Page 600 - WSAVA2018
P. 600

 25-28 September, 2018 | Singapore
WSV18-0225
CLINICAL PATHOLOGY
HOW TO GET THE MOST FROM CYTOLOGY SUBMISSIONS
M. Bera1
1Asia Veterinary Diagnostics, Diagnostic Division, Singapore, Singapore
HOW TO GET THE MOST FROM CYTOLOGY SUBMISSIONS
Dr Monali M Bera, DVM, MS, DACVP
Asia Veterinary Diagnostics
466 Serangoon Road, Singapore 218225 drmonalibera@vetdiagnosticcentre.com.hk
Successful microscope evaluation of a specimen depends on the quality of the sample. This seminar will focus on how to collect and process a sample such
that a good quality slide and/or fluid sample amenable to cytologic evaluation and fluid analysis is prepared.
A systematic approach to the evaluation of a cytologic specimen will be introduced. By the end of this seminar, you will walk away with practical tips to avoid non- diagnostic results, an approach to diagnosing disease from fine needle cell aspirates of lumps and bumps and harvesting cells present in body fluids and washes.
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WSV18-0175
ISFM - FELINE CARDIOLOGY
FELINE CARDIOMYOPATHY: AN UPDATE AND REVIEW OF RECENT UNDERSTANDING
K. Borgeat1
1Langford Vets- University of Bristol, Cardiology, Bristol, United Kingdom
In this lecture, we compare human and feline cardiomyopathy and discuss controversies in current thinking and how to classify feline cardiomyopathy.
Diagnosis of feline cardiomyopathy
The classification system for feline cardiomyopathy requires updating, and there is poor agreement between cardiologists using the current system. One problem is that the current system does not account for the changes seen as heart disease progresses over time. For example, a cat may start being classified as hypertrophic cardiomyopathy (HCM), but as the myocardium becomes ischaemic and myocardial function deteriorates with time, the same individual may be classified as restrictive cardiomyopathy and then dilated cardiomyopathy over the coming years. Since many cats do not undergo serial echocardiography, and most patients have a single echo at the time of diagnosis, it is likely that many individuals are misclassified (“misdiagnosed”) at the outset, when they are in fact a case of advanced HCM.
Hypertrophic cardiomyopathy:
· Left ventricular myocardium measures 36mm in any 2D view, long or short axis.
· No identifiable cause of LV hypertrophy; i.e. exclude hyperthyroidism, hypertension, infiltration (if possi- ble), acromegaly, Cushing’s disease.
Restrictive cardiomyopathy:
· Non-hypertrophic, non-dilated LV
· Normal systolic function
· Left or bi-atrial dilation
· Restrictive inflow pattern on Doppler interrogation of mitral valve (can be present in any advanced heart disease with increased left atrial pressure)
· Bridging scar across the left ventricle (classified as endomyocardial form of RCM)
Dilated cardiomyopathy:
· Dilated, non-hypertrophic LV
· Subnormal systolic function
Arrhythmogenic right ventricular cardiomyopathy:
· Disproportionate right heart dilation
· Normal appearing LV
· Arrhythmias – usually ventricular – detected on ECG
Unclassified cardiomyopathy:
· Case which does not fit into any of the above classi- fications
43RD WORLD SMALL ANIMAL VETERINARY ASSOCIATION CONGRESS AND 9TH FASAVA CONGRESS


























































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