Lecture 17

Question 1

What are the critical diagnostics to consider in bite wound cases involving the neck?

Answer 1

-PCV
-thoracic films
-laryngeal function exam
-culture

Question 2

What are the key treatments for bite wounds?

Answer 2

-careful debridement
-open wound management
-rabies booster if unknown/unvaccinated assailant

Question 3

Which dressings are good to use in actively hemorrhaging wounds?

Answer 3

non-stick dressing such as telfa or xtrasorb pad with absorptive material over top

Question 4

Which dressings are good to use in severely effusive wounds?

Answer 4

-kerlix AMD roll gauze
-antiseptic moistened gauze + absorbent lap pads/foam

Question 5

Which dressings are good to use in mildly effusive wounds?

Answer 5

-honey on kerlix AMD gauze + absorbent pads
-antiseptic moistened gauze + absorbent pads

Question 6

How is a tracheostomy healed?

Answer 6

open wound management

Question 7

What are the indications for open wound management?

Answer 7

-infection
-foreign material
-necrotic tissue
-tension
-fluid drainage
-questionable blood supply
-unstable patient

Question 8

What are the indications that a wound is ready to be closed?

Answer 8

-minimal drainage
-any draining fluid is clear
-wound bed filled with granulation tissue
-rim of new epithelium surrounding wound bed

Question 9

What are the treatment options for removing a bone stuck in the pharynx/esophagus?

Answer 9

-pull out using forceps
-push into stomach using forceps
-surgical removal via cervical esophagostomy

Question 10

What are the procedural concerns with foreign body removal from the esophagus?

Answer 10

-treatment failure
-perforation
-bleeding
-laryngeal nerve damage
-tracheal perforation
-pneumothorax

Question 11

What are the postoperative concerns following foreign body removal from the esophagus?

Answer 11

-dehiscence
-leakage
-infection
-stricture
-dysphagia

Question 12

How much of the esophagus can be removed before the risk of dehiscence is increased?

Answer 12

3 to 5 cm

Question 13

What is the best method for closing the esophagus?

Answer 13

-suture in 2 layers with appositional patterns
-use slowly absorbable monofilament
-patch esophagus with omentum or local muscle

Question 14

What are the esophageal replacement options in dogs and cats?

Answer 14

-gastric tube
-intestinal vascular graft
-latissimus dorsi
-diaphragm
-biomaterials +/- stent
-lung
-dura mater
-silicone
-trachea
-skin

Question 15

What are the potential effects of an encircling foreign body around the neck?

Answer 15

-lymphatic obstruction
-venous obstruction
-local inflammation