Bill- GIT Flashcards
What are some risk factors for developing Displaced abomasum
Void left by involuting uterus not taken up by rumen
Omentum attached to abomasum is stretched > movement of abomasum
Decreased food intake > smaller rumen > abomasum moves
What is LDA?
Left displaced abomasum- abomasum becomes enlarged and gas and fluid filled
Where is the LDA displaced to?
Left side between rumen and left abdominal wall
When and why does LDA normally occur
One month after parturition
High grain and low fibre diets because of high VFAs
What is the presenting sign for LDA
Treated for other conditions but nothing has worked and disinterested in eating
What are the clinical signs of LDA
Present but faint rumen sounds
Ping on left
Loss of weight and anorexia
Ketonuria
What cound be a differential diagnosis with the signs presented
Primary ketosis- occurs at same stage, ketonuria and off food, losing weight
RDA
What is the treatment for LDA
Rolling
Left paralumbar fossa omentopexy/abomasopexy
Inverted L block
Decompress abomasum with large bore needle
Tension on omentum
ID pylorus
Include greater omentum into ventral part of first suture layer
Close skin using staples
What are some options for supportive treatment for LDA
Treat ketosis with propylene glycol
Calcium to correct hypomotility
Electrolytes if dehydrated
NSAIDs and antibiotics maybe
Which is more common, LDA or RDA
LDA
What is RDA?
Right displaced abomasum
Atony of abo followed by accumulation of feed, fluid and gas
Displace dorsally on right side of abdomen
What is RDA and volvulus
RDA which may then rotate causing obstruction and nerve damage
Anticlockwise normally
More acute than RDA, abdo catastrophe
What are the presenting signs of RDA
Similar to LDA
Treated for other conditions but nothing has worked and disinterested in eating
What are the clinical signs of RDA
Elevated HR, flank watching, ping on right side
Fluid splashing with ballotment
May have ketosis
What does the Clinical Pathology of RDA look like
Dehydration
Metabolic alkalosis
Hypochloraemia and hypokalaemia due to continual secretion into abo
What is AV
Abomasal volvulus
Follows RDA normally
May be palpated per rectum
How quickly should you treat AV
Animals die within 48-96hrs because of shock, toxaemia and dehydration
How do you treat RDA
Medical- spasmolytic drugs and Ca
Normally surgically
Right flank omentopexy or pyloropexy
Inverted L block
Displace gas before it can be corrected with large bore needle
Reposition abomasum and suture closed in 3 layers
What are the three layers that should be closed when fixing an RDA
1st muscle layer, perioneum and abomasum
2nd muscle layer
Skin- Ford interlocking
Post op care for a RDA
Oxytet for 5d
Propylene glycol orally BID for 3d
Oral fluids
Who is affected by abomasal ulceration
High producers with lots of silage or concentrate, feedlot cattle and calves going from milk to high fibrous diet
Clinical signs of abomasal ulceration
GI haemorrhage leading to anaemia and melena
Bruxism with low pressure applied low in abdomen
If perforation- peritonitis
How can you supportively treat an abomasal ulcer
IV fluids, oral kaolin or pectin
Some may need a blood transfusion
Most recover slowly
What causes and how can you treat dietary abomasal impaction
Fed large amounts of poor quality hay
What is the aetiology and pathogenesis of indigestion
Upset to rumen microflora
New feeds suddenly introduced to diet that causes upset in rumen microflora
Needs 1-2wks to adapt normally
Can also follow large amounts of antibiotic
Clinical signs of indigestion
Anorexia, no rumination
Enlarged and doughy rumen
Treatment of indigestion
Spontaneous recovery Good quality hay Epsom salts (Mg sulphate) Gastric stimulant powder Multivitamin B injections
Prevention of indigestion
Avoid abrupt changes in diet
Gradually increase new diet daily
What is bloat or rumen tympany
Excessive accumulation of gas in rumen
Failure to eructate results in severe distension in rumen
What are the two kinds of bloat
Primary or frothy bloat (pasture bloat)
Secondary or gaseous bloat (free gas)