endometritis

Question 1

what is a potential problem of metritis in mares

Answer 1

metritis can lead to laminitis (due to endotoxemia) - this can occur 24-36 hours post-partum

Question 2

List some predisposing factors for metritis in the mare

Answer 2

Retained foetal membranes
trauma during foaling

Question 3

Describe how to treat metritis in mares

Answer 3

remove fluid- lavage, aspirate, scoop
Oxytocin
Broad spec ABs- penicillin, streptomycin
Treating the endotoxemia= Fluids, NSAIDs, vasodilators, nursing

Question 4

Describe persistent mating induced endometritis

Answer 4

mare develops uterine fluid accumulation immediately after breeding- not systemically unwell

Question 5

Describe how to treat persistent mating induced endometritis

Answer 5

remove fluid, promote drainage, Abs, re treat 24 hours later

Question 6

List 3 ways to reduce persistent mating induced endometritis

Answer 6

breed early
reduce contamination- AI with Abs or instill semen extender into mare before breeding
examine mare early after breeding

Question 7

List 2 predispositions to persistent mating induced endometritis

Answer 7

suspensory apparatus of uterus stretched
damage to cervix

These mares often described as susceptible

Question 8

‘Mare is well but presents barren at the beginning of the breeding season with uterus containing echogenic fluid’

what does this suggest

Answer 8

chronic endometritis

Question 9

what is important to remember about chronic endometritis

Answer 9

Do not breed until it is resolved
Consider biopsy- to understand problem more

Question 10

Mare has persistent large volume uterine fluid, frequent vulval discharge when in oestrus, and has long intervals between oestruses. She is not ill.
What is going on here

Answer 10

Pyometra

Question 11

How to treat chronic endometritis

Answer 11

uterine lavage
intrauterine antibiotics - monitor post breeding and post parturition

Question 12

How to treat pyometra

Answer 12

oxytocin
lavage
Abs