Poorly Flashcards

(133 cards)

1
Q

Horses that eat too much or not enough basic ddx

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2
Q

Equine metabolic syndrome

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3
Q

Equine metabolic syndrome pathophysiology

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4
Q

Equine metabolic syndrome clinical picture

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5
Q

Body condition score

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6
Q

Cresty neck score

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7
Q

Diagnosis of equine metabolic syndrome

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8
Q

Oral (in-feed) glucose tolerance test

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9
Q

Fasting insulin

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10
Q

Mgt of equine metabolic syndrome

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11
Q

Equine metabolic syndrome dietary mgt

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12
Q

Equine metabolic syndrome medical mgt

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13
Q

Horses that eat too little

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14
Q

Hyperlipidaemia/Hyperlipaemia

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15
Q

Hyperlipidaemia

/Hyperlipaemia induced by?

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16
Q

Hyperlipidaemia

/Hyperlipaemia

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17
Q

Hepatic lipidosis

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18
Q

Hepatic lipidosis diagnosis

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19
Q

Hepatic lipidosis treatment

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20
Q

Hepatic lipidosis nutritional support

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21
Q

Hepatic lipidosis pharmacological treatment

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22
Q

Fat metabolism

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23
Q

Hepatic lipidosis conclusion

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24
Q

Starving horses

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25
What happens with a starving horse?
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Re-feeding syndrome
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Pathophysiology Re-Feeding Syndrome
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Horses at risk of re-feeding syndrome
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What is the best diet to re-feed?
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Re-feeding protocol
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Other issues for neglected horses
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Signalment and History  3 - year old Standardbred filly raced Wednesday night  Raced poorly  ‘Scoped on the track  large amount of mucus in trachea  Horse is presented on Sunday evening for evaluation of colic  Trainer reports that the filly is inappetent , has decreased faecal output and has been lying down more often than usual
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Case! Arrow • 4 yo Arabian x TB mare • Endurance horse • Performing very well until two weeks ago – pulled up at 60 km check with irregular heart rhythm • Presented to you for further evaluation Arrow • Temperature = 37.4° C • RR = 16 breaths/minute – Lung sounds normal – Incl. rebreathing • HR = 48 beats/minute – Irregularly irregular rhythm – No S4 – No murmurs • Normal borborygmi • No other abnormalities
(cont) Sinus rhythm after 4 doses, 2nd attempt 1 week rest following successful cardioversion Returned to previous level of performance
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Arrhythmias
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Normal arrhthmias
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Effects of pathological arrhythmias
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Questions to ask with ECG trace interpretation
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Effects of atrial fibrillation
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Common history of atrial fibrillation
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What does atrial fibrillation sound like?
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Diagnostic tests for atrial fibrillation
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Atrial fibrillation treatment
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Quinidine
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Monitoring atrial fibrillation
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Signs of quinidine toxicity
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What to do if successful conversion?
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Prognosis of atrial fibrillation
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Less common arrhythmias
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VPCs
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VPC diagnosis
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What do VPCs sound like? Look like?
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VPCs exercising ECG?
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VPC treatment
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Myocardial disease
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Ionophore toxicosis
\* May be seen in outbreaks (contaminated common feed source) \* Clinical presentation depends on dose ingested \* Skeletal muscle may be involved - Myoglobinuria - Increased CK, AST \* Recumbency, collapse, death \* Arrhythmias
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Ionophore toxicosis diagnosis? Post mortem findings?
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Ionophore toxicosis treatment
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Ionophore toxicosis prognosis? Mgt of suvivors?
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Poor performance in horses v. at rest
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Physical exam of a horse with poor performance
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After physical exam next step in horse with poor performance?
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Cardiac poor performance: Indications for referral
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Murmurs
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How to describe a murmur
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Grading a murmur
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Valvular heart disease
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Left sided murmurs
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Right sided murmurs
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Mitral valve disease
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Tricuspid valve disease
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Aortic valve disease
Aortic valve - exercising ECG if poor performance, cardiac remodelling (presence VPCs, HR for level exercise) - 24 hour Holter - Monitor for progression, esp moderate-severe AR - monitor for development of arrhythmias -- VPCs -- A fib
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Pulmonic valve disease
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Ventricular Septal Defect
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Lower respiratory tract poor performance
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76% haemosiderophages
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EIPH endoscopic grades
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EIPH cytology
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EIPH treatment
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IAD
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IAD diagnosis
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IAD environmental management
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IAD medical management
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Poor performance
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Poor performance typical complaints
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Need to know
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Poor performance history
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Brief immediate post-race vet check
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Poor performance exam
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Poor performance examination optional diagnostic testing
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Musculoskeletal problems
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Musculoskeletal examination
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Scintigraphy
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Serum muscle enzyme levels before and after exercise
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Thoracolumbosacral region
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Mgt and prognosis of musculoskeletal problems
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Factors affecting athletic performance
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Determinants of oxygen delivery and consumption
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Energy efficient gait
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Respiratory disease
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Horses CV capacity
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Spleen
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Cardiac parameters at rest and during exercise: horse v. human
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Distribution of CO during exercise
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Cardiac disease
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Training adaptations- Fitness
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Effects of training on oxygen uptake
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Muscle adaptation with training
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Aerobic capacity
Can measure VO2max yet difficult in the field with very high flow rates in horses, equipment not readily available
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Simpler fitness testing
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Measurement of HR during exercise
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Factors that can effect HR
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Indicator or aerobic capacity
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Overtraining
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Keeping fit and healthy for the competitive season
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Anhidrosis
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Anhydrosis: signs and dx
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Anhidrosis management