ACVIM study materials
ACVIM study resources

ACVIM key terms

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Systolic anterior motion of the mitral valve (SAM)

Dynamic anterior displacement of the mitral leaflet toward the interventricular septum during systole, which narrows the left ventricular outflow tract and can cause obstruction in cats and dogs with hypertrophic cardiomyopathy.

Related: Hypertrophic cardiomyopathy, Left ventricular outflow tract obstruction
Hypertrophic cardiomyopathy (HCM)

Primary myocardial disease characterized by concentric left ventricular hypertrophy without an identifiable hemodynamic cause such as hypertension or aortic stenosis; common in cats and often inherited in Maine Coons and Ragdolls.

Related: Systolic anterior motion of the mitral valve (SAM), Diastolic dysfunction
Diastolic dysfunction

Impaired ventricular relaxation or compliance during diastole, raising filling pressures at normal volume; assessed echocardiographically by transmitral flow patterns and tissue Doppler velocities.

Related: Hypertrophic cardiomyopathy (HCM), Left atrial enlargement
Left atrial enlargement

Increased left atrial dimension or volume, a marker of chronically elevated left-sided filling pressures; predicts congestive heart failure and thromboembolic risk in cardiomyopathies.

Related: Diastolic dysfunction, Cardiogenic arterial thromboembolism
Cardiogenic arterial thromboembolism (CATE)

Migration of a clot formed in a dilated left atrium (often the auricle) into systemic arteries, most commonly the aortic trifurcation, producing acute hindlimb paresis with cold, pulseless limbs.

Related: Left atrial enlargement, Hypertrophic cardiomyopathy (HCM)
Patent ductus arteriosus (PDA)

Persistence of the fetal ductus arteriosus connecting the descending aorta and main pulmonary artery; causes continuous left-to-right shunting with a machinery murmur and volume overload of the left heart.

Related: Pulmonary overcirculation, Left-sided congestive heart failure
Pulmonary overcirculation

Excess pulmonary blood flow from a large left-to-right shunt, which increases pulmonary venous pressure and can produce edema or, chronically, pulmonary arterial changes.

Related: Patent ductus arteriosus (PDA), Left-sided congestive heart failure
Dilated cardiomyopathy (DCM)

Myocardial disease with systolic dysfunction and chamber dilation in the absence of other causes; in dogs often diet- or taurine-associated or breed-related, and in cats linked to taurine deficiency.

Related: Fractional shortening, Taurine deficiency
Fractional shortening

Echocardiographic index of left ventricular systolic function calculated as (end-diastolic dimension minus end-systolic dimension) divided by end-diastolic dimension, expressed as a percentage.

Related: Dilated cardiomyopathy (DCM)
Taurine deficiency

Insufficient dietary taurine, an essential amino acid for cats and conditionally for some dogs, causing dilated cardiomyopathy that may reverse with supplementation.

Related: Dilated cardiomyopathy (DCM)
Aortic regurgitation

Diastolic retrograde flow across an incompetent aortic valve, producing a decrescendo diastolic murmur and volume overload of the left ventricle.

Related: Patent ductus arteriosus (PDA)
Systemic hypertension (target organ damage)

Persistently elevated arterial blood pressure causing injury to eyes, kidneys, brain, or heart; retinal detachment, proteinuria, and left ventricular hypertrophy are common consequences in small animals.

Related: Left atrial enlargement
Pericardial effusion

Accumulation of fluid in the pericardial sac that can raise intrapericardial pressure and impair diastolic filling, causing cardiac tamponade with pulsus paradoxus and muffled heart sounds.

Related: Cardiac tamponade
Cardiac tamponade

Hemodynamic compromise from elevated pericardial pressure that limits ventricular filling, producing hypotension, weak pulses, and collapse; treated by pericardiocentesis.

Related: Pericardial effusion
Vagal indigestion (Hoflund syndrome)

Foregut motility disorder in cattle with reduced abomasal outflow, leading to rumen hypomotility, distension, and chronic bloat; often secondary to vagal nerve injury or abomasal disease.

Related: Rumen hypomotility
Rumen hypomotility

Reduced frequency or amplitude of ruminal contractions from acidosis, hypocalcemia, vagal injury, or systemic illness, causing anorexia, bloat, and altered fermentation.

Related: Vagal indigestion (Hoflund syndrome), Left displaced abomasum
Left displaced abomasum (LDA)

Abomasum migrating dorsally and to the left between the rumen and abdominal wall, typically postpartum, producing a ping on simultaneous auscultation and percussion and reduced milk production.

Related: Rumen hypomotility, Ketosis
Ketosis (bovine)

Negative energy balance in early lactation causing excessive fat mobilization and ketone accumulation, with anorexia, decreased milk yield, and ketonuria.

Related: Left displaced abomasum (LDA), Hypocalcemia (parturient paresis)
Hypocalcemia (parturient paresis)

Low blood calcium around calving causing muscle weakness, recumbency, and bloat in dairy cattle; treated with intravenous calcium and monitored for cardiac arrhythmias.

Related: Ketosis (bovine)
Bovine respiratory disease complex (BRDC)

Multifactorial pneumonia of feedlot and dairy calves involving viral and bacterial pathogens plus environmental and management stressors, causing fever, cough, and increased respiratory effort.

