Flashcards in Medical colic Deck (44)
What are medical colics?
can be resolvecd with medical treatment
What can be causes of abdominal pain?
1. distension (fluid, gas, ingesta--obstruct)
2. pulling on root of mesentery
3. ischemia or infarction--strangulation
4. deep ulcers in stomach or intestine (right dorsal colitis)
5. peritoneal pain (peritonitis)
Do obstructed horses have ischemia/infarction?
no, thus are often less systemically sick, no risk of reperfusion industry
What is the name of distension in stomach? in cecum, which are most common (distention)
stomach and cecum most common
What are the most common causes of colic in field?
What are the categories of disease (medical)
5. inflammation (enteritis, colitis, peritonitis)
Where do spams occur?
small intestine or large intestine
What are important features of spasms?
no obstruction, no loss of perfusion
Where are ulcers most common
in stomach and right dorsal colon
What are causes of medical colic in teh stomach
1. gastroduodenal ulceration
What are causes of medical colic in the small intestine
What are causes of medical colic in the large intestine?
gas accumulation (tympany)
What are causes of medical colic in the peritoneum
What are non-GI causes of "colic"
ovarian tumor, abscess, hematoma
uterine artery rupture
ruptured bladder (foal)
urinary tract, renal dz
What are causes of esophageal obstruction?
primary obstructions--in esophagus
secondary impactions--other masses
What factors predispose to primary impactions?
wolfing of food
What is a big concern with choke?
the esophageal if damaged it tends to heal with strictures! or with diverticula--risk of recurrent chocke
What are causes of secondary impactions?
acquired or congenital anomalies
How is esophageal obstruction treated?
gentle lavage, endoscopy
what is the biggest complication of choke?
What can happen is esophageal obstruction not recognized in time?
esophageal rupture, causes swelling of the neck area
What are signs of esophageal choke?
forthy nasal discharge bilateral
look this up
gastric ulcers in foals are caused by what?
poor perfusion of stomach
What are risk factors for gastric ulcers?
3. high grain diet
4. stall confinement
5. intermittent feeding
6. intense exercise
9. management changes
10. NSAID use
What are clinical signs of gastric ulcers?
1. acute colic
2. recurring colic
3. excessive recumbency
4. poor BCS
5. partial anorexia
6. poor performance
7. attitude changes
8. frequent stretching to urinate
9. chronic diarrhea
Where are the two big locations for gastric ulcers?
pyloric region (NSAID)
What causes pain with stomach distention?
the distention of the stomach
What happens to the angle of the cardia with stomach distention?
the cardia angle gets more closed off. If have trouble getting into the stomach with NG tube, then consider that there is an issue with the stomach--severely gas distended or impacted e.g.
Why would you tube a horse with a high heart rate/colic early on?
in case of stomach distension--tube to relieve and prevent rupture and if the heart rate decreases, then indicates the heart rate was high due to pain