Upper GIT/Lameness in Cattle/Head and Respiratory Sx Flashcards
What would you suspect if you are called to a farm to evaluate a cow that is bloating, excessive salivation, coughing/retching, head & neck extended with a protruding tongue?
Esophageal choke
DDx: Pharyngeal trauma or Rabies
What type of bloat is associated with esophageal choke?
Type I vagal indigestion-failure to eructate
What are two common complications associated with esophageal choke?
Bloat (Type I vagal indigestion) Metabolic acidosis (excessive loss of saliva-which means loss of HCO3)
What is the most preferred treatment of esophageal choke?
Medical management- sedation, Buscopan, lidocaine and decompress rumen (Red Devil Trochar)
What is the sx option for esophageal choke if all medical options have been exhausted?
Esophagotomy
Why is it not optimal to perform surgery on the esophagus?
There is no serosal covering, constant movement/tension on suture line, doesn’t heal well.
What are the muscular layers of the esophagus?
Adventitial layer
Muscular layer
Submucosa
Mucosa
What are the associated structures of the esophagus?
Recurrent laryngeal n. Carotid sheath Vagosympathetic trunk Tracheal Lymphatic trunk Deep cervical LN
What layers of the esophagus provide tensile strength?
Mucosa & Submucosa layers
What is the difference in closure of a cervical esophagotomy when there is healthy vs. unhealthy skin?
Healthy: close immediately
Unhealthy: close via secondary intention
Where are knots buried in when closing a esophagotomy?
In the lumen to minimize exposure
What type of tube is used for a esophagostomy?
Polyethylene NG tube (caudal to repaired esophagus)
How long should the tube be left in post-esophagostomy?
7-10 days minimum to allow stoma formation
What provides immediate relief of chronic bloat?
Temporary rumen fistula
Where is a temporary rumen fistula performed anatomically?
L paralumbar fossa
How much of the rumen needs to be sticking out of the skin?
1 inch of the rumen
What are the four indications for a rumenotomy?
Chronic bloat
Foreign body
Reticular abscess
Type II vagal indigestion
If the foreign body doesn’t penetrate the thoracic cavity or involve the R side of the reticulum, what prognosis is indicated post-rumenotomy?
Good
If the foreign body involves the R side of the reticulum, what prognosis is indicated post-rumenotomy?
Guarded
If the foreign body penetrated the diaphragm, what prognosis is indicated post-rumenotomy?
Poor
What are the cardinal CS of traumatic reticulopericarditis?
Washing machine murmur, muffled heart sounds, tachypnea, tachycardia, R-sided heart failure (distended jugular, brisket edema)
What is the treatment for hardware disease?
Oxytetracycline, PPG
IF pericarditis is present: Pericardial aspiration –> pericardectomy, rib resection, FB removal
What is the usual cause of death associated with hardware disease?
Constrictive pericarditis
How can hardware disease be prevented?
Rumen magnet
What are the four DDx for R-sided heart failure?
Traumatic reticulopericarditis
Endocarditis
Lymphosarcoma
Mediastinal Mass
What are the causes of acquired cleft palate?
Poison hemlock
Nicotiana spp
What signs may you notice in a calf/cow with a cleft palate?
Regurgitation of milk
Aspiration
What is the tx for cleft palate?
Sx repair (usually need multiple to fix this) Place a NG tube and muzzle/nose ring to prevent cross suckling
How are tongue lacerations tx?
Sx resection with an oblique incision bringing the edges together with mattress suture
How are jaw fractures treated?
Cerclage wire
What group of bovine do you most commonly see granuloma & necrotic vocal cords?
Yearling bulls
What is the tx for granuloma/necrotic vocal cords?
Temporary tracheostomy tube