abdominal exploratory - SA (Johnson) Flashcards
1
Q
Advantages of Laparotomy
A
- Full thickness intestinal biopsies
- Organ biopsy/excision
- ability to address/obtain hemostasis
- visualization for therapeutic intervention
2
Q
Disadvantages of Laparotomy
A
- Increased morbidity
- pain
- anesthetic risk
- death, aspiration pneumonia
- cost
- dehiscence
- infection
3
Q
Diagnostic indications for explore
A
- Protein losing enteropathy
- inflammatory bowel dz
- lymphoma
- Hepatopathy
- microvascular dysplasia (MVD)
- copper storage
- Suspected Neoplasia
- Mass effect
4
Q
Therapeutic indications for explore
Radiographic
A
- Free gas
- Dilated SI
- Foreign body
- herniation
- GDV
5
Q
Therapeutic indications for explore
Abdominocentesis
A
- Blood
- active - clots
- Urine
- Creatinine fluid > Serum
- Potassium Fluid > Serum
- Piker
- Cytologic criteria
- Intracellular bacteria
- Bile pigment - bilirubin
6
Q
Patient preparation
A
- stabilized patient
- concurrent (BCS, ME)
- IV catheter (fluids, blood)
- Liberal clipping (#40) blade
- Antiseptic skin prep
- perioperative antibiotics (cefazolin, 22 mgs/kg, IV q 90)
7
Q
Organ system
A
- Abdominal structure
- diaphragm
- abdominal musculature
- GI
- liver, Gall Bladder, blie duct
- Stomach, Intestines, Colon
- Urogenital
- uterus/ovaries/prostate
- kidneys/ureters/bladder
- Hemolymphatic
- spleen
- mesenteric LN
- Endocrine
- pancreas
- adrenals
8
Q
Anatomic - clockwise
A
- Crania Quadrant (12 o clock)
- diaphragm
- liver, gall bladder
- stomach, pancreas
- Mid-abdomen (center of clock)
- spleen
- intestine, mesenteric LNs
- Caudal Quadrant (6 o’clock)
- colon, bladder, prostate/uterus
- Abdominal gutters
- kidneys, ureters, adrenal, ovaries
9
Q
Summary
A
- Be prepared (Knowledge and skills)
- Systematic exploration
- Always obtain samples and use good technique
- Anticipate complications and monitor
