'Ping' Flashcards

1
Q

Why does a ‘ping’ occur?

A

Gas fluid interface

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2
Q

Normal location of abomasum

A

Ventrum just right to midline

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3
Q

Left sided ‘ping’

A

Left displaced abomasum (cranioventral)

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4
Q

Right sided ping craniodorsally, close to last rib over a large area and can’t be felt on rectal exam

A

Right displaced abomasum
Right abomasal volvulus (more painful/systemically unwell)

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5
Q

Right sided ping, caudodorsal over large area/~30cm, felt on rectal exam (enters pelvic inlet once distended)

A

Caecum torsion/dilation

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6
Q

How do you diagnose caecum torsion or dilation?

A

Ex lap

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7
Q

Right sided ventral, (multi)focal small pings

A

Small intestine (leave before surgery)

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8
Q

Why can there be a ping after surgery?

A

Free gas in abdomen/pneumoperitoneum (anywhere/any side/any size), will dissipate in time

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9
Q

What ping can peritonitis cause?

A

Anywhere/any side/any size
Gas producing bacteria
3w post-op/perforated abomasal ulcer

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10
Q

Ancillary tests for a ‘ping’

A

Ballot cow while listening
Aspirate fluid and test pH with litmus paper/look under microscope
Ultrasound

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11
Q

Which ping causing pathology will rock with animal when balloted?

A

Abomasal displacement

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12
Q

Abomasal fluid pH

A

~2-3

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13
Q

Abomasal fluid under microscope

A

No protozoa, bacteria unlikely

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14
Q

Rumen fluid pH

A

~5-6

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15
Q

Rumen fluid microscopy findings

A

Protozoa and bacteria

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16
Q

pH of most fluids (except abomasal/rumen)

A

Neutral

17
Q

Peritonitis on ultrasound

A

Mixed echogenicity, primarily hypoechoic, thick fibrin strands