Small animal abdominal pain Flashcards Preview

year 3 GIT > Small animal abdominal pain > Flashcards

Flashcards in Small animal abdominal pain Deck (9):
1

What is an acute abdomen?

syndrome that involves acute onset of clinical signs secondary to an intra-abdominal, typically potentially fatal disorder. Pain is a strong feature

2

4 main causes of abdominal pain

distension of a hollow organ
inflammation
traction
ischaemia

3

What are the common signs of abdominal pain?

prayer position (dog)
grunting / groaning
toxin
exposure to other infected animals
vacc status
medication
trauma

4

Diagnostic tests

palpation
ultrasonography
free fluid exam (aspirate and analyse)
radiography (free peritoneal gas)

5

What is GDV? (gastric dilation and volvulus)

twist of the stomach, the pyloris twists to the left ventrally

6

Problem with GDV

-obstruct caudal VC
-increase gastric pressure and cause avulsion of short gastric BV (mucosal haemorrhage and gut wall necrosis)
- stretch and avulsion of splenic vessels (splenic necrosis)
- cranial pressure on diaphragm (decreases ventilation)

7

Consequences / complications of GDV

metabolic derangement
arrhythmias
endotoxaemia
DIC
aspiration pneumonia
ventricular premature complexes

8

Diagnostic test for GDV?

right lateral radiograph - stomach compartmentalised into two by a soft tissue band

9

How to treat GDV?

1) deflate stomach with an orogastric tube (if not possible use a catheter)
2) incisional gastropexy - rotate stomach back, resect any necrotic areas, make a partial thickness incision in the stomach wall and a matching incision on the corresponding body wall. use PDS to suture the new incisions together (pyloric antrum to R body wall)
3) antacids, prokinetics, antibiotics, potassium
4) if need to place a stomach tube do during surgery