Colic Case Flashcards

1
Q

pathophysiology of colic (5 general steps)

A

abdominal disturbance
endotoxemia
multi system organ failure
disseminated intravascular coagulation
death

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2
Q

how does abdominal disturbance lead to endotoxemia

A

third spacing of fluid and/or gut ischemia –> dehydration –> decreased intestinal perfusion –> tissue hypoxia –> tissue death –> endotoxemia

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3
Q

what is the main type of bacterial toxins responsible for endotoxemia

A

gram negative bracteria

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4
Q

medical colic

A

fixed medically
mild to moderate pain that responds to analgesia
treated in the field
less serious and expensive

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5
Q

surgical colic

A

requires surgery to fix
moderate to severe pain that is not responsive to analgesics
more serious and expensive

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6
Q

capillary refill time: definition, determined by, normal values

A

time it takes for mucous membranes color to return
determined by peripheral capillary blood pressure
1-2 seconds

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7
Q

CRT is an indicator of (2)

A

peripheral perfusion
hydration

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8
Q

CRT above 1-2 seconds is indicative of

A

dehydration

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9
Q

rectal exam findings for colic

A

large bowel is gas distended
tight bands/taenia

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10
Q

normal medical management for colic (3)

A

xylazine
butorphanol
banamine

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11
Q

diagnostics/colic work up: field and hospital

A

physical exam, rectal exam, nasogastric intubation
clin path (PCV, TS, CBC/chem, venous BG)
trans abdominal u/s
abdominal rads
abdominocentesis
gastroscopy

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12
Q

expected abdominocentesis result: colic

A

turbid dark yellow to orange peritoneal fluid
WBC and TP elevated

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13
Q

3 questions to ask for differential diagnosis

A

medical or surgical
strangulating or non strangulating
small intestine or large bowel/colon

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14
Q

large colon volvulus definition

A

twisting of segment of bowel along mesentery

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15
Q

how to treat dehydration (2)

A

IV cath
fluids + volume expansion

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16
Q

3 steps for colic treatment (surgical)

A

assess and treat dehydration
control pain = anesthetize
surgery

17
Q

post op treatment for colic

A

antibiotics
analgesia
fluid therapy
monitoring q4

18
Q

common colic post op complications

A

myopathies/neuropathies
laminitis
ileus
diarrhea
peritonitis
endotoxemia
pneumonia
dehiscence
adhesions