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Veterinary Medicine > Equine Surgery > Flashcards

Equine Surgery Flashcards

1
Q

Which layers of tissue are involved in a grade 1 rectal tear?

A

Mucosa and submucosa

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2
Q

Which layers of tissue are involved in a grade 2 rectal tear?

A

Muscularis

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3
Q

Which layers of tissue are involved in a grade 3a rectal tear?

A

Mucosa, submucosa and muscularis.

Not Midline

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4
Q

Which layers of tissue are involved in a grade 3b rectal tear?

A

Mucosa, submucosa and muscularis.

Midline - dorsal

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5
Q

Which layers of tissue are involved in a grade 4 rectal tear?

A

All Layers

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6
Q

How should grade 1 rectal tears be treated?

A

Medically/No Tx

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7
Q

How should grade 2 rectal tears be treated?

A

Medically

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8
Q

How should grade 3/4 rectal tears be treated?

A

Medical and surgical

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9
Q

What is the medical Tx for a rectal tear?

A

Pen/Gent
Flunixin
Tetanus
+/-Epidural and rectal packing

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10
Q

What are the 3 surgical options for rectal tears?

A

Direct suturing
Placement of a rectal liner
Temporary diverting colostomy

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11
Q

how should a traumatic wound be lavaged?

A

Sterile polyionic fluid - 0.05% chlorhex OR 0.1% iodine

35/50ml syringe w/18/19G needle

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12
Q

Which suture material should be used for equine skin?

A

3-3.5m (2.0-0 USP) monofilament

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13
Q

What should be given as part of ongoing wound care?

A

Analgesia
ABs
+/- tetanus
+/- box rest

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14
Q

When should wound staples/sutures be removed?

A

10-14d later

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15
Q

If leaving a wound to heal by 2e intention, what should be applied?

A

Sterile hydrogel

non-adherent, absorbent dressing

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16
Q

Which grafts are most commonly used in equine practice?

A

Free grafts (usually autograft)

17
Q

What are the wound bed requirements for a skin graft?

A

Vascularised
No necrosis/infection
No delayed healing

18
Q

What is the cosmetic risk of pinch/punch grafting?

A

White hairs at donor site

19
Q

What is the primary donor site for a pinch/punch biopsy?

A

Neck (+/- abdomen if needed)

20
Q

How soon after a skin graft should you change the bandage?

A

5-7d

21
Q

From where are full thickness grafts usually taken?

A

Pectoral

22
Q

Where are split thickness grafts taken from?

A

Ventral thorax and abdomen - several sites

23
Q

Which grafts are most likely to be accepted?

A

Modified meek (specialist and expensive)

Veterinary Medicine (68 decks)

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