RUSVM Large Animal Surgery 2017 > Colic > Flashcards

Colic Flashcards

(76 cards)

Study These Flashcards
1
Q

Colic

A

Abdominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the #1 predisposing factor for colic?

A

Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes ileal impaction?

A

Coastal bermuda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much does a normal horse drink in a day?

A

5-10 gallons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you encourage a horse to drink?

A

ass gatorade, molasses or salt to the water to encourage drinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How many piles of manure are normal in a horse?

A

8-11 piles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most common places for impaction?

A 
Pelvic flexure
Right dorsal colon 
Transverse colon 
small colon 
Gastric impaction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do you diagnose Sand impactions?

A

Auscultation
Fecal float/sink
Abdominocentesis - sand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where do you commonly find sand impaction?

A

Right dorsal colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Medical treatment of colonic impactions

A

Fluid therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Surgical treatment of colonic impactions

A

Pelvic flexure enterotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment for verminous arteritis?

A

Anthelmintic/ivermectin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where do you find anoplocephala perfoliata?

A

Ileocecal junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do Anoplocephala perfoliata cause?

A

Ileocecal intussusception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where do you find Enteroliths/Bezoars?

A

Transverse colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Strangulating lesions

A

Lipoma
Volvulus/torsion of large colon
Epiploic foramen entrapment
Mesenteric volvulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment of Lipoma

A

Exploratory celiotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Boundaries for Epiploic foramen entrapment

A

Caudate process of the liver
Portal vein
Gastropancreatic fold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Predisposing factors of Epiploic foramen entrapment

A

Cribbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment of Epiploic foramen entrapment

A

Manual reduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Complication of Epiploic foramen entrapment

A

Portal vein tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Where is Volvulus/torsion common?

A

Large colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Risk factors of large colon torsion

A

Post parturient mare
diet change
recent access to lush pasture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the first thing to do after the PE for colic?

A

NG tube placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What drugs can you use for relaxation of the rectum?
Lidocaine | Buscopan
26
What can be palpated in the middle abdomen?
Aorta Inguinal rings Small colon
27
What can be palpated in the right abdomen?
Cecum Colon R ovary
28
What can be palpated in the left abdomen?
left kidney Spleen Left ovary
29
Complications of NG intubation
Iatrogenic epistaxis | Tube in trachea
30
What should you never do if reflux is present?
give medication through the tube
31
What causes copious amounts of net reflux?
Anterior enteritis Impaction Strangulation
32
What causes smaller amount of net reflux?
large colon compressing duodenum
33
Pain management for Colic
NSAIDs Alpha-2-agonists Opioids Spasmolytics
34
What is severe persistent pain unresponsive to medication an indication for?
Surgery
35
What are the causes for colic in a newborn foal?
``` Meconium impaction Gastric ulceration Enteritis Inguinal hernia with ruptured tunic sepsis ```
36
What are the causes for colic in a 2-5 days old foal?
Ruptured bladder Gastric ulcers Enteritis
37
What are the causes for colic in an older foal?
``` Gastroduodenal ulcer Enteritis SI volvulus Intussusception Impaction ```
38
What is the colt predisposition to colic?
Meconium impaction | inguinal hernia
39
What is the filly predisposition to colic?
Ruptured bladder | Ureteral abnormalities
40
Clinical signs of colic in the foal
On their back Stretched out straining
41
Pain management for foal colic
Benzodiazepine Alpha 2s NSAIDs
42
What drugs should not be used in foals less than 2 weeks of age?
Xyalazine
43
Treatment of inguinal hernia in newborns
Surgical intervention IgG Abx Pain control
44
How do you approach males with ruptured bladder during surgery?
Dorsal aspect of the bladder
45
Ruptured bladder treatment
Medically stabilize Surgery after stabilization Fluids with calcium
46
Ruptured bladder surgery
``` Ventral midline Remove urachal remnants Double ligate umbilical arteries and vein Trim edges of tear Broad spectrum abx ```
47
Treatment of Ascarid impaction
SI enterotomy
48
What ascarid is responsible for Ascarid impaction?
Parascaris equorum
49
What is the treatment of Intussusception in older foals?
Surgical intervention: | Manually reduce
50
What is secondary to Gastric outflow obstruction?
pyloric stenosis from ulceration
51
What is the treatment for Gastric outflow obstruction?
Gastroduodenostomy
52
What is the best approach for celiotomy in the horse?
Ventral midline
53
What are two bad indicators of the exploratory celiotomy in horses?
Loss of negative pressure | Foul smell
54
Post op care for Colic surgery
``` CV support Pain management Anti-endotoxin therapy Prevent/treat infection Restore GI function Manage complication ```
55
What is the daily maintenance of a horse ?
50ml/kg/day
56
What abnormalities are common during recovery from colic surgery?
Hypocalcemia | Hypomagnesemia
57
What should you supplement in fluids for recovery from colic surgery?
Potassium Calcium Magnesium
58
What is the rate of potassium supplementation?
0.5mEq/kg/hr
59
What causes hypokalemia?
lack of intake Diuresis GI loss through diarrhea
60
When should you discontinue medication for recovery from colic surgery?
When the animal is eating, afebrile, and normal CBC
61
What is common during recovery from colic surgery?
Endotoxemia | Post op ileus
62
What fluids do you use for Cardiovascular volume and pressure?
Colloids
63
How do you manage endotoxemia?
``` FLUIDS! Flunixin meglumine DTO smectite (Biosponge) Polymixin B Plasma Heparin therapy ```
64
What is the most common lesion leading to POI during colic surgery recovery?
Strangulating SI
65
POI treatment
NG decompression Fluids Abx Prokinetics: Lidocaine, Metoclopramide, Erythromycin
66
What does a Lidocaine CRI do for equine recovery from colic surgery?
Decreased catecholamines Suppresses primary afferent neuron activity Directly stimulates smooth muscle Inhibits prostaglandin decreasing inflammation in gut wall, granulocyte migration/lysosomal enzyme release, free radical production
67
What does a Metoclopramide do for equine recovery from colic surgery?
Increased ACH release Stimulates smooth muscle in stomach and SI Toxicity/Extrapyramidal effects
68
What does a Erythromycin do for equine recovery from colic surgery?
Motilin agonist
69
What are the sie effects of using Erythromycin?
Cramping | Colic
70
What are the incisional complications of colic surgery?
Infection hernia Suture sinus formation Acute incisional dehiscnece
71
What is the most common complication from incisional infection?
Incisional hernia
72
Predisposing factors for acute total dehiscence
Violent recovery Severe post op pain Prolonged surgery time Continuous suture pattern
73
What is the second most common reason for repeat surgery after colic surgery?
Adhesions
74
In what age group is adhesions most common after colic surgery?
Foals
75
How do you prevent adhesion formation after colic surgery?
Maintain intact mesothelial layer Minimize trauma Periop NSAIDs and Abx
76
Peritonitis Treatment
``` Stabilize patient FLUIDS NSAIDs Abx Closed drains ```
RUSVM Large Animal Surgery 2017
flashcards
Decks in class (14)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions