Equine 5

Question 1

trending indications for surgery for colic

Answer 1

Severe continuous pain, no analgesia response
Progressively rising pulse
Progressive CV collapse (SI distension)

Question 2

before sending off for referral, do what?

Answer 2

Decompress
Analgesia (if far)
Rug + leg bandages

Question 3

general management of simple colic (not surger)

Answer 3

House on deep inedible bedding
Remove feed until passes several piles
Hand walk every 2-3 hours
Free access to water

Question 4

what effects might drugs have on colic cases

Answer 4

Reduced GI motility
Masks pain

Question 5

analgesics for colic cases

Answer 5

NSAIDs (don’t change motility)

Question 6

pro and con for phenylbutazone c.f. flunixin

Answer 6

pro: less likley to mask CV signs of endotoxaemia
con: not licensed for colic use

Question 7

side effects of alpha 2 agonists

Answer 7

reduced GI motility
bradycardia

Question 8

buscopan

Answer 8

spasmolytic

Question 9

which main laxatives do we use

Answer 9

isotonic fluids (NG tube)
oral MgS

Question 10

when to use liquid paraffin as laxative

Answer 10

when suspect you need lubrication over softening

Question 11

purpose for IV fluids in colic cases

Answer 11

severe dehydration/shock

Question 12

which portion is most prone to GI ulcers

Answer 12

squamous portion (no protection against acid)
*worse in high intensity training bc pushes acid up

Question 13

how does GI ulcer signs differ

Answer 13

less pawing/signs of visceral pains.
mostly just grumpy and inappitant

Question 14

tx for GI ulcers

Answer 14

PPI (omeprazole)
sucralfate

Question 15

gastric dilatation is usually secondary to ____ obstruction

Answer 15

distal SI

Question 16

things that can lead to gastric dilation

Answer 16

dental dx
poor roughage
poor gastric emptying
highly fermentable foods

Question 17

reflux in NG intubation points to

Answer 17

gastric dilation

Question 18

tx for gastric dilation

Answer 18

use carbonated drink to lavage

Question 19

anterior enteritis leads to colic bc

Answer 19

decreased motility
increased fluid secretion

Question 20

what is “spasmodic colic”

Answer 20

most commonly reported (rapid onset, no rectal findings, goes away w NSAIDs/buscopan)

Question 21

tx for tympanic colic

Answer 21

analgesia and exercise

Question 22

Large colon intraluminal obstructive is usually at pelvic flexure. tx?

Answer 22

Restrict feed
Analgesia
Laxative
IV fluids

Question 23

Dx for small colon impaction.

Answer 23

distended abdomen. reduced fecal output.

*cannot tell via rectal.

Question 24

why is enema not common in horses?

Answer 24

risk of bowel perforation

Question 25

Ileal impactions (worms) dx?

Answer 25

palpate SI distension.
slow progressive CV time, not endotoxaemic.
reflux

Question 26

type 1 vs type 2 caecal impaction

Answer 26

Type 1 - dry ingesta fills caecum
Type 2* - impaired caecal outflow (impaired motility) *prone to rupture

Question 27

contributing factors to colon displacement

Answer 27

older, recent foaling, abrupt change in feed

Question 28

tx options for LDDC Left Dorsal Displacement of the Colon

Answer 28

1. starve + analgesia
2. phenylephrine + exercise
3. laparscopic correction

Question 29

what does phenylephrine do for LDDC

Answer 29

splenic contraction

Question 30

RDDC: pelvic flexure moves between

Answer 30

caecum and body wall

Question 31

degree of colic in RDDC depends on

Answer 31

degree of torsion