ProceeDiNgsboek - Universiteit Utrecht

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Cirrhosis with ascites FINAL DIAGNOSIS for parenchymal liver diseases LIVER BIOPSY • Measure coagulation (fibrinogen > 1 g/L)! • Ultrasound guided – True cut, 14 Gauge needle in dogs (16G cats) – Manual, semi-automatic, biopsy gun • Blind – Menghini 16 g needle, aspiration biopsy • Laparoscopic forceps biopsy • Surgical wedge biopsy • Always at least two good samples! Ultrasoundguided biopsy Measure coagulation (fibrinogen, ptt, ptt, aptt) aptt) within one day 12
Histology versus cytology Histology • Always the best result (architecture is important) • Cytology • Only when individual cells tell the truth – Tumor (not primary liver tumor) – Lipidosis – Amyloidosis • Cytology always gives an outcome, also when it is not true • The clinician should understand the limitations Surgical wedge biopsy Liver biopsy Necessary in practice? • The only way for diagnosis • The result is as good as the combination of the clinician with the pathologist • Ask the pathologist the right questions • Histology should fit with clinical results • If you submit a case, you get the result of the entire process • Don’t take biopsies without understanding the pathology Canine chronic hepatitis 13
Page 1 and 2: ProceeDiNgsboek 32 e UKG-avoNd 3 me
Page 3 and 4: LEVERZIEKTEN: WAT HEB JE AAN BLOEDU
Page 5 and 6: SYMPTOMS IN DOGS • Nausea: vomiti
Page 7 and 8: LAB TESTING • Enzymes: integrity
Page 9 and 10: Ammonia Tolerance Test (ATT ATT)
Page 11: Other parameters in blood: blood
Page 15 and 16: H&E 40x Dobermann, Dobermann, chron
Page 17 and 18: Hepatitis referral population Survi
Page 19 and 20: NUTRITIONELE THERAPIE BIJ LEVER- EN
Page 21 and 22: Opbouw presentatie • Maagdilatati
Page 23 and 24: Acute gastroenteritis Chronische ga
Page 25 and 26: Voedsel allergenen • Meest voorko
Page 27 and 28: Hoog energie blik Hoog energie droo
Page 29 and 30: Omega-3 vetzuren “Hypoallergene
Page 31 and 32: Uitbalanceren of provocatie • Ove
Page 33 and 34: Pancreatitis • Management - Feedi
Page 35: Lever droog Bedankt voor uw aandach

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