Exam 2: Right Flank Celiotomy Flashcards Preview

RUSVM LASx PRACTICE QUESTIONS > Exam 2: Right Flank Celiotomy > Flashcards

Flashcards in Exam 2: Right Flank Celiotomy Deck (38)
Loading flashcards...
1

Trace a bolus of food from mouth to small intestine

in the cow.

Oral-Rumen-Reticulum-Omasum-Abomasum-Small Intestine

ORROA

2

What are the causes of left displaced abomasum (LDA)?

Abomasal atony

Decreased rumen volume

Calving

3

What 4 conditions can be precursors to

abomasal atony,

which can eventually result in left displaced abomasum

Increased abomasal VFA (volatile fatty acids)

HYPOcalcemia

Metritis

Mastitis

4

When are you most likely to see left displaced abomasum (LDA)

in a cow?

First 3 months of lactation

5

Describe how the abomasum moves in

Left Displaced Abomasum (LDA)

Transverse and to the left

6

What is the mean incidence of

left displaced abomasum (LDA)?

1 - 5%

7

If "pings" are auscultated at the black dots pictured,

what is your primary differential?

LDA (left displaced abomasum)

8

T/F:

Fever commonly accompanies LDA

FALSE

Cows with left displaced abomasum have normal temps

9

What 4 options are considered

in treatment of LDA (left displaced abomasum)?

Right Flank Omentopexy

Left Flank Abomasopexy

Right Paramedian Abomasopexy

Toggle Pin Technique

10

What are your nerve block options for

Right Flank Omentopexy?

Proximal paravertebral block

Distal paravertebral block

Inverted L block

Line block

11

T/F:

Right Flank Omentopexy is a standing procedure

TRUE

12

Where is the incision made for a

Right Flank Omentopexy?

In the paralumbar fossa halfway between

the last rib and the tuber coxae.

Start VENTRALLY

13

____________ is a surgical procedure

whereby the greater omentum is sutured to a nearby organ.

Omentopexy

14

What structures are palpable via 

right flank celiotomy?

Liver

Kidneys

Urinary bladder

15

Which condition is being treated in this image

via right flank celiotomy?

Left displaced abomasum (LDA)

16

Describe closure of a right flank omentopexy/

right flank celiotomy

Continuous suture pattern for

transverse abdominal mm and peritoneum.

DO NOT BURY THE KNOT in the

transverse abdominal mm (risk of hitting rumen/GIT)

17

Fixation of the replaced abomasum, after correction of a displacement, by suturing the abomasal wall or its attached omentum to the abdominal wall

Abomasopexy

18

Where is the incision made for a

Left Flank Abomasopexy

(a treatment for LDA)?

Incision made over the distended and displaced abomasum

19

2 straight intestinal needles with

______ feet of suture in between them is required

for a Left Flank Abomasopexy

3 feet

20

Describe closure of the abomasum in 

a Left Flank Abomasopexy

Simple continuous on greater curvature of abomasum.

Take needle to the right paramedian area an push

through abdominal wall.

DO NOT HIT THE MILK VEIN!

 

Make sure no viscera is caught between abomasum and

body wall

21

How do you position a cow for 

Right Paramedian Abomasopexy

in which the abomasum is tacked to the body wall?

Dorsal recumbency and heavily sedated

22

In regards to a Right Paramedian Abomasopexy:

20 cm long incision between

midline and the ________

right SQ abdominal vein

23

In regards to a Right Paramedian Abomasopexy:

The incision is started 8cm behind the _______

xiphoid

24

In regards to a Right Paramedian Abomasopexy:

The lateral aspect of the greater curvature of the abomasum

is sutured to the _________

periotoneum

25

In one method of treating an LDA, 

the ___________ technique is used

to blindly suture the abomasum to the body wall

Toggle Pin technique

26

Blindly suturing the abomasum to the body wall

is known as 

Blind Tack

27

Closed suture or bar techniques

are also known as 

Toggle Pin technique

28

In regards to the Blind Tack/Toggle Pin Technique used to

correct a left displaced abomasum:

The cow is casted on its _____ side and

rotated into dorsal recumbency.

This allows the abomasum to correct itself

RIGHT

29

In regards to the Blind Tack/Toggle Pin Technique used to

correct a left displaced abomasum:

A ping should be heard at this location if 

the abomasum was properly replaced

right paramedian

30

In regards to the Blind Tack/Toggle Pin Technique used to

correct a left displaced abomasum:

 

Casting a cow on its right side and rotating it into dorsal

recumbency is known as

Shaking