Bovine GI: Abomasal Displacements Flashcards

1
Q

what ketone level makes a cow hyperketonemic?

A

> 1.2

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2
Q

what BHBA level would make a cow clinical for hyperketonemia?

A

> 3.0

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3
Q

why does the rumen being not fully filled lead to a left displace abomasum?

A

abomasum is allowed to float dorsally towards the left body wall

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4
Q

what is the typical presentation of a left displaced abomasum?

A

3-20 days in milk
cows>heifers
dull, off feed
decreased production
concurrent disease

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5
Q

what should the pH be in the abomasum?

A

2-3

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6
Q

how is a cow positioned for minimally invasive surgery for a left displaced abomasum?

A

dorsal recumbency

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7
Q

what are the two standing surgeries for left displaced abomasum?

A

right paralumbar fossa omentopexy/pyloropexy
left paralumbar fossa abomasopexy

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8
Q

why are right displaced abomasums more emergent?

A

potential for torsion

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9
Q

when is the prognosis of a right abomasal volvulus poor?

A

cow is down/shocky
HR>120 bpm

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10
Q

what should you do for a cow with ketones >3.0?

A

propylene glycol
B vitamins IM
IV dextrose

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11
Q

what can cause decreased abomasal motility?

A

hypocalcemia
hyperketonemia
toxemia from concurrent disease

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12
Q

what is the surgery for a left displaced abomasum that is in dorsal recumbency?

A

right paramedian abomasopexy

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13
Q

what can lead to a right displaced abomasum?

A

acutely off feed with a full rumen

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14
Q

why is percutaneous surgery not appropriate for a right displaced abomasum?

A

unsure whether it is torsed or not

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15
Q

what surgery is performed for a right displaced abomasum?

A

right paralumbar fossa approach
right paramedian can be done

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