Estudo restrospectivo de pancreatite canina em 41 casos
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2014
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A pancreatite, apesar de relativamente comum na medicina canina, continua a constituir um desafio devido à sua elevada complexidade patogénica, sinais clínicos não patognomónicos, diagnóstico por vezes difícil e tratamento inespecífico.
De forma a realizar um estudo retrospectivo foram avaliados registos médicos de 41 canídeos diagnosticados com pancreatite, apresentados à consulta entre 2007 e 2013, de forma a caracterizar o doente pancreático. As características do animal, história clinica, sinais clínicos apresentados, métodos de diagnóstico e tratamento
instituído foram analisados. Como critérios de inclusão neste estudo encontram-se a medição de cPLI com resultados acima do valor de referência e a realização de
ecografia abdominal. A ecografia demonstrou evidências de pancreatite em 81% dos casos, sendo este valor superior aos 68% encontrados na literatura.
Os sinais clínicos apresentados mais comuns foram vómito (39), prostração
(38), dor abdominal (36), perda de peso e anorexia (26), desidratação (25), diarreia
(21) e febre (5). Todos os animais foram submetidos a tratamento médico, tendo sido apenas 4 deles sujeitos também a cirurgia. A taxa de sobrevivência nos animais com
tratamento médico foi de 95% e de 50 % nos animais com tratamento médico e
cirúrgico.
Pancreatitis is a relatively common disease in canine medicine but it is still challenging due to the highly pathogenic complexity, the lack of pathognomonic clinical signs, hard diagnosis and non-specific treatment. This retrospective study consists on an analysis of the medical records of 41 dogs diagnosed with pancreatitis from 2007 to 2013, in order to categorize the pancreatic patient. The animal data, medical history, clinical signs presented, diagnostic methods and treatment were analyzed. The inclusion criterion for this study is the measurement of cPLI with results above the reference range and abdominal ultrasound. The abdominal ultrasound showed evidence of pancreatitis in 81% of cases, which higher than the 68 % found in the literature. The most common clinical signs presented are vomit (39), lethargy (38), abdominal pain (36), weight loss and anorexia (26), dehydration (25), diarrhea (21) and fever (5). All animals underwent medical treatment, with only four of them also subject to surgery. The survival rate in animals with medical treatment was 95% and 50 % in animals with medical treatment and surgery.
Pancreatitis is a relatively common disease in canine medicine but it is still challenging due to the highly pathogenic complexity, the lack of pathognomonic clinical signs, hard diagnosis and non-specific treatment. This retrospective study consists on an analysis of the medical records of 41 dogs diagnosed with pancreatitis from 2007 to 2013, in order to categorize the pancreatic patient. The animal data, medical history, clinical signs presented, diagnostic methods and treatment were analyzed. The inclusion criterion for this study is the measurement of cPLI with results above the reference range and abdominal ultrasound. The abdominal ultrasound showed evidence of pancreatitis in 81% of cases, which higher than the 68 % found in the literature. The most common clinical signs presented are vomit (39), lethargy (38), abdominal pain (36), weight loss and anorexia (26), dehydration (25), diarrhea (21) and fever (5). All animals underwent medical treatment, with only four of them also subject to surgery. The survival rate in animals with medical treatment was 95% and 50 % in animals with medical treatment and surgery.
Descrição
Orientação : Pedro Faísca ; co-orientação : António Martinho ; responsável externo : Jorge Cid
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VETERINÁRIA, MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, CÃES, DOGS, CANÍDEOS, CANIDS, DOENÇAS DO SISTEMA DIGESTIVO, DIGESTIVE SYSTEM DISEASES, DIAGNÓSTICOS, DIAGNOSES, TERAPÊUTICAS, THERAPEUTICS, MEDICINA VETERINÁRIA, VETERINARY MEDICINE