Small intestinal diseases Pt. 2

Question 1

in inguinal hernia, foals have firm, swollen testicle while adults develop soft fluctuant swelling in the inguinal region t/f

Answer 1

F - baliktad. foals = soft, adult = firm

Question 2

Inguinal hernia (tx for foals): If vaginal tunic ruptures, then emergency ___ and ____ of external inguinal ring indicated

Answer 2

reduction and imbrication

(manual reduction)

Question 3

Inguinal hernia (tx for adults):

Attempts at manual reduction may rupture the bowel T/F

Testicle on affected side is treated with topical NSAIDs T/F

Answer 3

T

F - removed dapat

Question 4

inguinal hernia can be heritable in foals (recommended to castrate) and recur in adults T/F

Answer 4

T

Question 5

Foreign body (e.g.. rubber fencing)
Bedding (e.g.. corn cobs)
Coastal Bermuda grass hay

what does this result to?

Answer 5

ileal impactions

Question 6

signalment of ileal impactions

Answer 6

Arabian geldings

Question 7

Ileal impactions rarely respond to medical management with slow deterioration of physical parameters t/f

Answer 7

f- frequently

Question 8

Ileal impactions rarely respond to medical management with slow deterioration of physical parameters t/f

Answer 8

f- frequently

Question 9

ileal hypertrophy is idiopathic T/F?

Answer 9

T

Question 10

Hypertrophy of the muscle layers of the ileum
Secondary luminal narrowing
Secondary partial obstruction

Answer 10

Ileal hypertrophy

Question 11

clinical signs of ileal hypertrophy includes acute colic with vague signs of weight loss and lethargy T/F

Answer 11

F - intermitten instead ofacute

Question 12

2 surgical procedures performed for ileal hypertrophy

Answer 12

ileal myotomy
ileal bypass

Question 13

match prognosis to the dz
1. ileal hypertrophy
2. mesenteric defect
3. small intestinal neoplasia
A. Poor to good with surgery
;Inverse proportional to duration and severity of disease; Inverse proportion with age
B. Grave—euthanasia recommended
C. Fair with surgery

Answer 13

1C, 2A, 3B

Question 14

Post-operative ileus
Peritonitis
Stump abscess
Adhesions
Chronic recurrent colic

these complications is a result of?

Answer 14

ileal hypertrophy

Question 15

obesity is a contributing factor in this condition and is commonly seen in horses older than 9 y.o.

Answer 15

PEDUNCULATED LIPOMA

Question 16

in pedunculated lipoma, 2 clinical signs can be observed

Answer 16

Acute, severe violent pain
Hypovolemic shock

Question 17

in diagosing pedunc lipoma, what can u see if you use ultz and rec?

Answer 17

rec: distended loops of small intestine
ultz: distended loops + mural edema, ileus

Question 18

pedunc lipoma complications

Answer 18

Post-operative ileus (intu, small intestine volv, inguinal hernia, epi, mesenteric defect)
Post-operative adhesions (epiploic foramen herniation, ascarid impact, small intestine volv, inguinal hernia, mesenteric defect)

Question 19

Abdominal trauma
Congenital defects
Mesodiverticular band (jejunum)
Strangulation occurs as a loop of bowel passes through the rent and becomes trapped
Mesentery becomes taught and strangulates trapped bowel segment

what disease does this lead to?

Answer 19

mesenteric defect

Question 20

surgical procedures indicated for mesenteric defect

Answer 20

resection and
anastomosis

Question 20

surgical procedures indicated for mesenteric defect

Answer 20

resection and
anastomosis

Question 21

how do you diagnose mesentericc defect?

Answer 21

+ gastric reflux (same w/ ascarid impaction, small intestine volv [copius], pedunc lip [copius], epilo

Question 22

Previous abdominal surgery (colic, castration)
Small intestinal distension or ischemia
Peritonitis or abdominal foreign body

Answer 22

adhesions

Question 23

adhesions are capable of creating obstructions within 5-7 days and is well formed by 14 days t/f

Answer 23

F - well formed 5-7 days, obstruct 14

Question 24

Granulomatous enteritis
Eosinophilic gastroenteritis
Alimentary lymphosarcoma

Answer 24

SMALL INTESTINAL NEOPLASIA

Question 25

Progressive weight loss
Hypoalbuminemia
Chronic, intermittent , mild colic
Anemia of chronic disease
+ Immune mediated skin lesions

Answer 25

SMALL INTESTINAL NEOPLASIA

Question 26

small intestinal neoplasia-diagnosis: rectal. what should you find/will find?

Answer 26

mesenteric lymphadenopathy, thickened bowel, + abdominal mass

Question 27

small intestinal neoplasia-diagnosis: ultz. what should you find/will find?

Answer 27

thickened bowel wall

Question 28

small intestinal neoplasia-diagnosis: laparoscopy. what should you find/will find?

Answer 28

exploratory, lymph node biopsy

Question 29

how do you treat small int. neoplasia

Answer 29

Resection of affected intestine (not curative)
Euthanasia