6- Principles of endoscopy

Question 1

Define a diagnostic endoscope

Answer 1

A minimally invasive non-surgical technique for diagnosis and treatment of a variety of conditions
Allows the vet to look within an organ/body cavity to evaluate

Obtain diagnostic samples

Question 2

Define a therapeutic endoscope

Answer 2

Enabling a therapeutic procedure

Removal of a foreign body, placement of a gastric feed

Question 3

Name 3 reasons why you would use a therapeutic endoscope

Answer 3

removal of a foreign body from oesophagus, airway or stomach
management of an oesophageal stricture
placement of a gastric feeding tube

Question 4

Name 3 parts of the endoscope

Answer 4

Scope
Bright light source
Air insulation & water irrigation system
Video monitoring screen
Suction

Question 5

Name 2 chronic GI signs which would promote use of an endoscope

Answer 5

Vomiting/haematemesis
Chronic diarrhoea
Melena
Weight loss

Question 6

What should you do before using a scope in an animal with respiratory signs?

Answer 6

Perform diagnostic imaging first - radiograph/ct

Question 7

What should you do before using a scope in an animal with Lower urinary tract signs?

Answer 7

Perform urinalysis & diagnostic imaging (US/Radiograph)

Question 8

What clinical signs of the urinary system indicates use of a scope?

Answer 8

Dysuria, haematuria, incontinence

Question 9

Name 2 conditions for use of a scope in horses

Answer 9

Gastric ulceration
Suspected airway obstruction
Suspected lung disease
Abnormal respiratory noises
Urinary tract disease

Question 10

When scopping the GI tract, what prep needs to be done?

Answer 10

GI tract needs to be empty - starvation

Question 11

Name a probem that can occur in endoscopy?

Answer 11

Aspiration
Damage to the scope
GI perforation