개(코카스파니엘)의 복수(ascite)에 대한 증례

소개

개(코카스파니엘)에게 나타난 복수(ascite)에 대한 증례로
소동물임상에 도움이 됨

목차

1. Signalment
2. History
3. History of Present illness
4. Physical examination
5. Laboratory examination
6. CBC, DC
7. Serum Chemistry
8. Radiography
9. Echocardiography
10. Abd sono
11. Ascites analysis
12. Ddx
13. DdX - Ascites
14. DdX - Hypoalbuminemia
15. DX
16. Congestive heart failure
17. Protein Losing Enteropathy
18. Treatment
19. Follow up
20. Reference

본문내용

Signalment
Species : Canine
Breed : American Cocker Spaniel
Patient : purun
Sex : Castrated male
Age : 8 years

History
2012. 10. 22 : Diarrhea, Vomiting
B.W 12.4Kg, 38.5℃, Pulse : 80/min
2013. 1. 11 : Astasia
B.W 12. 5Kg, 27.9℃, Pulse : 162/min
Anasarca

10월 22일 구토와 설사로 내원했을 때, 5% D/S와 이뇨제를 투여하였고,
10월 31일 내원시에는 9월에 확인된 mitral valve 이상과 ascites의 해소를 위해 atenolol과 furosemide, spirolactone를 투여하였습니다.
13년 1월 11에는 기립불능으로 내원한 푸른이는 전신부종을 진단하였으며 이뇨제 등의 약물을 투여하였습니다.

참고자료

· Birchard & Sherding(2006), Saunders manual of small animal practice, 3rd edition, Saunders
· Richard W. Nelson & C. Guillermo Couto(2009), Small animal internal medicine, 4th edition, Mosby
· Stein, J. R.; Hartmann, F.; Dignass, A. U. (2010). "Diagnosis and management of iron deficiency anemia in patients with IBD". Nature Reviews Gastroenterology &Hepatology. 
· DIAGNOSIS AND MANAGEMENT OF PROTEIN-LOSING ENTEROPATHIES Stanley L. Marks, BVSc, PhD, DACVIM (Internal Medicine, Oncology), DACVN University of California, Davis, School of Veterinary Medicine, Davis, CA, USA
· Baumgart DC, Carding SR (2007). "Inflammatory bowel disease: cause and immunobiology.". The Lancet 369 (9573): 1627–40.
· Michael S Beeson, MD, MBA, FACEP, Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine and Pharmacy; Attending Faculty, Summa Health System. Updated: Dec 3, 2009
· Williams DA. Malabsorption, small intestinal bacterial overgrowth, and protein-losing enteropathy. In: Guilford WG, Center SA, Strombeck DR, Williams DA, Meyer DJ, Eds. Strombeck.s Small Animal Gastroenterology. Third edition. Philadelphia, W.B. Saunders Company, 1996:367-380.
· Guilford WG. Idiopathic inflammatory bowel diseases. In: Guilford WG, Center SA, Strombeck DR, Williams DA, Meyer DJ, Eds. Strombeck.s Small Animal Gastroenterology. Third edition. Philadelphia, W.B. Saunders Company, 1996:451-486.
· Moore LE. Protein-losing enteropathies. In: Bonagura JD, Ed. Kirk.s Current Veterinary Therapy XIII. Philadelphia, W.B. Saunders Company, 2000:641-643.
· Bjorkman D. GI hemorrhage and occult GI bleeding. In: Goldman L, Ausiello D. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 137.