7.1.2: Gastric disease - diagnosis, treatment and management Flashcards
1
Q
1
A
Dorsal squamous fundus
2
Q
2
A
Greater curvature
3
Q
3
A
Margo plicatus
4
Q
4
A
Lesser curvature
5
Q
5
A
Cardia
6
Q
6
A
Ventral glandular fundus
7
Q
7
A
Antrum
8
Q
8
A
Pylorus
9
Q
Risk factors for gastric disease
A
- Lack of access to forage
- Lack of access to water
- High carbohydrate diets -> these have acidifying effects on gastric juices
- High stress environments/individuals
- Other focuses of pain (sometimes can’t resolve gastric disease until pain from elsewhere in the body is controlled)
10
Q
Clinical signs of gastric disease
A
- Colic signs (particularly after eating)
- Weight loss
- Bucking/rearing under saddle
- Resentment of girthing and leg aid
- Poor performance
- Changes in temperament
11
Q
Preparation of a patient for gastroscopy
A
- Withhold food for at least 12hrs; some centres say longer (need empty stomach to properly assess)
- Water should be removed ~4hrs before
- Use a grazing muzzle for horses liable to eat their own bedding/faeces in order to prevent this happening
12
Q
What would you use to sedate a horse for gastroscopy?
A
Detomidine + butorphanol
13
Q
How do you grade squamous ulceration visualised on gastroscopy?
A
- Grade 0 - epithelium intact, no appearance of hyperkeratosis
- Grade I - the mucosa is intact but there are areas of hyperkeratotis
- Grade II - small single or multifocal lesions
- Grade III - large single or extensive superficial lesions
- Grade IV - extensive lesions with areas of apparent deep ulceration
14
Q
Which grade of squamous ulceration is shown here?
A
Grade 0
15
Q
Which grade of squamous ulceration is shown here?
A
Grade IV
19
Q
1
A
20
Q
2
A
21
Q
3
A
22
Q
4
A
