Review 2 Flashcards
What is normal HR in a horse?
28-44 bpm
Abdominocentesis with uniform red tinge, nucleated cell count of 3500 cells/mCL and protein 3 g/dL indicates…
indicates strangulating intestinal lesion
GI impaction occurs most often at the diaphragmatic flexure. T/F
False, occurs at the…. PELVIC FLEXTURE
What cannot be ID on rectal palpation of a horse?
R dorsal colon (above root of the mesentery)
Horse that is rolling, has fever, blue mm, skin tent, distended SI loops on rectal, foul-smelling orange to brown nasogastric reflux, slightly turbid yellow abdominal fluid with total protein on 3 g/dL and nucleated cell count of 2000=
Anterior enteritis
What part of the equine GI tract has 2 bands and sacculations?
Small aka descending Colon
Colic case with PCV > 50% and serum lactate > 6 prognosis …
likely to die
What is most likely the cause of rising PCV, declining TP, and neutropenia???
Colitis
Predilection sites for impaction that are palatable on rectal examination –>
pelvic flexure, cecum, descending colon (small colon)
What confirms that there is rupture of GI tract when plant material is present in the abdominal paracentesis sample???
Cytology revealing phagocytized bacteria, plant material ID in the sample from a different area of the stomach
What 3 issues cause extreme pain in horses?
severe thromboembolism, SI obstruction w strangulation, and large colon volvulus
What are two indications for sx in a horse with colic?
Severe intractable pain and/or peritoneal fluid indicating damaged bowel
What are indications for referral with colic?
Progressive colon distension even tho pain is responsive to banamine, moderate to severe SI distension with pain on palpation of affected loops
What to do with horse colic with serum lactate > 6 and PCV >50%
euthanize
Which type of cells are NOT part of the innate immune system?
B cells
What are some things that can trigger SIRS?
Hypoxia, endotoxemia, bacterial infection, surgery, trauma
Where is the inflammatory response to SIRS the greatest?
Laminae/ aka shock organ of the horse
SIRS bloodwork findings–
Leukopenia, hyperthermia, tachypnea
Adequate passive transfer in horses is ___ or more on SNAP test
800 mg/dL
What is a highly conserved part of an endotoxin and is highly conserved between species and is also responsible for most of the LPS toxicity?
Lipid A
___ is responsible for LPS toxicity and is bound to polymixin B
Lipid A
What is the most common lab abn in horses with endotoxemia?
Neutropenia
What is bound by polymixin B?
Lipid A
Lipid A is bound to ____
polymixin B
Gastric ulceration, right dorsal colitis, renal papillary necrosis are side effects to….
NSAID use
What is the most common cause of esophageal obstruction?
Intraluminal obstruction (food or FB)
What is NOT a tissue layer of the esophagus?
Serosa
What is the most common complication of esophageal obstruction?
Aspiration pneumonia
What grade rectal tear can be treated with epidural anesth and manual evacuation every 2 hours?
Grade 3
What substance can be used when performing a rectal examination to reduce rectal contractions (anticholinergic like atropine is)
Buscopan