EQ Other GIT problems

Question 1

What is choke?

Answer 1

Oesophageal obstruction

Question 2

What are the most common areas for oesophageal obstruction?

Answer 2

Proximal cervical, distal cervical region

Question 3

What are the risk factors for oesophageal obstruction

Answer 3

Carrots, apples, extra-luminal masses, functional abnormalities

Question 4

You are presented with a horse coughing, dysphagic and food and saliva at the nostrils. What might you expect?

Answer 4

Choke

Question 5

What management would be recommended for a horse with choke?

Answer 5

May resolve spontaneously, sedation, (buscopan, oxytocin, calms horse and lowers head), pass NGI, oesophageal lavage

Question 6

How would you deal with an unresolved/ recurrent case of choke?

Answer 6

Repeat lavage, endoscopy, lavage under GA, surgery may be indicated (rare)

Question 7

Explain the pathogenesis of carbohydrate overload.

Answer 7

1. Carb overload, 2. increased bacterial fermentation, 3. reduced pH of gut and intestinal mucosa damage, 4. endotoxin absorption, 5. colic, 6. SIRS, laminitis, diarrhoea

Question 8

What are the three main categories of causes of dysphagia?

Answer 8

Pain, neurogenic, obstructive