Medicina e cirurgia de animais de companhia: descrição de casos clínicos
Data
2021-05-07
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O presente relatório de estágio final descreve quatro casos clínicos selecionados a partir da casuística médico-cirúrgica de animais de companhia observada durante o estágio curricular realizado, entre setembro de 2019 e fevereiro de 2020, no Hospital Veterinário do Restelo (HVR). A apresentação e a discussão dos casos tiveram como principal objetivo refletir acerca dos conhecimentos adquiridos durante o curso e aplicá-los no contexto prático da atividade médico-veterinária. O primeiro caso clínico refere-se a uma cadela da raça Serra da Estrela que deu entrada para consulta com vómitos frequentes. Após alguns exames complementares de diagnóstico, obteve-se um diagnóstico presuntivo e por exclusão de trombocitopenia imunomediada primária, resolvida com corticoterapia e esplenectomia. O segundo caso tratou-se de uma cadela sem raça definida que veio para consulta por apresentar uma massa na zona perineal, a qual foi removida após episiotomia e cuja análise histológica revelou ser um leiomioma uterino. Realizou-se também uma ovariohisterectomia e nodulectomia mamária cujo resultado histopatológico da massa foi de adenoma complexo. O terceiro caso é alusivo a uma cadela da raça Rottweiler que deu entrada por apresentar episódios de dispneia inspiratória intermitentes e perda de peso. O diagnóstico foi de linfoma com expressão renal e traqueal e o tratamento consistiu em quimioterapia (protocolo COAP que inclui ciclofosfamida, vincristina, citarabina e prednisolona), mas que acabou por ser eutanasiada. O último caso tratou-se de um cão de raça Beagle que deu entrada para orquiectomia eletiva e, durante a cirurgia, identificaram-se várias alterações a nível das estruturas reprodutivas (testículos, epidídimos e túnicas dartos e vaginal). O diagnóstico final foi de leishmaniose. Realizou tratamento com alopurinol e antimoniato de meglumina com resposta positiva.
This externship report describes four clinical cases regarding the subjects of medicine and surgery in small animals, which were observed in the internship casuistic completed, between September 2019 and February 2020, at Hospital Veterinário do Restelo (HVR). The main purpose of the presentation and discussion of these cases was to balance the theoretical knowledge acquired during the degree and applying it on a practical environment. The first clinical case refers to an Estrela Mountain Dog bitch, presenting frequent vomits. Following a few complementary exams by exclusion, a presumptive diagnostic of primary immunomediated thrombocytopenia was obtained that was solved by corticotherapy and splenectomy. The second clinical case consisted of an unknown breed bitch, presenting a mass on the perineal area, which was removed after episiotomy. The histological analysis revealed uterine leiomyoma. It was also made an ovariohysterectomy and mammary nodulectomy whose histopathological result of the mass was complex adenoma. The third clinical case comprised a Rottweiler bitch, presenting episodes of inspiratory dyspnea and weight loss. It was diagnosed with renal and tracheal lymphoma. COAP protocol, which includes cyclophosphamide, vincristine, cytosine arabinoside and prednisolone, was performed for chemotherapy. The animal was euthanized. The last clinical case regards a Beagle male dog, hospitalised to perform an elective orchiectomy. However, during surgery, multiple impairments of reproductive structures (testicles, epididymis, vaginal and dartos tunica) were identified. The final diagnosis was leishmaniosis. He has treated with alopurinol and meglumine presenting a positive response to the treatment.
This externship report describes four clinical cases regarding the subjects of medicine and surgery in small animals, which were observed in the internship casuistic completed, between September 2019 and February 2020, at Hospital Veterinário do Restelo (HVR). The main purpose of the presentation and discussion of these cases was to balance the theoretical knowledge acquired during the degree and applying it on a practical environment. The first clinical case refers to an Estrela Mountain Dog bitch, presenting frequent vomits. Following a few complementary exams by exclusion, a presumptive diagnostic of primary immunomediated thrombocytopenia was obtained that was solved by corticotherapy and splenectomy. The second clinical case consisted of an unknown breed bitch, presenting a mass on the perineal area, which was removed after episiotomy. The histological analysis revealed uterine leiomyoma. It was also made an ovariohysterectomy and mammary nodulectomy whose histopathological result of the mass was complex adenoma. The third clinical case comprised a Rottweiler bitch, presenting episodes of inspiratory dyspnea and weight loss. It was diagnosed with renal and tracheal lymphoma. COAP protocol, which includes cyclophosphamide, vincristine, cytosine arabinoside and prednisolone, was performed for chemotherapy. The animal was euthanized. The last clinical case regards a Beagle male dog, hospitalised to perform an elective orchiectomy. However, during surgery, multiple impairments of reproductive structures (testicles, epididymis, vaginal and dartos tunica) were identified. The final diagnosis was leishmaniosis. He has treated with alopurinol and meglumine presenting a positive response to the treatment.
Descrição
Relatório de Estágio Final Mestrado Integrado em Medicina Veterinária
Palavras-chave
cão , trombocitopenia