Renal nuclear medicine is used to evaluate renal function and morphology. Renal scintigraphy is the best imaging modality for evaluation of functional parameters such as glomerular filtration rate and effective renal plasma flow. The commonly used renal radiopharmaceuticals are reviewed. Both imaging and non-imaging techniques are presented. Specific applications of renal nuclear medicine are discussed.
Sixteen cases of hiatal hernia were diagnosed in cats and dogs at the University of Tennessee between 1978 and 1989. Three cases were found as incidental findings during thoracic or abdominal radiography and another two cases were found during post mortem examination. The remaining 11 cases were evaluated clinically and radiographically. The results of conservative or surgical therapy were reviewed. Not all animals with a hiatal hernia were symptomatic. Five animals with signs underwent surgery and another three had surgical intervention but were asymptomatic. Medical management was successful in controlling the signs in two animals showing signs consistent with reflux oesophagitis. One dog with 'shortened oesophagus syndrome' was treated inappropriately with conventional surgical techniques used in veterinary medicine for hiatal hernia. This study clearly emphasises the need to evaluate carefully each dog or cat with hiatal hernia before choosing the best therapeutic plan.
A free omental graft may not have sufficient durability to be an acceptable wound covering by itself. Further studies combining omentum with a skin graft or other tissues may result in a clinically useful technique.
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