Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions and
Answers
Case Studies Week 3 Questions...
Identify the abdominal quadrant in which the spleen normally resides. Is the spleen
normally palpable in a healthy dog?
✓ ~~~ Spleen is normally cranial on left side. No, not normally palpable
When is it common to be able to palpate the spleen (bc its enlarged)?
✓ ~~~ P under anesthesia, splenetic tumor
Identify abnormal physical examination findings.
✓ ~~~ Elevated temp, tachycardia, icterus, increase CRT, enlarge spleen, mass on hind
limb, history of lethargy and anorexia
Identify abnormal laboratory values.
✓ ~~~ ACT, PT, APT, PCV, TPP, platelet value
Identify technician evaluations that can be associated with the laboratory values.
✓ ~~~ Hyperthermia, exercise intolerance, risk for infection, self-care deficit
Define icterus.
, ✓ ~~~ Yellowing of the skin/MM CAUSED BY accumulation of bilirubin****
The veterinarian recommended a surgical punch biopsy of the mass. Explain the
purpose of a surgical biopsy. Describe the technique used to prepare a site for a
punch biopsy.
✓ ~~~ Surgical biopsies are submitted to an anatomic pathologist who will perform
microscopic examination of tissue. This examination brings insight into etiology and
prognosis of the tumor. Prep by clipping area, vacuum, and perform a standard 3 step
surgical prep
The veterinarian intends to use a local line block instead of general anesthesia. You
are explaining how the dog will be prepared for the biopsy when the owner states "I
fed the dog this morning." Is this a concern?
✓ ~~~ Ideally all animals are withheld from food prior to anesthesia to decrease risk of
vomiting. However, use of local anesthetic does not carry a high risk of vomiting and
aspiration as we see with general anesthesia
After the veterinarian performed the biopsy, she handed the sample to you. How will
you prepare this sample for evaluation by the pathologist?
✓ ~~~ 1. Blot sample to remove any excess blood
2. If making impression smears, do it before putting it in formalin
3. Place in 10% formalin.
4. Package per the laboratory instructions
The resultant biopsy site is bleeding excessively and the veterinarian considers
using an electrocautery unit to achieve hemostasis. Define hemostasis. Briefly
explain the mechanics of electrocautery. Identify the purpose for grounding a patient
when using the electrocautery units.
, ✓ ~~~ Stopping blood flow.
Electrocautery is a controlled electric current to burn or cauterize tissue. ***A ground
is a wire that transfers electric current from animal to the ground TO PREVENT
BURNING OF THE PATIENT. ****Often placed under heavy muscled areas.
Two simple interrupted sutures were required to adequately close the biopsy site.
The veterinarian has instructed the owner to return in seven days for suture removal.
Please describe the technique you will use to remove the sutures.
✓ ~~~ Forceps to grasp one suture, pull knot away from skin and use suture scissors to cut
on one side of the knot and pull suture out
Examine photograph 5-14 then identify the scissors in the photograph.
✓ ~~~ A. Wire cutting scissors
B. Mayo scissors
C. Suture scissors
D. Metzenbaum scissors
E. Bandage scissors
Your clinic uses cloth surgery gowns and drapes. You are repacking instruments and
preparing drapes and gowns for future surgeries. Explain how you will prepare (clean
and fold) the surgical gowns and drapes.
✓ ~~~ If you soak in cold water - helps remove blood and hydrogen peroxide will take blood
out. Drapes and gowns are folded in a farfold accordion style.
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