Tilde Rodrigues Froes

Ultrasonography of small intestinal obstructions: a contemporary approach.

OBJECTIVES To assess the accuracy of intestinal ultrasound for diagnosis of intestinal obstruction in dogs and cats. METHODS A prospective clinical study was performed. Inclusion criteria were dogs and cats with clinical signs suggestive of gastrointestinal obstruction. Animals with no obstruction detected on ultrasound were excluded if they could not be monitored for 48 hours to confirm absence of obstruction. Sonographic diagnosis of small intestinal obstruction was based on identification of at least two findings suggestive of intestinal obstruction. RESULTS Ninety-two patients suspected of having intestinal obstruction were included. Correct diagnosis of intestinal obstruction was made in 21 cases (23%), and in 68 (74%) this diagnosis was excluded. Interpretation of the images on prospective analysis had sensitivity, positive predictive, specificity and negative predictive values of 100%, 87.5%, 95.8% and 100%, respectively. CLINICAL SIGNIFICANCE Ultrasonography is an excellent method for investigation of animals with gastrointestinal disorders, and is particularly useful for excluding obstructive processes.

Proven cardiac changes during death-feigning (tonic immobility) in rabbits ( Oryctolagus cuniculus )

Tonic immobility (TI) is a response to fear or threat by remaining motionless, principally when attacked by predators from which there is no possibility of escape. Thus, here we demonstrate a way of easily reproducing this phenomenon in a laboratory setting and characterize the cardiac electromechanical alterations during TI. We observed a significant decrease in heart rate (HR) and changes of rhythm in electrocardiogram during TI in rabbits. Echocardiogram showed a significant increase in the left ventricle chamber diameter during systole and a consequent decrease in fractional shortening and ejection fraction, in addition to the HR and rhythm changes. There was also a significant decrease in aortic and pulmonary artery blood flow. Diastolic functional changes included a significant decrease of the peak atrial contraction velocity (A peak) and consequent increase in the ratio of peak early diastolic velocity to A peak and increased isovolumetric relaxation time. We were able to prove that TI changes the cardiac function considerably. Although the “fight-or-flight” response is the most common response to fear, which is characterized by the action of sympathetic nervous system with tachycardia and increased physical activity, TI is an alternative anti-predator behavior causing cardiac changes opposite to the “fight-or-flight” phenomenon.

In utero development of the fetal intestine: Sonographic evaluation and correlation with gestational age and fetal maturity in dogs

Modern high-resolution ultrasound images enable earlier assessment of measures of fetal development, including identification of the bowel. The aim of this study was to describe the ultrasonographic development of fetal bowel and correlate this with gestational age; define whether ultrasonographic visualization of fetal intestinal peristalsis in utero is associated with fetal maturation and determine whether there is a difference in fetal intestinal peristalsis detection time between fetuses delivered by normal delivery and cesarean. A cohort study was conducted in pregnant bitches presented to a veterinary hospital, to assess fetal bowel development. Statistical analysis was used to establish the correlation of the stage of fetal bowel development, as recorded by ultrasound, with outcomes of normal delivery and cesarean section. The study was broken down into three stages: the first stage was a descriptive analysis of fetal bowel development by ultrasound; the second stage compared time (in days) of bowel development between groups (normal delivery vs. cesarean); and the third stage was correlated survival probability for fetuses born on any day after detection of intestinal peristalsis with fetal maturity. All statistical analyses were significant. It is possible to monitor pregnancy progression using ultrasonographic evaluation of bowel development and this can reliably identify the end of fetal organogenesis. However, ultrasonographic detection of bowel segments with visualization of wall layers and associated peristalsis should not be used as the sole indicator for cesarean section planning because it is not possible to determine ultrasonographically whether the bowel is functional (mature).

Use of B-mode ultrasonography for fetal sex determination in dogs.

