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EXAM 3 FINAL > Guttural Puch Disease > Flashcards

Guttural Puch Disease Flashcards

1
Q

What is the cause of Tympany?

A

1) unknown
2) upper airway infection
3) persistent coughing
4) muscle dysfunction

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2
Q

What are the clinical signs of tympany?

A
  • foals
  • nonpainful
  • dyspnea
  • dysphagia
  • inhalation pneumonia
  • secondary empyema
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3
Q

What is the conservative treatment for Tympany?

A
  • needle aspiration

- indwelling catheter

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4
Q

What are the 4 surgical approaches to the gutteral pouch?

A

1) Hyovertebrotomy
2) Viborgs triangle
3) whitehouse
4) Modified WhiteHouse

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5
Q

What are the land marks of the Viborgs triangle?

A

1) STERNOmandibular muscle
2) lingofacial vein
3) Caudal border of vertical ramus of the mandible

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6
Q

What are the compartments of the gutteral pouch

A

1) Smaller lateral compartment

2) Larger medial compartment

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7
Q

What separates the lateral and medial compartments fo the gutteral pouch?

A

Stylohyoid BONE

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8
Q

What is Empyema?

A

Pus accumulation in the gutteral pouch

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9
Q

What are the causes of Empyema?

A

1) upper respiratory tract infection
2) abscessation retropharyngeal innervation
3) fracture of stylohoid bone

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10
Q

What are the clinical signs of empyema?

A

-Bilateral nasal discharge

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11
Q

What diagnostic tool can be used to diagnose empyema?

A

1) endoscopy

2) radiology

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12
Q

How would you treat empyema?

A

1) indwelling catheter

2) surgery

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13
Q

What are the clinical signs for Gutteral pouch mycosis?

A

1) EPISTAXIS!!!!!!!!

2) dysphagia

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14
Q

You have a horse with epistaxis what is top on your differential list?

A

Gutteral pouch mycosis

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15
Q

What first aid would you provide to a horse iwth gutteral pouch mycosis?

A

1) blood transfusion

2) IV fluids

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16
Q

You have a horse with chronic intermittent epistaxis. What is top on your differentials?

A

Gutteral pouch mycosis

17
Q

What three arteries care in the vicinity of the gutteral pouch and can be affected?

A
  • occipital artery
  • internal carotid artery
  • external carotid artery

*internal carotid artery most commonly affected

18
Q

Where does the fungus usually reside in a gutteral pouch mycosis case?

A

Dorsal aspect of the gutteral pouch

-eats away at the artery

19
Q

How would you treat Gutteral pouch mycosis?

A

1) carotid angiogram

2) arterial ligation
- internal carotid **
- external carotid
- ballooon catheter occlusion

20
Q

What are the complications of gutteral pouch mycosis?

A

BLINDNESS

21
Q

What medical treatment can be used for gutteral pouch mycosis?

A
  • catheter (coiled)

- flush pouch with horse in dorsal recumbency

EXAM 3 FINAL (19 decks)

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