Small Intestinal Diseases Pt. 1

Question 1

A syndrome that produces hemorrhagic necrotizing duodenitis and jejunitis

The answer above is rarely idiopathic, can be found local, and clostridial. T/F

The answer above frequently can be differentiated from a strangulating obstruction. T/F

Answer 1

proximal enteritis

F - mostly idio, regional dapat

F - cannot be

Question 2

proximal enteritis clinical signs include pyrexia (102-104F), anorexia, depression, mild to severe abdominal pain and laminar pain. T/F

This can be diagnosed via Large volume of alkaline gastric reflux,
rectal - large intestinal distension
ultz - mural thickening of ileus T/F

Answer 2

T

F sa rectal: small intestinal dapat

Question 3

Normally, intestines cannot be palpated during rectal examination, but if there’s proximal enteritis, the intestine balloons → emerge as bread slices upon palpation T/F

Answer 3

T

Question 4

In older horses, strangulation (wraps around) of jejunum occurs. It is malignant. T/F

Answer 4

F - benign

Question 5

How do you treat proximal enteritis?

Answer 5

Main goal: decompression

fluids, NSAIDs, surgery, nasogastric tube

Question 6

Match the prognosis per dz
1. proximal enteritis
2. intu
3. ascarid impactions

A. Grave to guarded with surgery
(Frequently debilitated from chronic infestation)
B. Guarded; 56% fatality with therapy
C. Good with surgical intervention (Inversely proportional to: Duration of time, Mural rupture, Ileus)

Answer 6

3A, 2C, 1B

Question 7

The following are complications arising from proximal enteritis except.
A. Nephritis, DIC, Hepatitis
B. Laminitis, Thrombophlebitis
C. Intestinal perforation , Intestinal rupture
D. NOTA

Answer 7

C - pang intu to

Question 8

Invagination of a segment of bowel and its mesentery into the lumen of an adjacent segment of bowel

Answer 8

Intussusception

Question 9

the following are etiology of intussusception. except
A. Heavy ascarid or tape worm infestation
B. Obstruction—foreign body, hypertrophy, neoplasia
C. Enteritis or altered peristaltic motility
D. NOTA
E. AOTA

Answer 9

E

Question 10

an animal with intu, experience chronic violent pain but occurs acutely intermittent. T/F

Intu is common in young horses T/F

Answer 10

F - baliktad. Acute violent, chornic intermittent

T

Question 11

Intu Diagnosis
Rectal: distended loops of small intestine
Ultz: bulls eye lesion with distended T/F?

Answer 11

T

Question 12

The following are complications arising from proximal enteritis except.
A Post-operative ileus, Peritonitis
B. Laminitis
C. Stump abscess, Adhesions
D. Recurrence Loops of small
E. AOTA
F: NOTA

Answer 12

E pero take note:
B. EPIPLOIC FORAMEN HERNIATION

Question 13

Heavy Parascaris equorum(roundworm) infestation

Drugs that paralyze and rupture the roundworms

Answer 13

Ascarid impactions

non-benzimidazole(paralyze), organophosphate (rupture ascarid cuticle releasing antigenic fluid that suppresses intestinal motility)

Question 14

Ascarid impactions affect middle aged to aged horses T/F

Answer 14

F - foal to yearling dapat

Middle to aged - EPIPLOIC FORAMEN HERNIATION

Question 15

AScarid impaction hx: Acute onset of abdominal pain associated with ____ administration

Answer 15

antihelminthic

Question 16

the ff are clinical signs of Ascarid impaction except for 2 letters:
A. Moderate to severe abdominal pain, Pendulous belly (pot belly, Rough hair coat
B. Intermittent colic with vague signs of weight loss and lethargy
C. Acute, severe, uncontrollable pain without abdominal distension
D. Poor body condition, + Harsh lungs sounds, + Nasal discharge

Answer 16

C - mesenteric defect
B - ileal hypertrophy

Question 17

in treating ascarid impactions, 1 enterotomies is enough T/F

Answer 17

F- multiple dapat

Question 18

The following are complications arising from ascarid impactions except: (2 letters)
A Chronic recurrent colic
B. Fatal rupture of caudal vena cava or portal vein during surgical reduction,
C. Toxic shock, Intestinal perforation , Intestinal rupture
D. Peritonitis, Intussusception, Post-operative adhesions

Answer 18

A -ileal hypertrophy
B -EPIPLOIC FORAMEN HERNIATION

Question 19

SMALL INTESTINE VOLVULUS, Ascarid Impactions,INGUINAL HERNIA

Answer 19

Post-operative adhesions

Question 20

Occurs when a segment of small intestine twists on its own mesentery
The mesentery continues to twist as more intestine is drawn into the volvulus thus constricting the blood supply and strangulating the bowel

Answer 20

SMALL INTESTINE VOLVULUS

Question 21

Intestinal infarction
Severe Ascarid infestation
Intestinal incarceration
Adhesions or fibrous bands
Mesodiverticular band or Meckel’s diverticulum

the following are the etilogy of what disease?
A. Ascarid impaction
B. Small instestine voluvuls
C. Intussusception
D. Proximal enteritis

Answer 21

B

Question 22

Small intestinal volvulus occurs in young foals (1-3 years ) which are overrepresented T/F

Answer 22

F - not age specific

Question 23

In small intestinal volvulus, Acute, severe violent pain with abdominal distension and Hypovolemic shock occurs as clinical signs. T/F

Answer 23

F - WITHOUT dapat

Question 24

diagnosing small intestinal volvulus includes Rapid progression of pain and shock Copious gastric reflux
T/F

Answer 24

T

Question 25

small intestinal volvulus and proximal enteritis are diagnosed with rectal and ultz. In inguinal hernia, same din sa ultz
Rectal- small intestinal distention
Ultz - small intestinal distension, ileu
T/F?

Answer 25

T

Question 26

Match the prognosis per dz
1. small intestinal volvulus
2. inguinal hernia
3. ileal impaction

A. Fair to good; Poor if adhesions or ileus develop post-operatively

B. Good long term
Fair if ileal bypass required

C. Grave with surgery
80% fatality rate
Rapidly fatal, often die during shipping

Answer 26

1C, 2A, 3B

Question 27

small intetsinal volvulus,

Answer 27

post op ileus

Question 27

sudden increase in intra-abdominal pressure

Answer 27

Inguinal hernia

Question 28

Swelling noticed soon after foaling
Recent history of breeding
Recent history of trauma or physical exertion

This is seen in horses with?

Answer 28

Inguinal hernia

Question 29

breeds that are susceptible in developing inguinal hernia

Answer 29

Breed—Standardbred, Tennessee Walking Horse, American Saddlebred, Belgian

+ older stallion and neonatal colt