stomach

Question 1

gastric layes

Answer 1

serosa
muscular
submucosa
mucosa

Question 2

glandular layer of stomach

Answer 2

mucosa

Question 3

holding layer of the stomach

Answer 3

submucosa

Question 4

contribute to collagen production

Answer 4

smooth muscle cells

Question 5

fasting prior to stomach sx

Answer 5

8-12 hours

Question 6

given this to keep acidity in stomach lower prior to sx

Answer 6

H2 antagonists

Question 7

surgical approach for the stomach

Answer 7

dorsal recumbency

ventral midline celiotomy

Question 8

this ligament has its own blood supply and will need ligated when doing an abdominal surgery or exploratory

Answer 8

falciform ligament

Question 9

instrument used for visualization in the abdominal exploratory

Answer 9

balfour retractors

Question 10

tradition closure of the stomach

Answer 10

double inverting - cushing pattern with submucosa, serosa and muscularis

oversewn with lambert

Question 11

what situations would you use a single layer closure on the stomach

Answer 11

pyloric outflow tract
reduced gastric volume
thickened gastric wall

Question 12

suture material used in gastric closure

Answer 12

must resist degradation for 14 days
monofilament nonabsorbable

avoid braided - bacteria

Question 13

most common indication for gastrotomy

Answer 13

gastric foreign bodies

Question 14

what 3 conditions predispose PICA

Answer 14

iron deficiency
hepatic encephalopathy
pancreatic exocrine insufficiency

Question 15

DX of choice to see gastric FB

Answer 15

rads (serial before sx - item may move)

u/s are not 100% because gas in stomach can shadow items

Question 16

emetic in dogs

Answer 16

apomorphine

Question 17

emetic in cats

Answer 17

xylazine

Question 18

T/F
make gastrotomy incision in hypervascular area on the ventral aspect of the stomach between the greater and lesser curvature

Answer 18

FALSE - HYPOvascular

all the rest of the statement is correct

Question 19

lavage after gastrotomy with sterile saline at what temp

Answer 19

98.6 - 102.2

Question 20

after closing the gastrotomy site what should be done before abdominal closure

Answer 20

change gloves and instruments

Question 21

after gastrotomy - animals should have food and water within ___ hours

Answer 21

12 hours

Question 22

congenital pyloric stenosis is common in what dog breeds

Answer 22

brachycephalics

*also siamese cats

Question 23

when do clinical signs appear for congenital pyloric stenosis dogs

Answer 23

at weaning

Question 24

what is congenital pyloric stenosis

Answer 24

hypertrophy of the circular muscles of the pylorus – may be due to increased gastric production

Question 25

on contrast rads of a puppy who has been intermittently vomiting, you see an apple core or beak appearance

Answer 25

congenital pyloric stenosis *there will also be gastric distention and delayed gastric emptying (>8 hrs)

Question 26

surgical procedure for congenital pyloric stenosis

Answer 26

pyloromyotomy Fredet-Ramstedt or transverse pyloroplasty recurrence less likely

Question 27

chronic hypertrophic pyloric gastropathy signalment and signs

Answer 27

small dog breeds males > females middle aged increased gastrin production? intermittent vomiting

Question 28

chronic hypertrophic pyloric gastropathy diagnostic tool

Answer 28

ultrasound muscularis <4mm pyloric wall <9mm

Question 29

Grade 1 CHPG

Answer 29

muscular hypertrophy only

Question 30

grade 2 CHPG

Answer 30

mucosal hyperplasia with glandular cystic dilation only

Question 31

grade 3 CHPG

Answer 31

muscular hypertrophy and mucosal hyperplasia

Question 32

CHPG surgical options

Answer 32

heineke-mikulicz pyloroplasty Y-U pyloroplasty pylorectomy with gastroduodenostomy - bilroth I

Question 33

single pedicle advancement from antrum across pylorus

Answer 33

Y-U pyloroplasty

Question 34

advantage of the bilroth 1

Answer 34

all diseased tissue can be removed

Question 35

what is the bilroth 2

Answer 35

gastroenterostomy

Question 36

bilroth 2 complications

Answer 36

1. alkaline gastritis from bile and pancreatic secretions flowing into stomach 2. blind loop syndrome - gastric contents moving orally 3. marginal ulceration of the jejunal mucosa which is not used to seeing acid

Question 37

most common species of phycomycosis and where it comes from

Answer 37

pythium sp. - gulf coast states

Question 38

phycomycosis pathopysiology and clinical signs

Answer 38

severe inflammation and infiltrative lesion transmural thickening vomit, wt loss, diarrhea, not hungry, palpable masses

Question 39

what is the best way to dx pycomycosis

Answer 39

histopath - eosinophilic pyogranulomatous inflammation elisa for P. insidiosum antibodies

Question 40

Tx phycomycosis | prognosis?

Answer 40

Wide surgical excision antifungals - itraconazole POOR Prognosis (26.5 days)