Veterinary Medicine - October 2008 - (Page 566)

Vaginitis in dogs PEER-REVIEWED identi ed by vaginoscopy. The relevance of vaginal anomalies in the absence of urine pooling is unknown. Surgical repair of vaginal anomalies depends on the type and extent of the anomaly present. Urinary incontinence. In most cases, urinary incontinence associated with vaginitis is presumed to be urethral sphincter mechanism incontinence, formerly called estrogen-responsive urinary incontinence. Treatment with diethylstilbestrol (0.1 to 0.2 mg/kg orally, maximum dose = 1 mg) once a day for ve days, tapering to twice a week, or phenylpropanolamine (1 to 1.5 mg/kg orally) two or three times a day may be of bene t in some bitches. Perivulvar or perivascular dermatitis. An atrophic, or juvenile, vulva with excessive skin folds has not been reported as a primary cause of vaginitis in the absence of concurrent perivulvar dermatitis. Overweight dogs with urinary incontinence are prone to perivascular dermatitis because of excessive perivulvar skin folds and persistent moisture and urine scald. In CE You can earn two hours of continuing education credit from Kansas State University by answering the following questions on vaginitis. Circle only the best answer for each question, and transfer your answers to the form on page 568 or take the test online at https://outreach.ksu.edu/ce/. This test expires Nov. 1, 2009. Article #1 1. Which is not a reported cause of vulvar discharge in female dogs? a. Canine brucellosis b. Estrus c. Urinary tract disease d. Coagulopathy e. Giardiasis 5. Urinary tract infection: a. Is not reported as a component of vaginitis in dogs b. Is most commonly due to hematogenous spread of bacteria in dogs with concurrent pyelonephritis c. Is best diagnosed by culture of a free-catch urine sample in dogs with vulvar discharge d. Is best diagnosed by culture of a urine sample collected by cystocentesis in dogs with vulvar discharge e. Is most commonly associated with marked azotemia in dogs with vaginitis bacterial infection e. Is a common ﬁnding in dogs with canine herpesvirus infection 8. Which statement about permitting dogs with juvenile vaginitis to go through one estrous cycle is correct? a. Numerous studies demonstrate a beneﬁt. b. The associated elevation in serum estrogen is associated with decreased urine pooling. c. The associated elevation in serum progesterone is associated with decreased urine pooling. d. The hormonal changes of estrus may be less important than the increasing immunocompetence of affected dogs. e. The associated elevation in serum progesterone is associated with the thickening of the vaginal epithelium. 2. Which statement regarding vulvar discharge in dogs with vaginitis is correct? a. Purulent discharge is rarely present. b. Frank hemorrhagic discharge is rarely present. c. Mucopurulent discharge is rarely present. d. Mucoid discharge is rarely present. e. Vulvar discharge is rarely present. 6. Which statement about vaginal anatomical anomalies is incorrect? a. Vaginal anatomical anomalies are due to abnormal fusion of the paramesonephric ducts and urogenital sinus. b. The incidence of vaginal anatomical anomalies is not reported. c. Deﬁnitive diagnosis of vaginal anatomical anomalies is possible only with vaginography. d. Urine pooling is a proposed mechanism for the association between vaginal anatomical anomalies and vaginitis. e. The severity of vaginal strictures correlates with response to treatment of genitourinary tract disease. 3. In dogs with vaginitis, aerobic bacterial infection: a. Is usually due to overgrowth of normal vaginal ﬂora b. Is not reported c. Is less common than Mycoplasma species infection d. Is not responsive to antibiotic therapy e. Is deﬁnitively diagnosed by scant to moderate growth of any organism 9. Adult-onset vaginitis: a. Is more common in intact female dogs than in spayed ones b. Most commonly occurs in dogs during standing heat c. Is more common in large breeds than in toy breeds d. May be associated with urethral sphincter mechanism incompetence e. Is associated with systemic disease in most affected dogs 4. Vaginal fungal infections in dogs in North America are: a. Unlikely to be responsive to human vaginal yeast infection products b. Common in dogs treated with antibiotics c. More common than bacterial infections d. Treated empirically with douches of itraconazole e. Rarely reported 7. Erythema of the vaginal vault: a. Is indicative of vaginal disease in all cases b. Can be caused by diagnostic testing c. Is present in all dogs, regardless of whether they have clinical signs of vaginitis d. Usually is indicative of secondary 10. Which is not a symptomatic therapy useful in dogs with idiopathic adult-onset vaginitis? a. Glucocorticoids b. L-thyroxine c. Phenylpropanolamine d. Diethylstilbestrol e. Hydroxyzine 566 October 2008 VETERINARY MEDICINE https://outreach.ksu.edu/ce/

Table of Contents Feed for the Digital Edition of Veterinary Medicine - October 2008

Veterinary Medicine - October 2008 Contents Leading Off Clinical Exposures Idea Exchange Stalking Stones Vaginitis in Dogs CE Form Advertiser Index Marketplace/Classifieds Mind Over Miller

Veterinary Medicine - October 2008

For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.