Medical colic Flashcards Preview

Equine Medicine > Medical colic > Flashcards

Flashcards in Medical colic Deck (20):
1

reasons for abdominal pain

distention wtih fluid, gas, ingesta
pulling on mesneteric root
ischemia and infarction
deep ulcers in stomach or intestine
peritoneal pain

2

Clinical signs of equine gastric ulcer syndrome

Clinical Signs
Acute colic
Recurring colic
Excessive recumbency
• Poor body conditbn
• Partial anorexia
Poor performance
Attitude changes
Frequent stretching to
unnate
• Chronic diarrhea

3

Reasons for medical colis in stomach

EGUS
distension
obstruction

4

reasons for colic in the SI

duo-prox jejunitis
ileus
spasm

5

Reasons for colic in the LI

Tympany
impaction
colitis

6

Risk factors for EGUS

Stress
transport
high grain
stall confine
intermittent feeding
intense exercise
racing
illness
NSAIDs

7

Duo-prox jejunitis is also called

anterio enteritis
proximal enteritis

8

how do you differential DPJ from obtruction?

the obstruction(torsion) is usually worse

9

peritoneal fluid analysis - indicators of ischemic inflammation and visceral peritonitis

high protein
high WBC
mainly neutrophils
particles of ingesta
exudative

10

peritoneal fluid analysis - acute vsacular injury

protien first,
then RBC
then WBC
transudative

11

How is peritoneal fluid helpful in the visceral iscemia setting?

peritoneal lactate goes up before blood's

12

Abnormal US findings for colic include

free fluid
distension
increased diameter of lumina
increase wall thickness
hypomotility
LI - see NSL entrap, colon torsion, coliits

13

What is abnormal diameter of SI lumen and wall thickness on ultrasound?

Diamete - > 5cm
thickness - >4 mm

14

When do we go to surgery with a colic?

refractory pain
consitent HR elevation
NG reflux
distended loops on Rectal
tight bands on rectal
abdominocentesis is messed up

15

What is typical DH fluids with ongoing losses

twice maintenance - 5 ml/kg/hr

16

Tx of gastric ulcers?

Ranitidine
Omeprazole

17

prevention of gastric ulcers

good alfalfa
preventative omeprazole
constant access to feed

18

Tx of DPJ

fluids - maintenance and losses
analgesics and AInflamms
decompress stomach
anti-endotoxin - polymixin B
nutritional support
lidocaine (prokin, anti-inflamm)
AM
SUrgery

19

Tx of impactions

control pain
give oral laxatives
oral or IV fluids

20

Oral fluids is treating ------ not -------

DH, not hypovolemia