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year 3 GIT > Colic > Flashcards

Flashcards in Colic Deck (16):
1

Clinical signs of colic

pawing
trying to lay down
rolling
abrasions
recumbent
muscle fasciculation
looking at flank
restlessness
kicking at abdomen
sweating

2

Colic history

age, time of onset, degree, any previous treatment, previous colic, previous colic surgery, last passed faeces, management, worming

3

Colic PE

demeanor
TPR
GI borborygmi
CV status
abdominal distension

4

What pulse rate is worrying?

over 60

5

If febrile what does it indicate?

colitis
enteritis
peritonitis

6

First diagnostic / therapeutic test and why?

Pass a NGT - see if any reflux (over 2L is abnormal) , see type of reflux, relieve any gastric distension so no stomach rupture

7

Diagnostic tests

NGT
Rectal exam
abdominocentesis ( will take a while before get change after rupture etc)
ultrasound
clinical pathology - PCV , total protein, lactate

8

3 main reasons for colic

distension - gas, fluid, ingesta
inflammation - non strangulating
ischaemia - strangulating or thombotic

9

What can distension be caused by (not gas, fluid, ingesta)

non-strangulating lesion - impaction, displacement

strangulating lesion - volvulus, torsion, incarceration

motility dysfunction - enteritis, grass sickness, post- surgical ileus

10

6 types of non-strangulating lesions

spasmodic colic
impaction
displacement
enteritis / ileus
peritonitis
typhiocolitis

all medically treated

11

L int strangulating lesions

colon torsion
intussusception

both surgical

12

S int strangulating lesions

volvulus
strangulating lipoma
epiploic foramen entrapment
inguinal / scrotal hernia
intussusception
diaphragmatic hernia
mesenteric rent

all surgical

13

When to refer?

suspicion of strangulating lesion
poor response to analgesia
SI lesions
CVS compromise
abd distension
non- resolving impactions

14

Indications of a medical lesion

low grade pain
normal CVS
normal abdo shape and borborygmi
no reflux
palpation normal / mild gas / impaction

15

Indications of a surgical lesion

acute onset, severe pain
CVS compromised
hypovolaemia (gut ischaemia)
distended abdomen
absent of quiet borborygmi
profuse sweating
over 2L / abnormal reflux
abnormal rectal exam
congested MM (endotoxaemia from rupture)

16

What can colic be confused with?

laminitis
neurological disease
botulism
musculoskeletal disease (myopathy / tying up)