Test 2: 7 obstruction Flashcards

1
Q

3 types of mechanical obstruction

A

Intraluminal/mural

Displacements

Incarcerations

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2
Q

other names for functional obstruction

A

ileus and atony

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3
Q

Intestinal stasis from lack of effective innervation → reduced peristalsis

A

Functional Obstructions

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4
Q

three causes of Functional Obstructions

A
  • Post-surgical manipulation
  • Peritonitis
  • Chronic distention
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5
Q

what are some things that can cause gastric impaction

A

Poor quality fibrous roughage

Inadequate water intake

Inadequate mastication
(Malocclusion, dental attrition)

Vagal nerve damage

Pyloric stenosis/outflow obstruction
* prior ulcer, infiltration/mass

Abomasal emptying defect
(toxic - Suffolk sheep)

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6
Q

what are some examples of Intraluminal Physical/Mechanical Obstruction

A

Foreign bodies, Enteroliths, Sand/Forage, Parasites, Intussusception, Volvulus/torsion, Stenosis, Incarcerations

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7
Q

Intraluminal Obstructions will cause — intestinal distention with fluid & gas

A

proximal

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8
Q

Intraluminal Obstructions in the intestine will lead to — imbalance and —

A

Electrolyte imbalance & Hypovolemia

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9
Q

if a intraluminal obstruction becomes too big it will cause

A

Segmental Intestinal Ischemia +/- perforation and
septic peritonitis

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10
Q
A

enteroliths

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11
Q

common gastric displacements in cows

A

RDAs→ volvulus (surgical emergency)

LDAs→ common/intermittent

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12
Q

canine gastric displacement

A

GDV syndrome(Gastric dilation and volvulus syndrome)

Aerophagia/anaerobes→ Free gas bloat→ volvulus

Syndrome can be fatal (surgical emergency)
* hypovolemia, electrolyte derangement, sepsis

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13
Q

equine acute gastric dilation can cause

A

rupture

horse can’t vomit

Reflux relieved through nasogastric intubation

Mural(gas) compromise → perforating ulcers

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14
Q

3 common intestinal displacements

A

Intussusception

Volvulus & Torsion

Herniations & Incarcerations

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15
Q

what is Intussusception

A

invagination (ie telescoping) of a proximal segment of bowel into distal segment

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16
Q

Intussusception occurs more frequently in young or old animals

A

young

17
Q

what are some causes of Intussusception

A

irritability, dysmotility
parasites, Inflammation, foreign body, or intramural lesion (tumor)

18
Q

what will happen after Intussusception

A

→ Obstruction & passive congestion → Venous infarct→ opportunistic infection → Peritonitis, shock, death

19
Q

Twisting of the stomach or intestine around its mesenteric axis

A

Volvulus

20
Q

Rotation of a tubular organ along its longitudinal axis

A

torsion

21
Q

displacement of a portion of the intestine through a normal or pathogenic foramen

A

Herniation and Incarcerations

22
Q

where is a common place for internal hernia in a horse

A

The epiploic foramen

(also called the foramen of Winslow) is a passage between the greater sac (peritoneal cavity proper) and the lesser sac (omental bursa), allowing communication between these two spaces.

23
Q
A

Incarcerations from Strangulating Lipomas

pedunculated lipoma

24
Q

what are some causes of obstruction in the intestine due to stenosis or stricture

A

Dysplasia (Congenital stenosis)
* Atresia ani, coli
* Equine Colonic Aganglionosis- Lethal White Ovaro Foals

Circumferential scarring (stricture)

Post-surgical (resections)

Intestinal neoplasm (desmoplasia)

Necrotizing enteritis
* e.g. Salmonella typhimurium in pigs