SX of umbilicus and related structures

Question 1

the ruminant most commonly treated for umbilical hernia (or mass) in most practices

Answer 1

calf

Question 2

most common congenital defect in cattle

Answer 2

umb hernia

Question 3

umb hernia is second most common in __

Answer 3

goats

Question 4

umbilical arteries carry oxygen rich blood from the fetus

Answer 4

oxy poor

Question 5

infection of 1 or both of the umbilical arteries is called __.

Answer 5

omphaloarteritis

Question 6

is a fetal continuation of the bladder taking waste to the allantoic sac.

Answer 6

urachus

Question 7

the umbilical vein courses from the umbilicus cranially into the __.

Answer 7

he umbilical vein courses from the umbilicus cranially into the liver.

Question 8

delivers oxygen-rich blood and nutrients to the fetus through the liver and ductus venosus

Answer 8

umb vein

Question 9

The tissue making up the normal umbilical cord seen at birth is the

Answer 9

urachus and umb vein

Question 10

calving in barn is more hygienic than in fresh pasture

Answer 10

false. calving on clean fresh pasture may be superior

Question 11

The most important part of examination of umbilical masses by the practitioner is

Answer 11

manual palpation

Question 12

Even larger and more fractious calves may require squeeze chute restraint. The presence of infected umbilical rem- nants is often easier to determine in thestanding q calf

Answer 12

recumbent dorsal

Question 13

hernial mass with an abscess that is either a large cavity full of thick, purulent exudate or multiple foci of infection surrounded by fibrous tissue may indicate

Answer 13

nonreducible hernia

Question 14

may provide good information before surgical resection or an attempt to lance and drain an abscess.

Answer 14

utz

Question 15

utz are a must prior to umb hernia surgery

Answer 15

f. ultrasound examinations are reserved for sick calves or the ones whose physical examination findings indicate potential complications.

Question 16

When one suspects an abscess of an umbilical remnant caudal or cranial to the mass, it is reasonable to make the initial body wall incision adjacent the suspected abscess

Answer 16

oppisite the abscess

Question 17

The author routinely uses #1 Vicryl with a __ pattern after placing 1 to 2 -__ tension sutures.
The subcutaneous tissue is closed with __ suture in a __ pattern.
The skin closure may be done in a __

Answer 17

simple continuous
near-far-far-near
absorbable; simple continuous
NA simp cont. removed 10-14 days or absorbable

Question 18

The elliptical skin incision is only useful when the umbilical mass is less than __ cm in diameter

Answer 18

3

Question 19

For most umbilical masses in males, a ___ skin incision is more appropriate

Answer 19

half- moon or semilunar

Question 20

in closing, It is wise to place the first suture at the __ most aspect of the semilunar incision and work caudally from that point on each side

Answer 20

cranial

Question 21

procedure to correct small simple umbilical hernias that are easily reduced.

Answer 21

closed herniorrhaphy

Question 22

One may consider doing a ___in cases of hernias exceeding 15 cm diameter or for a second surgery when previous closure failed.1

Answer 22

mesh herniorrhaphy

Question 23

mesh herniorrhapy are s=secured using suture pattern ___

Answer 23

mattress pero SI daw??!

Question 24

Larger hernias are closed with more __ sutures and less with ___ suture patterns.

Answer 24

tension
continuous

Question 25

The case most frequently treated umbilical disorder in the field is the

Answer 25

simple hernia

Question 26

Classically, simple hernias either contain SI (__) or omentum (__) that is easily replaced in the abdominal cavity by depressing the hernia sac.

Answer 26

(enterocele) Epiplocoele

Question 27

A ____is usually sufficient to completely resect the abnormal portion of the umbilical vein completely

Answer 27

deep abdominal ligature

Question 28

ix when abnormal vein extends into the liver parenchyma,

Answer 28

marsupialization

Question 29

location of marsupialization

Answer 29

cranial

Question 30

his author prefers marsupialization through a separate stab incision because it leads to fewer incisional complications

Answer 30

t

Question 31

The vein is usually sutured with minimal tension to the ___ using 10 to 12 ____ sutures.

Answer 31

external rectus sheath simple interrupted absorbable

Question 32

A second layer of sutures secures the vein to the skin, again with simple interrupted sutures using ___ material.

Answer 32

nonabsorb- able or delayed absorbable

Question 33

The prac- titioner should never __ under pressure because the __ could become patent and allow flush solution and contaminated exudate to enter the systemic circu- lation

Answer 33

flush ductus venosus

Question 34

The calf should receive systemic antibiotics postoperatively. Frequently, establishing ____ is all that is needed to allow the infection of the vein to resolve

Answer 34

ventral drainage

Question 35

most commonly infected umbilical remnant is the

Answer 35

urachus

Question 36

normal umbilical remnants

Answer 36

urachus, umb artery, umb vein

Question 37

Any abnormal urachus in the calf is nearly always an ____,

Answer 37

abscess

Question 38

why do calves with urachus present pollakiuria?

Answer 38

The frequent urination of small volumes is related to the urachal remnant not allowing the bladder to decompress fully and therefore the animal has the frequent urge to urinate.

Question 39

One can occasionally determine the presence of an urachal abscess in young calves by ___

Answer 39

deep transabdominal palpation.

Question 40

Leaving a portion of the urachus may lead to a ___ that does not empty completely at urination and therefore could contribute to __

Answer 40

urachal diverticulum cystitis

Question 41

alternative to stay sutures (1-0) in bladder prior to resectin

Answer 41

doyen forceps

Question 42

he animal that has uroperitoneum will develop __ and __

Answer 42

azotemia and uremia.