in transient cases that are related to acute pancreatitis, surgical int
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ervention to relieve the obstruction is required as well as appropriate sup
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portive care, antimicrobial treatment, and vitamin K administration.
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Most of a litter of European wild boar at a zoological park have died. Th
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e surviving piglets are in lateral recumbency with a frothy nasal discharg
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e. Necropsy of the piglets reveals pulmonary edema and copious fluid in
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the trachea and bronchi along with grayish-
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mwhite necrotic foci on the myocardium. Which one of the following dise
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ases is the most likely diagnosis?
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A - Edema disease
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B - Encephalomyocarditis
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C - Glasser's Disease
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D - Porcine Respiratory and Reproductive Syndrome
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, E - Pseudorabies - Precise Answer ✔✔B
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Encephalomyocarditis virus (EMCV) is caused by a cardiovirus in the fa m m m m m m m m m m
mily picornaviridae. Confusingly, the virus is named for its effects on mi
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ce.
Think of rodents and exotic zoo mammals with EMCV. Pig-to-
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pig contact, contamination of swine feed and water by rodents or ingesti
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on of dead rodents may cause disease. See pulmonary edema and copiou
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s transudate in the respiratory tract, causing cardiac failure. Zoo outbreak
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s of EMCV have included lions, African elephants, rhinos, hippos, sloths
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, llamas, antelope and nonhuman primates. An outbreak of lion deaths at
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a Florida zoo in the USA occurred after feeding them the carcass of an A
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frican elephant that had died of EMCV.
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Edema disease is a neurologic disease caused by a hemolytic Escherichia
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mcoli producing Shiga toxin e2 and F18 pili resulting in high mortality in
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recently-weaned pigs. m
Glasser's Disease, caused by Hemophilus parasuis is usually an acute dis
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ease of 6 to 8 week- m m m m m
old pigs which causes fibrinous arthritis, polyserositis, and meningitis.
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Porcine Reproductive and Respiratory Syndrome (PRRS), is an arterivir
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us causing reproductive failure and post-weaning respiratory disease.
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What is the main mode of transmission for feline leukemia virus?
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