Mouth to SI-Sanchez

Question 1

Vesicular Stomatitis

Answer 1

Rhabdoviridae
Lesions: Blisters
-mouth
-nostrils
-coronary band
-teats
Zoonotic

Question 2

Dysphagia: Prehension

Answer 2

Vm, Vs, VII, XII

Question 3

Dysphagia: Transfer of bolus

Answer 3

Vs, XII

Question 4

Dysphagia: Swallowing

Answer 4

IX?, X

Question 5

Causes of choke (3)

Answer 5

1. Stricture
2. Diverticulum
3. Megaesophagus

Question 6

Horse saliva contains a lot of

Answer 6

Cl

-can cause hypochloremia

Question 7

Abx in choke

Answer 7

Indicated if choked > 5 min

Question 8

Safe contrast is

Answer 8

Iohexal

*Barium leaking outside GI tract is very bad

Question 9

Glandular ulceration risk factor

Answer 9

NSAIDS is the only clear one

Question 10

misoprostol

Answer 10

may prevent stomach ulcers from NSAIDS?!?!

Question 11

Squamous ulcer tx (4)

Answer 11

1. PPI
2. Mucosal protectants
3. H2 antagonist
4. Environmental changes

Question 12

Gastrogard active ingredient

Answer 12

OMEPRAZOLE

Question 13

ESGD recommended tx

Answer 13

1. Omeprazole 4mg/kg PO q24h for 21 days

2. Recheck gastroscopy prior to d/c tx

Question 14

EGGD recommended tx

Answer 14

1. Omeprazole 4 mg/kg PO q24h
2. Sucralfate 12 mg/kg PO q12h
3. Treat 4-8 weeks

Question 15

GDUD medical tx

Answer 15

GO BIG OR GO HOME

1. Acid reduction IV - ranitidine or pantoprazole
2. Mucosal protectants - +/- sucralfate
3. Supportive care
   - Acid-base/electrolyte/fluid
   - Nutritional support - TPN or partial
   - Gastric decompression

Question 16

DPJ etiology/pathophys

Answer 16

1. Small intestinal inflammation with copius gastric reflux
2. Pain ush subsides after decompression
3. Etiology rarely identified

Question 17

Inflammatory conditions of GI tract

Answer 17

1. Small intestine
   - Duodenitis/proximal jejunitis
   - Miscellaneous inflammatory
   - Proliferative enteropathy
2. Colon
   - Acute diarrhea
   - Chronic diarrhea
3. Peritonitis

Question 18

Volume Reflux in DPJ

Answer 18

6-20 L

Question 19

DPJ peritoneal fluid

Answer 19

1. WBC and protein typically increased

2. Lactate usually < 2x plasma

Question 20

DPJ antibiotics indicated if

Answer 20

< 1,000 neutraphils

Question 21

Digital cryotherapy nuggets

Answer 21

If patient comfy enough to get feet iced - probs DPJ

If patient floppy, probs ileal impaction

Question 22

Lawsonia intracellularis

Answer 22

1. Proliferative enteropathy
2. Weanlings
3. Panhypoproteinemia-ventral edema
4. Inc SI wall thickness
5. Erythromycin/rifampin
6. Prog good