Ultrasonographic determination of fetal sex in dogs has not previously been reported. The aim of this study was to describe a method for determination of intrauterine fetal sex using ultrasound. A cohort study was conducted in pregnant bitches to perform ultrasound examination of the fetal genitalia between the eighth and ninth week of gestation. Fetal sex was determined in utero by consensus agreement of two sonographers. Eighteen pregnant bitches were included in this study, and a total of 39 fetuses were evaluated. The accuracy of ultrasonography to determine the sex with a 95% confidence interval was 62.24% to female fetuses and 65.48% to male fetuses. The sonographic accuracy in determining fetal sex can be achieved at 100% when there are up to two fetuses in the litter; however, the accuracy of the technique reduces (66.7%) when more than three fetuses are present. This study describes the sonographic appearance of the external genitalia in canine fetuses in utero associated with a specific position of the fetus and reports that sex determination is possible between 55 and 58 days of gestation.

The use of Doppler evaluation of the canine umbilical artery in prediction of delivery time and fetal distress.

The aim of this study was to describe changes in umbilical artery blood flow in the later stages of canine pregnancy. Seventeen pregnant bitches were examined sonographically to evaluate umbilical artery blood flow at the following antepartum times: 120-96, 96-72, 72-48, 48-24, 24-12, 12-6 and 6-1h. The peak systolic velocity and end diastolic velocity were measured to calculate the resistive index (RI). Bitches were classified into two groups according to delivery method: normal delivery (Group 1, n=11) and Cesarean section, due to fetal distress, (Group 2, n=6). During the study, the RI of the umbilical artery in bitches in Group 1 significantly declined in the time periods 72-48, 24-12, 12-6 and 6-1h before delivery when compared to the reference RI (120-96h antepartum period), with values ​​below 0.7 in the 12-6 and 6-1h periods. In Group 2, the RI decreased significantly in the antepartum periods 96-72, 72-48, 48-24h with respect to the period 120-96h, and increased in the periods from 24-12, 12-6 and 6-1h (being significantly higher in this last period) until the time of Cesarean section. Therefore monitoring of changes in umbilical artery RI in the pre-partum period may provide information about time of delivery in bitches and also assist in the diagnosis of possible dystocia and fetal distress.

Errors in abdominal ultrasonography in dogs and cats.

OBJECTIVES To compare ultrasonographic diagnoses with the findings of surgical exploration to identify and classify potential diagnostic errors. METHODS A cross-sectional prospective study of surgically confirmed ultrasound findings was conducted over a period of 29 months in two veterinary hospitals. Any errors in diagnosis made by the sonographer were classified as perceptual, cognitive, equipment-related, inevitable or multifactorial. RESULTS One hundred and five ultrasound examinations were performed in 88 dogs and 17 cats. Errors in ultrasound diagnosis occurred in 17 animals (16·2%). These errors were identified as cognitive in 10 animals, inevitable in 5 and multifactorial in 2. CLINICAL SIGNIFICANCE This study demonstrates that whilst errors of diagnosis do occur during ultrasonographic examination of the abdomen, understanding the causes of these errors will contribute to the development of this imaging modality.

Características clínicas da fase aguda da infecção experimental de felinos pelo vírus da imunodeficiência felina

As a result of FIV infection of cats, feline immunodeficiency syndrome might be seen in the latter phase of infection. Gengivitis, weight loss, spread enlargement lymph nodes, anemia, chronic renal failure, neurological disturbances, chronic diarrhea, and oportunistic bacterial infections are commonly found. The acute phase of the infection might be unnoticed, making the diagnosis difficult and delaying the adoption of profilatic measures, in order to reduce FIV transmission for other susceptible cats. Aiming to study the clinical characteristics of the acute phase of FIV infection, ten young eight month old cats mixed breed were succesfully inoculated by intravenous route with one mL of blood obtained from one FIV-B positive cat. The infection was confirmed by ELISA test four and eight weeks p.i and nested-PCR. CBC counting, abdominal ultrasonography and ophtalmologic exams were done weekly, fortnightly and monthly during twelve weeks p.i. Mild tendency to lymphopenia at second week and neutropenia between fifth and seventh weeks p.i., fever in a few cats and lymph nodes, spleen and hepatic enlargements were the main clinical alterations found. The latters became evident starting on fourth week and remained throughout the twelve weeks observation period. Only one cat showed unilateral rigt uveitis. The acute phase of FIV infection elapsed with inespecific clinical manifestations. Lymph node, hepatic and spleen enlargements seen, though, suggest the needs for indication of tests for the diagnosis of FIV infection in all cats presenting those signs, thus allowing early diagnosis of FIV infection and the adoption of prophylatic measures.

