SX of umbilicus and related structures Flashcards

1
Q

the ruminant most commonly treated for umbilical hernia (or mass) in most practices

A

calf

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2
Q

most common congenital defect in cattle

A

umb hernia

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3
Q

umb hernia is second most common in __

A

goats

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4
Q

umbilical arteries carry oxygen rich blood from the fetus

A

oxy poor

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5
Q

infection of 1 or both of the umbilical arteries is called __.

A

omphaloarteritis

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6
Q

is a fetal continuation of the bladder taking waste to the allantoic sac.

A

urachus

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7
Q

the umbilical vein courses from the umbilicus cranially into the __.

A

he umbilical vein courses from the umbilicus cranially into the liver.

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8
Q

delivers oxygen-rich blood and nutrients to the fetus through the liver and ductus venosus

A

umb vein

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9
Q

The tissue making up the normal umbilical cord seen at birth is the

A

urachus and umb vein

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10
Q

calving in barn is more hygienic than in fresh pasture

A

false. calving on clean fresh pasture may be superior

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11
Q

The most important part of examination of umbilical masses by the practitioner is

A

manual palpation

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12
Q

Even larger and more fractious calves may require squeeze chute restraint. The presence of infected umbilical rem- nants is often easier to determine in thestanding q calf

A

recumbent dorsal

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13
Q

hernial mass with an abscess that is either a large cavity full of thick, purulent exudate or multiple foci of infection surrounded by fibrous tissue may indicate

A

nonreducible hernia

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14
Q

may provide good information before surgical resection or an attempt to lance and drain an abscess.

A

utz

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15
Q

utz are a must prior to umb hernia surgery

A

f. ultrasound examinations are reserved for sick calves or the ones whose physical examination findings indicate potential complications.

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16
Q

When one suspects an abscess of an umbilical remnant caudal or cranial to the mass, it is reasonable to make the initial body wall incision adjacent the suspected abscess

A

oppisite the abscess

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17
Q

The author routinely uses #1 Vicryl with a __ pattern after placing 1 to 2 -__ tension sutures.
The subcutaneous tissue is closed with __ suture in a __ pattern.
The skin closure may be done in a __

A

simple continuous
near-far-far-near
absorbable; simple continuous
NA simp cont. removed 10-14 days or absorbable

18
Q

The elliptical skin incision is only useful when the umbilical mass is less than __ cm in diameter

A

3

19
Q

For most umbilical masses in males, a ___ skin incision is more appropriate

A

half- moon or semilunar

20
Q

in closing, It is wise to place the first suture at the __ most aspect of the semilunar incision and work caudally from that point on each side

A

cranial

21
Q

procedure to correct small simple umbilical hernias that are easily reduced.

A

closed herniorrhaphy

22
Q

One may consider doing a ___in cases of hernias exceeding 15 cm diameter or for a second surgery when previous closure failed.1

A

mesh herniorrhaphy

23
Q

mesh herniorrhapy are s=secured using suture pattern ___

A

mattress pero SI daw??!

24
Q

Larger hernias are closed with more __ sutures and less with ___ suture patterns.

A

tension
continuous

25
Q

The case most frequently treated umbilical disorder in the field is the

A

simple hernia

26
Q

Classically, simple hernias either contain SI (__) or omentum (__) that is easily replaced in the abdominal cavity by depressing the hernia sac.

A

(enterocele)
Epiplocoele

27
Q

A ____is usually sufficient to completely resect the abnormal portion of the umbilical vein completely

A

deep abdominal ligature

28
Q

ix when abnormal vein extends into the liver parenchyma,

A

marsupialization

29
Q

location of marsupialization

A

cranial

30
Q

his author prefers marsupialization through a separate stab incision because it leads to fewer incisional complications

A

t

31
Q

The vein is usually sutured with minimal tension to the ___ using 10 to 12 ____ sutures.

A

external rectus sheath
simple interrupted absorbable

32
Q

A second layer of sutures secures the vein to the skin, again with simple interrupted sutures using ___ material.

A

nonabsorb- able or delayed absorbable

33
Q

The prac- titioner should never __ under pressure because the __ could become patent and allow flush solution and contaminated exudate to enter the systemic circu- lation

A

flush

ductus venosus

34
Q

The calf should receive systemic antibiotics postoperatively. Frequently, establishing ____ is all that is needed to allow the infection of the vein to resolve

A

ventral drainage

35
Q

most commonly infected umbilical remnant is the

A

urachus

36
Q

normal umbilical remnants

A

urachus, umb artery, umb vein

37
Q

Any abnormal urachus in the calf is nearly always an ____,

A

abscess

38
Q

why do calves with urachus present pollakiuria?

A

The frequent urination of small volumes is related to the urachal remnant not allowing the bladder to decompress fully and therefore the animal has the frequent urge to urinate.

39
Q

One can occasionally determine the presence of an urachal abscess in young calves by ___

A

deep transabdominal palpation.

40
Q

Leaving a portion of the urachus may lead to a ___ that does not empty completely at urination and therefore could contribute to __

A

urachal diverticulum
cystitis

41
Q

alternative to stay sutures (1-0) in bladder prior to resectin

A

doyen forceps

42
Q

he animal that has uroperitoneum will develop __ and __

A

azotemia and uremia.