Ch.36 Cecum Flashcards

1
Q

Size and capacity of cecum

A

1 meter
30 liters

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2
Q

What does the base of the cecum have attachments to

A

Mesenteric attachments to

  1. Dorsal body wall btw rib 14 and the
    tuber coxae
  2. Right kidney
  3. Transverse colon
  4. Root of the mesentery
  5. Pancreas
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3
Q

What is the cupula

A

Cranial aspect of base of cecum

Base of cecum is divided into 2 by a transverse fold - the cranial aspec

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4
Q

Which tenai continue to apex

A

Dorsal and medial

Ventral often blends into medial

Lateral is variable, might discontinue mid way

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5
Q

The dorsal tenai is connected to what and where

A

Ileum anti mesenteric side - ileocecal fold

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6
Q

The lateral tenai is connected to what and where

A

Lateral free tenai of the right ventral colon - cecocolic fold

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7
Q

Blood supply of cecum

A

med and lat cecal aa. <- ileocolic a. <-Cranial mesenteric artery

medial a is main blood supply to apex

cecal rete arise from both forming a submucosal plexus

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8
Q

Where is the ileocecal orifice located

A

Lesser curvature of cecal base
At level of 1st or 2nd lumbar vertebrae

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9
Q

Where is the cecocolic orifice located

A

Caudal and lateral to the ileocecal orifice where it empties into right ventral colon

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10
Q

Main physiologic function of the cecum

A

Absorption of water and electrolytes esp sodium and chloride

Act as a reservoir for microbial digestion of insoluble carbohydrates

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11
Q

When does the cecum have its largest influxes and absorption of water in ponies

A

First 2 hours after a meal - influx
600-800mL/hr abs during next 10 hours between meals

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12
Q

Fermentation of insoluble carbohydrates in the cecum produces what

A

Volatile fatty acids - acetic, propionic, butyric.
Abs by cecum and LC - Provide energy for horse

Heat

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13
Q

What is the cecal arterial rete

A

Mesh like network of vessels originating from lateral & medial cecal aa which feed into submucosa plexus.Perpendicular to the main vessels.

Supplies alternative blood supply

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14
Q

Where are contractions of the cecum said to originate

A

Ventral cecal body near apex and move toward base

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15
Q

Which drug has been shown to decrease cecal movement most significantly

A

Buscopan - 30 mins

Xylazine 20-30 mins

Butorphanol - 10 mins

Detomodine

xylazine hydrochloride Butorphanol tartrate Administered together, both drugs work synergistically to reduce cecal motility

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16
Q

Medications which increase cecal motility

A

yohimbine
mosapride
Bethanecol chloride
Neostigmine
Erythromycin