Equine 1-2 Flashcards

1
Q

Most esophageal obstructions occur here

A

proximal esophagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most common clinical sign of choke

A

nasal discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Diagnosis of esophageal obstruction

A

Left side of esophagus palpation

Resistance of nasogastric tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

First thing to do with esophageal obstruction

A

Sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Esophageal obstruction ways to resolve

A

gentle passage of stomach tube
Lavage with warm water
Buscopan: antispasmodic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Esophageal obstruction management

A

NSAID
slow return to normal diet
antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most common type of esophageal neoplasia

A

squamous cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Most common cause of GI pain

A

distension of a viscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most common type of colic

A

large intestine non strangulating

  • gas/spasmodic
  • large colon impaction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Subtle signs of colic

A

anorexia
laying down more
decrease poops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Moderate signs of colic

A

pawing
stretching
flank watching
abdominal distenstion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Severe sign of colic

A

Rolling
Thrashing
Cast
Facial abrasions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Severe pain replaced by depression may be caused by

A

rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When do you take temperature of horse

A

before rectal exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When do you take HR

A

before sedation

very important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when do you use Nasogastric intubation

A

every moderate to severe colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is considered a significant amount of reflux

A

greater than 2 L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When should you preform an abdominocentesis

A

only if the results would change the plan of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what does abdominocentesis differentiate between

A

strangulating and non strangulating SI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do you determine if there is strangulation from an abdominocentesis

A

Lactate levels >2x that of plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Initial therapy for colic

A

analgesic

Fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What kind of analgesics do you give

A

NSAID, a2 agonists, opioids, buscopan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the NSAID of choice

A

Banamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fluid therapy option

A

Enternal
IV
Laxatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

When do you use enternal fluids

A

most cases

unless >2L of reflux

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

When do you use IV fluids

A

Reflux
Severe pain
Dehydration

27
Q

When do you use laxatives

A

Sand….because horses eat sand. how do these things still exist? oo shopping bag! PANIC and colic. ok that’s all

28
Q

what is Equine gastric ulcer syndrome (EGUS)

A

a thing in racehorses, usually asymptomatic

29
Q

EGUS clinical signs

A

asymptomatic usually
decrease performance
colic after meal
anorexic

30
Q

EGUS diagnosis

A

Gastroscopy

-squamous vs. glandular

31
Q

Where is the most common place of ulcer

A

squamous mucosa along lesser curvature

32
Q

How do most EGUS drugs work

A

Increase gastric pH

Decrease gastric acid secretion

33
Q

Most common protein pump inhibitors

A

omeprazole

34
Q

Gastroduodenal ulcer disease (GDUD) is usually seen in

A

late suckling early weaning aged foals

35
Q

How is GDUD different from EGUS

A

GDUD: foals less than 6 months
outflow obstruction
Use contrast radiography

36
Q

Causes of non strangulating colic

A

Intraluminal obstructions
large colon displacements
gas/spasmodic colic

37
Q

Ileal impaction characteristics

A

South east US

coastal Bermuda grass hay

38
Q

Ileal impaction clinical findings

A

moderate to severe pain
distended small intestine
Reflux
Peritoneal fluid

39
Q

how would you differentiate ileal impaction from SI strangulation rupture

A

Ab tap
Peritoneal fluid would be normal
Lactate similar to plasma

40
Q

Treatment for ileal impaction

A

gastric decompression
withdrawal of feed/water
analgesics/ IV
Surgical

41
Q

Characteristics of cecal impaction

A

spontaneous in any horse

Rare

42
Q

Cecal impaction clinical findings

A

variable degree of pain
usually no reflux
Normal peritoneal fluid
Rectal exam - cecal distension

43
Q

Treatment of cecal impaction

A

withdrawal of feed
enternal laxatives
IV
Surgery

44
Q

Large colon impaction characteristics

A

Caused by feed and sand

45
Q

Where do most large colon impactions occur

A

in the large colon……

pelvic flexure

46
Q

Large colon impaction clinical signs

A

Mild-mod pain
decreased poops
Rectal exam

47
Q

Treatment of large colon impaction

A

withdrawal of feed
enternal fluids
laxatives

48
Q

Small colon impaction clinical signs

A

colic
abdominal distention
diarrhea
happens during the winter

49
Q

Diagnosis of small colon impaction

A

rectal exam

gritty material on glove

50
Q

Enterolith characteristics

A

calculi within the intestine

Arabian horses

51
Q

Enterolith risk factors

A

high protein diet

California

52
Q

Enterolith clinical findings

A

mild to mod pain
Normal rectal exam
Radiograph

53
Q

Enterolith treatment

A

surgery

Restrict alfalfa

54
Q

Large colon displacement characteristics

A

left or right dorsal

Similar to nonstrangulating LC obstruction

55
Q

Left dorsal displacement

A

nephrosplenic entrapment

Rectal exam

56
Q

Left dorsal displacement treatment

A

Phenylephrine and exercise

Surgery

57
Q

Right dorsal displacement

A

pelvic flexure moves cranially

Gas distension of LC

58
Q

Treatment for right dorsal displacement

A

Fluid
Limited exercise
Surgery

59
Q

Treatment for all strangulating obstructions

A

surgery

60
Q

SI strangulation clinical findings

A
acute severe pain
Tachy
Toxemia 
Hemoconcentration
High volume reflux
abnormal peritoneal fluid
61
Q

SI strangulation possible lesions

A
Volvulus
incarceration
Intestinal adhesions
intussusception (younger horses)
Pedunculated lipoma (older horses)
62
Q

large colon volvulus characteristics

A

occurs at base
Broodmares
severe colic

63
Q

large colon volvulus clinical findings

A
severe abdominal pain
Sever tachy
Toxemia
LC gas distention
no reflux
64
Q

Large colon volvulus treatment

A

immediate surgery