Effects of prostaglandin analogs on blood flow velocity and resistance in the ophthalmic artery of rabbits

PURPOSE The aim of this study was to investigate the effects of prostaglandin analogs on blood flow in the ophthalmic artery of clinically healthy rabbits. METHODS Fifty-five clinically healthy New Zealand white rabbits were divided into six groups, and the left eyes were treated for four weeks with the preservative benzalkonium chloride (BAK) only or a topical formulation of different prostaglandin analogs (bimatoprost BAK, tafluprost BAK-free, travoprost BAK, travoprost POLYQUAD, and latanoprost BAK). Color Doppler imaging was performed before and after the treatments. The mean values of the peak systolic velocity (PSV) and end diastolic velocity and the resistive index (RI) were calculated. Statistical analysis was performed to compare the differences pre- and post-treatment for each drug and post-treatment among the drugs. RESULTS The prostaglandin analogs did not affect PSV. Bimatoprost BAK, travoprost POLYQUAD, and latanoprost BAK did not change RI. Tafluprost BAK-free and travoprost BAK therapy resulted in similar reductions in RI. No significant differences pre- and post-treatment were found when BAK was administered alone. CONCLUSION The prostaglandin analogs tafluprost BAK-free and travoprost BAK improved blood flow in the ophthalmic artery in healthy New Zealand white rabbits, which suggests that these drugs enhance the prevention of the progression the progression of glaucoma.

O olho da coruja-orelhuda: observações morfológicas, biométricas e valores de referência para testes de diagnóstico oftálmico

The investigation aimed to describe the most relevant morphological characteristics of the eyes of the striped owl (Asio clamator) and determine normal values for selected ophthalmic diagnostic tests. A total of 32 eyes of 16 young and adult free-ranging healthy striped owls of both sexes were investigated. Data of different morphological observations of the skull, eye globe and adnexa, clinical tests and parameters were collected, including Schirmer Tear Test (STT), normal conjunctival bacterial microbiota, esthesiometry, intraocular pressure (IOP), central corneal thickness (CCT), horizontal palpebral fissure length, horizontal, corneal diameter and fundoscopy. Twenty two types of bacteria were identified in twelve owls, the most frequent bacteriae were the Gram-positive. The mean value found for the STT was 5.03±3.28mm/min; horizontal palpebral fissure lengths was 21.24±1.17mm, and 15.7±2.74mm for horizontal corneal diameter. The mean value for the esthesiometry was 0.80±0.59cm, IOP was 13.81±5.62mmHg and CCT was 0.28±0.03cm. This study contributes to establish reference values for selected ophthalmic diagnostic tests in the striped owl, as well as for morphological characterization of the eyeball of Asio clamator; but it is still necessary to characterize furthermore its histologic features.

Ultrassonografia abdominal pré-operatória em cães e gatos com suspeita de tumores abdominais

The aim of this study was evaluate efficacy of the ultrassonographic exam in the defining the location of the abdominal neoplasm and to estimate the accuracy of the method in screening the malignant neoplasm process. In 24 patients of 113 animals evaluated by the ultrassonographic exam it was observed a mass and/or a intermingled nodule in different organs in the abdominal cave, classified as type I, II, II(+) e III. It was compared the sonographic findings with surgical and histopathological analysis. The determination of the mass origin was correct in 20 (83%) animals and the percentage accuracy of malignant ultrasound determination was 91.67%. So, it is believed that the ultrasound is interesting to determine the malignancy in advanced cases, especially in those patients who have aggressive lesions.