Have a Belly Full - The Emergency Approach to Haemoperitoneum

  • VET WEBINAR
  • Have a Belly Full - The Emergency Approach to Haemoperitoneum
Lädt!
What is the predominant shock mechanism in haemoperitoneum?
Obstructive
Hypovolaemic
Distributive
Cardiogenic
 
What proportion of canine splenic masses are expected to be haemangiosarcoma?
35%
46%
65%
86%
 
Thrombocytopaenia in patients with haemoperitoneum is most commonly due to what mechanism?
Consumption
Destruction
Sequestration
Decreased production
 
What is the most common arrhythmia expected with haemoperitoneum?
2’ atrioventricular block Mobitz Type I
2’ atrioventricular Mobitz Type II
Ventricular tachycardia
Supreventricular tachycardia
 
The four AFAST views from a patient are shown below. What is this patient’s abdominal fluid score?

0
1
2
3
4
 
A patient has haemoperitoneum due to anticoagulant rodenticide toxicity. What is the most appropriate treatment to administer to this patient first?
Fresh Frozen Plasma 20ml/kg IV
Vitamin K 5mg/kg SC
Tranexamic Acid 15mg/kg IV
Vitamin K 5mg/kg IV
 
A 1y MN Labrador is historically healthy and was outside unsupervised in a contained garden for thirty minutes when he was found collapsed. On presentation he was obtunded with pale mucous membranes, heart rate 180bpm, respiratory rate 40bpm, CRT 2 sec, metatarsal pulses thready, and rectal temperature 37.0C. Initial database identified: PCV 60%/TS 67g/l, lactate 3.5mmol/l, Coagulation profile identified: PT 20 sec (RI 11-17 sec) aPTT 130 sec (RI 72-102 sec) Point of Care Ultrasound identified peritoneal effusion - abdominal fluid score 1 / 4 (Diaphragmaticohepatic view) and gallbladder wall oedema. What is this patient’s most likely diagnosis?
Anticogaulant rodenticide toxicity
Acute liver failure secondary to hepatotoxin ingestion
Anaphylaxis
Splenic Torsion
 
Which of the following metabolic derangements may occur following massive blood transfusion?
Hypokalaemia
Metabolic alkalosis
Hypermagnesaemia
Hypocalcaemia
 
What is the most appropriate analgesia for a patient with haemoperitoneum?
Methadone
Buprenorphine
Meloxicam
Butorphanol
 
Which of the following volumes would be most appropriate for a 20kg dog receiving a packed red blood cell transfusion?
150ml
350ml
500ml
1000ml (1L)