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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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Chapter Three The Abd omen 437<br />

Fig. 3-246 A 3-year-old neutered<br />

female mixed breed dog had a vaginal<br />

discharge. The longitudinal<br />

sonogram revealed a slightly thickened<br />

uterine stump (longer arrows)<br />

that ended in a mixed echogenicity<br />

mass (short arrows). Diagnosis:<br />

Uterine stump granuloma.<br />

In cats, fetal heart rates remain stable during pregnancy <strong>and</strong> average 228 beats per<br />

minute (bpm). In dogs, fetal heart rates increase during pregnancy from an average of 214<br />

bpm initially to an average of 238 bpm by day 40. The heart rate slows slightly around the<br />

time of parturition. 842 By means of fetal head diameter (HD) measured across the calvarium,<br />

body diameter (BD) at the level of the liver, gestational sac diameter (GSD), or crown<br />

rump length (CRL) measurements, ultrasonography can be used to assess gestational age<br />

(GA) in queens <strong>and</strong> bitches. The formulas used include 7,838,843 :<br />

Bitches:<br />

Queens:<br />

GA less than 40 days<br />

GA (+/− 3 days) = (6 × GSD) + 20<br />

GA (+/− 3 days) = (3 × CRL) + 27<br />

GA greater than 40 days<br />

GA (+/− 3 days) = (15 × HD) + 20<br />

GA (+/− 3 days) = (7 × BD) + 29<br />

GA (+/− 3 days) = (6 × HD) + (3 × BD) + 30<br />

GA greater than 40 days<br />

GA (+/− 2 days) = (25 × HD) + 3<br />

GA (+/− 2 days) = (11 × BD) + 21<br />

The canine uterus is incompletely involuted by ultrasonography until up to 15 weeks postpartum.<br />

837 However, because of its seasonally polyestrous reproductive cycle, the feline<br />

uterus can be sonographically involuted by 24 days postpartum. 800<br />

Variability in the appearance of the uterus is observed. In the first 1 to 4 days postpartum,<br />

the uterus is large <strong>and</strong> its contents are heteroechoic. Placentation sites may be visible as ovoid<br />

heteroechoic areas. Both hypoechoic <strong>and</strong> hyperechoic uterine contents are visible, <strong>and</strong> the<br />

uterine wall is thick. As uterine involution progresses, the wall becomes thinner <strong>and</strong> placentation<br />

sites become more uniform <strong>and</strong> less distinguishable from the rest of the uterine wall. 390<br />

PROSTATE<br />

The prostate is normally a bilobed ovoid or round, tissue-dense structure with a<br />

smooth, regular margin, located almost partially or entirely within the pelvic canal. A

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