Gastric disease

Question 1

Gastric disease - Clinical signs

Answer 1

Colic signs – particularly after eating
Weight loss
Bucking/rearing under saddle
Resentment of girthing and leg aid
Poor performance
Changes in temperament

Question 2

Gastric disease - Risk factors

Answer 2

Lack of access to forage
Lack of access to water
High carbohydrate diets
High stress environments/individuals
Other focuses of pain?

Question 3

Gastric disease - scope prep

Answer 3

Withhold food 12 hours, water 4 hours
Chemical restraint - Alpha 2 agonist and opiate
- Detomidine and butorphanol
Physical restraint - horse, pass scope, control scope

Question 4

Gastric disease - grading squamous lesions

Answer 4

0 - epithelium intact and no hyperkeratosis
1 - Mucosa intact but areas of hyperkeratosis
2 - Small, single or multifocal lesions
3 - Large single or extensive superficial lesions
4 - Extensive lesions with areas of apparent deep ulceration

Question 5

Gastric disease - grading glandular lesions

Answer 5

Mild/moderate/severe
Focal/multifocal/diffuse
Raised/flat/depressed
Hyperaemic
Haemorrhage
Fibrinosuppurative

Question 6

Treating gastric disease - glandular

Answer 6

oral misoprostol