Colic Flashcards

1
Q

What does a general physical exam for colic look like in equines?

A
  1. Mentation.
  2. Abdominal contour.
  3. Heart rate.
  4. Temperature.
  5. Mucous membrane color.
  6. Auscultation for borborygmi.
    *Do not get tunnel vision.
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2
Q

Why would a nasogastric tube be placed during a colic work-up?

A

To determine if reflux is present.

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3
Q

Why would knowing whether a reflux is present or not be important?

A

If there is no-little gastric reflux, liquids can be administered. If lots of gastric reflux, fluid is being produced and may cause stomach swelling.

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4
Q

Why would a rectal exam be performed during a colic work-up?

A

Rectal tears occur easily in horses, allowing bacteria to enter other parts and cause problems.

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5
Q

Who is the only person who should perform a rectal exam on a horse?

A

A veterinarian.

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6
Q

What are 2 optional parts of a colic work-up?

A
  1. Full lab work.
  2. Abdominocentesis.
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7
Q

What are the small intestinal causes of colic?

A
  1. Ileal impaction.
  2. Strangulating lipoma.
  3. Proximal enteritis-jejunitis.
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8
Q

What is ileal impaction?

A

A mechanical obstruction of the lumen of the ileum.

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9
Q

What area of the United States is ileal impaction most commonly seen in?

A

The SE USA.

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10
Q

What type of hay is associated with ileal impaction?

A

Coastal Bermuda grass hay.

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11
Q

What parasite causes ileal impaction?

A

Tapeworms.

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12
Q

What is the treatment for ileal impaction?

A
  1. Medical Tx.
  2. Surgical Tx.
    *Pain levels vary.
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13
Q

What is a strangulating lipoma?

A

When a lipoma on a stalk in the GI mesentery wraps around the intestine and causes ischemia (lack of blood flow).

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14
Q

What age group is commonly affected by strangulating lipoma?

A

Older horses.

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15
Q

What is the treatment for strangulating lipoma?

A

Surgical correction.
*Severely painful.

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16
Q

What is proximal enteritis-jejunitis?

A

Inflammation of the proximal part of the jejunum.
*Unknown etiology.

17
Q

How does a horse with proximal enteritis-jejunitis present?

A
  1. Febrile.
  2. Depressed.
  3. Moderate to severe gastric reflux.
18
Q

What is a common sequelae to proximal enteritis-jejunitis?

A

Secondary laminitis.

19
Q

What is the treatment for proximal enteritis-jejunitis?

A

Can be treated medically, but occasionally surgically.

20
Q

What are the large intestinal causes of colic?

A
  1. Left dorsal displacement.
  2. Right dorsal displacement.
  3. Impaction (Large intestine).
  4. Volvulus.
21
Q

How does a left dorsal displacement occur?

A

When the pelvic flexure of the LI gets caught on the nephrosplenic ligament.

22
Q

In what ways can a left dorsal displacement be corrected?

A
  1. Rolling the horse.
  2. Administering phenylephrine to shrink the spleen followed by jogging.
  3. Usually requires surgical resolution.
    *Varying degrees of pain.
23
Q

How does a right dorsal displacement occur?

A

When the pelvic flexure moves to the right side of the abdomen between the cecum and the peritoneum.

24
Q

What does right dorsal displacement result in?

A

Mild to moderate colic pain.

25
Q

What are the treatment options for right dorsal displacement?

A

Medical or surgical management, dependent on the pain level.

26
Q

What is the most common displacement?

A

Right dorsal displacement.

27
Q

What are the primary locations for impactions in the large intestine?

A
  1. Junction of right dorsal colon.
  2. Junction of transverse colon.
  3. Pelvic flexure.
28
Q

What are the signs of a impaction in the large intestine?

A
  1. Acute changes in diameter.
  2. Physical obstruction.
  3. Mild to intermittent colic signs.
29
Q

What are the signs of a impaction in the cecum?

A
  1. Motility issues.
  2. Secondary hospitalization.
  3. Mild to intermittent colic signs.
    *Needs to be closely monitored, due to the risk of rupture.
30
Q

What are the treatment options for an impaction in the large intestine?

A

Usually treated medically, but occasionally surgically

31
Q

What is a volvulus?

A

Longitudinal twist of the colon.
*Usually clockwise.

32
Q

What is the cause of volvulus?

A

Thought to be secondary to gas accumulation in the colon.

33
Q

What results from volvulus?

A
  1. Ischemia.
  2. Severe, unrelenting pain.
34
Q

What group of horses is overrepresented in volvulus cases?

A

Brood mares.