Choke Flashcards
1
Q
Proper term for “Choke”
A
esophageal obstruction
2
Q
risk factors for choke
A
management associated
- feeding competition “bolting”
horse associated
- dental abnormalities
- esophageal abnormalities
- previous choke episodes
feed associated
- feeds that expand in water
- sm. particulate matter feeds
*
3
Q
CS of choke
A
profuse bilateral nasal discharge
- variable appearance; clear, watery, foamy to viscous, feed tinged green
neck stretching, retching, gagging
possibly “colic” type signs; anxious, pawing
coughing, ptyalism
occasionally distension of esophagus
4
Q
dx of choke
A
CS & hx
NG tube can’t pass into stomach (13th rib landmark)
endoscopy
CBC if suspect chronic dysfunct or aspiration pneum
maybe u/s or radiography
5
Q
most common complication w/ choke
A
aspiration pneumonia
6
Q
esophageal complication of choke
A
ulceration
can develop stricture if circumferential ulcer!
tear
rupture
causing infectious mediastinitis
diverticulum
