Clinical course, diagnostic findings and necropsy diagnosis in dyspneic cats with primary pulmonary parenchymal disease: 15 cats (1996–2002)

Objective: Correlate the necropsy diagnosis with the history, diagnostic findings, and clinical course of dyspneic cats with primary lung parenchymal disease. Design: Retrospective study. Setting: Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania. Animals: Client‐owned cats over 6 months of age hospitalized in the Intensive Care Unit (ICU) with a primary problem of respiratory distress that had pulmonary parenchymal disease on thoracic radiographs, and a complete necropsy. Interventions: None. Measurements and main results: Cats included were assigned into 2 groups based on the pulmonary histopathology: inflammatory (n=8) and neoplastic (n=7) disease. No statistical difference was found between the groups with regard to age, body weight, clinical signs, duration of clinical signs, physical examination findings, thoracic radiography, duration of hospitalization, treatment, and outcome. Cats with neoplasia had a statistically higher mean total white blood cell count (26.60 k/μL±10.41) than those with inflammatory lung disease (11.59 k/μL±4.49; P=0.026). Cats with bacterial or viral pulmonary disease had a significantly shorter median duration of illness (5 days, range 1–7 days) than all other cats (30 days, range 7–365 days; P=0.0042). Ultrasound guided pulmonary fine‐needle aspiration (FNA) provided an accurate diagnosis in 5/5 cases. Conclusions: Forty‐seven percent of cats with pulmonary parenchymal disease had neoplasia. The clinical diagnosis was difficult to obtain ante‐mortem; lung FNA appeared to be the most helpful diagnostic tool in these cases.     

Problems of estimating tissue turnover in grass swards in the presence of grazing animals

Rates of leaf extension and senescence were measured over three-day intervals on neighbouring sets of caged and uncaged tillers on several occasions during summer 1983, both when grazing animals were present and also when they were absent. The weather was dry and drought conditions developed as the season advanced. Comparison of data from caged and uncaged tillers indicated that some consistent differences occurred. Loss of information through grazing (affecting 30% of uncaged, larger than average, tillers), contributed to the significantly reduced estimates of leaf extension of ungrazed, uncaged tillers compared with caged tillers. Senescence rates were higher in the open plot than under the cages; old leaves were grazed on only 8% of uncaged tillers so that data loss was less important as a cause of bias. In the drought conditions prevailing, it was thought that caging in the presence of grazing animals resulted in reduced moisture stress and contributed to the above results. Comparisons of caged and uncaged tillers when grazing animals were absent were made to examine the environmental effects of caging and the slight difference in tiller marking procedure. No differences were found in leaf extension rates, though a trend towards higher senescence rates for the uncaged populations was evident. It was concluded that the criteria limiting the use of cages (a period of protection less than the average interval between both leaf appearance and repeated defoliation) should be extended to include a time limit set by the need to avoid bias associated with the environmental effects of caging and cessation of grazing. To define this time limit better in particular circumstances, the extent and direction of bias in the estimation of leaf extension and senescence rates as affected by period of caging, tiller handling procedures, sward and climatic conditions requires further investigation. In the case of vegetative tillers, estimates of leaf extension rates can be made considerably more precise by using tiller size variables (pseudostem length, total green leaf length, leaf width) as covariates. A suggestion for the number of tillers to be measured per transect is given. However, no such increase in precision can be made for estimates of senescence rates.     

DETECTION OF PORTAL BLOOD FLOW USING PER-RECTAL 99mTc-PERTECHNETATE SCINTIGRAPHY IN NORMAL CATS

This study reports data obtained from per-rectal ^99mTc-pertechnetate portal scintigraphy in normal cats. It examines the effects of chemical restraint and the methods employed in defining regions of interest (ROIs) on the shunt index derived from this data. Six normal cats were used for the study; all six were chemically restrained for imaging using propofol and later four of them were manually restrained for comparison. Portal blood flow was studied and the mean shunt index was found to be 5.9%± 3.9 when ROIs were operator defined and 9.2%± 4.4 when ROIs were defined using an isocontour program. In cats that were restrained using propofol and operator defined ROIs, the mean value for the time between detection of radioactivity in the liver and in the heart was 14 ± 1 seconds.     

THE DURAL TAIL SIGN IN THE DIAGNOSIS OF MENINGIOMAS

In humans the dural tail is a sign seen on contrast enhanced T1 weighted magnetic resonance images. This finding is considered specific for meningioma. The purpose of this study was to determine how often the dural tail occurs in cats and dogs and whether it is a specific sign for meningiomas in these species. MR examinations for eighteen dogs and four cats with proven diagnoses were reviewed. Diagnoses included ten meningiomas (seven dogs and three cats), three gliomas, two pituitary tumors, single examples of two other tumor types and five patients with mass lesions due to inflammatory disease. Contrast enhanced T1 weighted images were evaluated independently by three of the authors for the presence of a dural tail, without knowledge of the diagnoses. The results were compared to the diagnosis for each patient and the performance of individual reviewers compared. When their results were averaged, the reviewers reported the presence of a dural tail in 6 of 10 (60%) meningiomas, although detection varied between observers from 40% to 80%. Each reviewer had one false positive result, two reported a dural tail with a chromophobe adenocarcinoma and one with a toxoplasma meningoencephalitis. When a dural tail is seen an associated mass is most likely a meningioma. It is uncertain whether the dural tail represents neoplastic infiltration beyond the margins of the meningioma. This should be considered when planning treatment.     

Treatment of Trochanteric Ulcers with Cranial Sartorius and Rectus Femoris Muscle Flaps

Five dogs with pressure ulcers over the greater trochanter were treated by debridement and transposition of the cranial part of the sartorius or the rectus femoris muscle. Both muscles had vascular anatomy that allowed transposition based on a major vascular pedicle. All wounds healed promptly by primary intention and no ulcer recurred. The cranial sartorius flap technique was easier to perform than the rectus femoris technique.     

A Comparison of Two Methods of Partial Pancreatectomy in the Dog

Partial pancreatectomy was performed in 9 dogs by dissection and ligation of the pancreatic ductule and blood vessels, and in 10 dogs by a suture fracture technique. The dogs were evaluated for detrimental effects by (1) monitoring clinical signs and serum amylase and lipase activities and (2) examining the excision sites grossly and histologically at necropsy. There were no clinically apparent detrimental effects with either technique. The suture fracture technique evoked more histologic inflammation than the dissection and ligation technique.