Related: Thoracic ultrasonography
Thoracic ultrasonography

Bedside imaging technique using the intercostal windows to detect lung consolidation, pleural effusion, and comet-tail artifacts, useful for diagnosing and monitoring bovine and equine respiratory disease.

Related: Bovine respiratory disease complex (BRDC)
Equine laminitis

Painful inflammation and weakening of the lamellar attachments between hoof wall and distal phalanx, often triggered by endocrine disease or sepsis, causing lameness and potential phalangeal rotation.

Related: Pars pituitary intermedia dysfunction (PPID), Equine metabolic syndrome
Pars pituitary intermedia dysfunction (PPID)

Age-related equine disorder with excessive pituitary hormone secretion, causing hirsutism, muscle wasting, laminitis, and insulin dysregulation; diagnosed with resting ACTH or dynamic testing.

Related: Equine laminitis, Equine metabolic syndrome
Equine metabolic syndrome

Cluster of insulin dysregulation, regional adiposity, and laminitis risk in horses, managed with weight control, exercise, and dietary carbohydrate restriction.

Related: Equine laminitis, Pars pituitary intermedia dysfunction (PPID)
Seizure threshold

The level of neuronal excitability at which a paroxysmal discharge spreads to produce a clinical seizure; lowered by metabolic derangements, toxins, and structural lesions.

Related: Idiopathic epilepsy, Status epilepticus
Idiopathic epilepsy

Recurrent unprovoked seizures without an identifiable structural or metabolic cause, commonly diagnosed in young dogs after normal interictal examination and testing.

Related: Seizure threshold, Status epilepticus, Phenobarbital
Status epilepticus

Continuous seizure activity lasting five minutes or more, or repeated seizures without full recovery, requiring immediate anticonvulsant therapy to prevent neuronal injury.

Related: Seizure threshold, Idiopathic epilepsy
Phenobarbital

Barbiturate anticonvulsant that enhances GABA-mediated inhibition; requires monitoring of serum concentrations, liver enzymes, and sedation because of hepatic enzyme induction.

Related: Idiopathic epilepsy, Status epilepticus
Intracranial pressure (ICP)

Pressure within the cranial vault; elevation from edema, hemorrhage, or mass causes brain herniation and is managed with hyperosmolar therapy and head elevation.

Related: Brain herniation
Brain herniation

Displacement of brain tissue through the tentorial notch or foramen magnum due to raised intracranial pressure, producing altered consciousness, pupillary changes, and respiratory compromise.

Related: Intracranial pressure (ICP)
Proprioceptive deficit

Loss of conscious awareness of limb position, detected by paw placement and hopping tests, indicating spinal cord or peripheral nerve dysfunction.

Related: Intervertebral disc extrusion
Intervertebral disc extrusion

Rupture of the annulus fibrosus with herniation of nucleus pulposus into the spinal canal, causing compressive myelopathy with pain, ataxia, or paralysis.

Related: Proprioceptive deficit
Resting energy requirement (RER)

Daily energy needed by a resting animal in a thermoneutral environment, commonly estimated as 70 times body weight in kilograms raised to the 0.75 power.

Related: Maintenance energy requirement (MER), Body condition score
Maintenance energy requirement (MER)

Daily energy needed to maintain body weight, calculated as a life-stage and activity factor multiplied by the resting energy requirement.

Related: Resting energy requirement (RER), Body condition score
Body condition score (BCS)

Validated semiquantitative assessment of body fat based on palpation and visual inspection of ribs, spine, and waist, scored on a 1-to-9 or 1-to-5 scale.

Related: Resting energy requirement (RER), Maintenance energy requirement (MER)
Guaranteed analysis

Minimum or maximum percentages of crude protein, fat, fiber, and moisture required on pet food labels; not a measure of digestibility or adequacy.

Related: AAFCO nutritional adequacy statement
AAFCO nutritional adequacy statement

Label statement indicating whether a pet food is complete and balanced by formulation or feeding trial according to Association of American Feed Control Officials profiles.

Related: Guaranteed analysis, Resting energy requirement (RER)
Lymphoma (canine multicentric)

Most common canine hematopoietic tumor, typically affecting peripheral lymph nodes; classified by immunophenotype and grade, and treated with multiagent chemotherapy.

Related: Fine-needle aspiration cytology, Paraneoplastic hypercalcemia
Fine-needle aspiration cytology

Minimally invasive sampling of masses or lymph nodes with a small needle to obtain cells for microscopic evaluation; useful for initial diagnosis of round cell tumors.

Related: Lymphoma (canine multicentric)
Paraneoplastic hypercalcemia

Elevated blood calcium caused by tumor-derived factors such as PTHrP or osteolytic metastases; lymphoma and anal sac adenocarcinoma are common causes in dogs.

Related: Lymphoma (canine multicentric), Anal sac adenocarcinoma
Anal sac adenocarcinoma

Malignant tumor of the apocrine glands of the anal sacs in dogs, often causing hypercalcemia and metastasis to sublumbar lymph nodes; may present with hypercalcemia before a mass is noticed.

Related: Paraneoplastic hypercalcemia
Tumor staging

Systematic assessment of primary tumor size, regional lymph node involvement, and distant metastasis to guide prognosis and treatment planning.

Related: Fine-needle aspiration cytology