Preg and Abortion

Question 1

when to monitor in pregnancy

Answer 1

scan at 15d and 30d
*optional at 42d, 60d, 120d, 7m, 10m

Question 2

what do you measure of scanning?

Answer 2

Combined Thickness of Uterus and Placenta (CTUP)

Question 3

clinical signs of complications

Answer 3

colic
discharge
abdominal swelling
premature mammary growth
systemic illness

Question 4

Early Embryonic Death is before __d

Answer 4

45

Question 5

ventral edema

Answer 5

can be normal late in gestation
can be secondary to issue

Question 6

ventral swelling +/- colic may be from ___ tendon rupture

Answer 6

prepubic

Question 7

management for ventral hernia/prepubic tendon rupture

Answer 7

box rest
support
analgesia
reduce roughage

Question 8

which is more concerning: hydrops amnion or hydrops allantois

Answer 8

allantois (happens faster. tx = abortion)

Question 9

a low grade intermittent colic during preg might indicate

Answer 9

uterine torsion

Question 10

tx for uterine torsion

Answer 10

roll under GA
induce if at term

Question 11

causes of infectious abortion

Answer 11

EHV-1
EVA
placentitis

Question 12

when is EHV abortion usually

Answer 12

last third

Question 13

when during pregnancy should you vax for EHV-1 to reduce risk of abortion

Answer 13

5, 7, 9 mo

Question 15

EVA transmission

Answer 15

AI, stallion

Question 16

what causes placentitis

Answer 16

ascending bacterial infection
(S. equi zooepidemicus, E. coli, Klelbsiella, Pseudomonas)

Question 17

how to dx placentitis

Answer 17

CTUP increase
fluid appearance

Question 18

tx for placentitis

Answer 18

AB
altrenogest (to support pregnancy)
NSAIDs

Question 19

placental insufficiency

Answer 19

associated with older mares, twins

leads to lack of nutrition for fetus

Question 20

does twins lead to abortion

Answer 20

yes. 30% before scan.
or at 8-10mo no warning

Question 21

how to terminate one of the twins

Answer 21

1. manunal crushing before d30
2. transvaginal aspiration of smaller one
3. compression against pelvis d55-75
4. cervical dislocation at d60-70

Question 22

who maintains pregnancy from day:
5-35
35-70
70-160
160-300+

Answer 22

5-35: primary CL
35-70: CG + secondary CL
70-160: secondary CL + placenta
160-300+: placenta

Question 23

how to terminate pregnancy from day:
5-35
35-70
70-160
300+

Answer 23

5-35: PG injection
35-70: PG injection over 3 days
70-160: variable response for PG
300+: oxytocin, PG, or dex