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1396  Abortion: Diagnostic Approach



            Abortion: Diagnostic Approach
  VetBooks.ir                                         Is there evidence of abortion?




                                  Yes                                                         No
                                               Determine the Brucella canis status



                                               If positive, the bitch should be  Pregnancy is confirmed  Pregnancy is not
                                                 surgically sterilized and  but bitch failed to whelp  confirmed and bitch
                                               quarantined indefinitely from  (embryonic resorption)  did not whelp
                                                 other breeding animals




                       Is the bitch clinically  Perform gross and histologic  Does the bitch have a  Bitch is not pregnant
                           normal?              examination on fetal and/or  history of abortion with  or embryonic
                                                    placental tissues       previous pregnancies?     resorption
                      Yes            No

                                                  Petechial subcapsular
             Was the bitch treated with        hemorrhages in kidneys with   If yes, rule out canine  If yes, rule out
                an abortifacient?                intracytoplasmic inclusion  herpesvirus using maternal  premature luteal
                Corticosteroids,                bodies are pathognomonic     serologic titers and/or   failure
            dopamine agonists (prolactin          for canine herpesvirus    evidence of fetal lesions  (hypoluteodism)
             inhibitors), progesterone-
               receptor blockers, or
            prostaglandins will result in
                   abortion
                                                 Rule out other systemic (nonreproductive)  During a subsequent pregnancy,
                                                 diseases that produce fever or endotoxemia  monitor serum (progesterone)
                                                (e.g., pancreatitis, Salmonella sp.); will cause  weekly and supplement with
                                               decreased uterine blood flow, fetal death, and/or  progestin if serum (progesterone)
                                                        premature luteal failure               is   2 ng/mL


                                               Rule out metritis if abnormal  Perform guarded cranial vaginal culture,
                                                  discharge is present     and treat with appropriate antibiotics

































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