Exam 3: Lecture 23 - LA soft tissue case study Flashcards
T/F: A perineal urethrotomy typically heals in 14-21 days
true!
12 yr old TB gelding presented for straining to urinate. rDVM palpated a huge urinary bladder. What surgical procedure could be done to help this horse in the short term?
Perineal urethrotomy
what is the most common type of equine urolith/cystolith?
A. struvite
B. hydroxyapatite
C. calcium carbonate
D. Uric acid
C. Calcium carbonate
What diagnostic(s) should be done prior to surgery for cystic calculi in this horse?
A. Chem panel
B. endoscopy of urinary bladder
C. ultrasound of kidneys
D. rectal exam
E. all of the above
E. All of the above
For the horse with cystic calculi, why should we do so many diagnostics?
(chem, endoscopy of bladder, ultrasound of kidneys, and rectal exam)
chem - to check the renal values
endoscopy - count/visualize how many stones there are
ultrasound - can see the kidneys and look if there are any kidney stones
rectal - can also palpate the stones rectally
4 yr old male pigmy goat is straining to urinate and no urine is seen. What diagnostics should we do?
A. PE
B. Chem
C. radiographs
D. ultrasound
E. All of the above
E. all of the above
what type of stones can be seen in small ruminants that are fed a grain diet
calcium phosphate (apatite) and struvite (magnesium ammonia phosphate)
what type of stones can be seen in small ruminants that are fed a legume diet
calcium carbonate
These are the rads from the 4 yr old pigmy goat. What surgical procedure would you recommend first?
A. Urethral process amputation
B. cystotomy
C. nephrectomy
A. Urethral process amputation
What is this picture showing
a stone blocking the urethral process of the goat
For the goat, if a urethral process amputation doesn’t work, what are the other 3 procedures we can perform?
- tube cystotomy
- PU +/- penile amputation
- Bladder marsupialization
This is a 15 yr old Arabian gelding.
What does this horse most likely have based on the picture?
A. sleep deprivation
B. laminitis
C. colic
D. rabies
C. colic
For the 15 yr old Arabian gelding, you find the HR=80, RR=32, T=99.7, and mm are pale and tachy. What signs is this horse showing?
Hypovolemic shock
How can we rapidly expand the blood volume of the gelding in hypovolemic shock?
A. lactated ringers
B. hypertonic saline
C. hetastarch
D. equine plasma
B. hypertonic saline
What is the protocol of small volume fluid resuscitation
give small amount (1-2L) of hypertonic saline followed by a large volume of isotonic crystalloid (10-20L)
The 15 year old colic gelding requires an abdominal exploratory surgery. What approach will you use to enter the abdomen?
A. Right flank
B. left flank
C. ventral midline
D. diagonal paramedian
C. ventral midline
What part of the equine GI tract is marked with a star?
Pelvic flexure
what is 1 pointing to
teniae
what is 2 pointing to
ventral colon
what is 3 pointing to
pelvic flexure
what is 4 pointing to
dorsal colon
What classification of surgery is this pelvic flexure enterotomy?
A. clean
B. clean-contaminated
C. contaminated
D. dirty
B. Clean-contaminated
Which of the following options is a “clean” surgery?
A. arthroscopy
B. c-section
C. tracheostomy
D. tube cystotomy
A. arthroscopy
Which arytenoid is abnormal? (left or right)
Left (horses left, our right)
What is the primary clinical sign associated with this lesion?
A. congestive heart failure
B. expiratory noise
C. inspiratory noise
D. coughing
C. inspiratory noise
Which nerve is abnormal in a horse with this lesion?
A. left pharyngolaryngeal
B. left recurrent laryngeal
C. left palatolaryngeal
B. left recurrent laryngeal
How do we treat left laryngeal hemiplegia?
Tie back surgery (suture prosthesis to pull arytenoid back towards the cricoid)
In a bovine c-section, what approach do you want to use the access the uterus in a cow?
A. left flank
B. right flank
C. ventral midline
A. left flank
What suture pattern would you use to close the uterus of a bovine c-section?
A. simple continuous
B. utrecht
C. horizontal mattress
D. cruciate
B. utrecth
What suture pattern(s) would you use to close to muscle of the body wall of this c-section cow?
A. simple continuous
B. utrecht
C. horizontal mattress
D. cruciate
A. simple continuous
D. cruciates
What suture(s) would you use to close to muscle of the body wall of this c-section cow?
A. nonabsorbable monofilament
B. absorbable monofilament
C. nonabsorbable multifilament
D. absorbable multifilament
B. absorbable monofilament
D. absorbable multifilament
What suture pattern would you choose for closure of the skin incision in the bovine c-section?
A. simple interrupted
B. simple continuous
C. cruciate
D. ford interlocking
E. horizontal mattress
F. Utrecht
D. ford interlocking
