Diagnostics for weight loss Flashcards

1
Q

where should you look at on the horse to assess muscle wastage

A

head muscles
cervical
epaxial

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2
Q

List 5 things you can see on transabdominal ultrasound in horses

A

SI wall thickness
LI wall thickness
Liver- right and left lobules
Peritoneal fluid
Masses

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3
Q

what SI wall thickness is considered abnormal on ultrasound

A

> 4mm

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4
Q

What LI wall thickness is considered abnormal in horses

A

> 6mm

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5
Q

where abouts can you assess LI wall thickness on ultrasound transabdominally

A

right distal colon - 11-13th ICS

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6
Q

Where can you assess SI wall thickness on transabdominal ultrasound

A

inguinal area
cranioventral abdomen

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7
Q

What is the best way to assess intestinal function in horse

A

glucose absorption test

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8
Q

what is the main diagnostic tool for inflammatory bowel disease in horses

A

Intestinal biopsies

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9
Q

List 2 causes of weight loss that faecal analysis be useful to diagnose

A

Parasites
sand enteropathy- faecal sedimentation test

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10
Q

List 4 liver values we can look at in horses

A

SDH
AST
GGT
Bile acids

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11
Q

List 4 things you can assess in peritoneal fluid

A

colour and turbidity
lactate level
protein level
WBC

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12
Q

what can high lactate in peritoneal fluid indicate

A

intestinal ischaemia or bacterial population

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13
Q

what can high protein in peritoneal fluid indicate

A

inflammation or infection

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14
Q

what can high WBC in peritoneal fluid indicate

A

infection

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15
Q

what are full-thickness biopsies useful for

A

eosinophilic enteritis, lymphoma and grass sickness

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16
Q

what are duodenal biopsies useful for

A

a few lymphocytic-plasmacytic and eosinophilic enteritises

17
Q

what are rectal biopsies good at diagnosing

A

some granulomatous enteritis and some multisystemic eosinophilic epitheliotropic diseases

18
Q

what is a limitation of FECs

A

adults producing eggs must be present

19
Q

list 2 things we can test for on faecal PCR

A

lawsonia intracellularis or salmonella

20
Q

How do we diagnose sand enteropathy

A

radiography and ultrasound

21
Q

is SDH liver specific

A

Yes
But it can increase with GI obstruction or enteritis

22
Q

what enzymes are found hepatocellularly in horses

A

SDH and AST

23
Q

what enzymes are found in the biliary ducts in horses

24
Q

is AST liver specific

A

no, it is found in muscles, RBCs and kidneys

25
is GGT liver specific
no, it is found in the reproductive tract, urinary tract, mammary glands and pancreas
26
is ALP liver specific
80% liver specific and 20% bone
27
where can you asses the liver on ultrasound
RHS - 6-17th ICS LHS - 7-9th ICS
28
to definitively diagnose liver disease, what is needed
biopsies - histopathology, bacterial culture and viral PCR