Term
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Definition
A tissue graft transferred b/w two members of the same Species |
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Term
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Definition
Tissue graft transferred from one area to another on the body of one animal. |
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Term
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Definition
Tissue graft transferred from one member of one species to a member from another species., |
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Term
Types of free tissue graft |
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Definition
Island graft - punch, pinch or tunnel. Sheet graft - full or semi thickness |
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Term
physiology of graft acceptance? |
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Definition
1.adhereance - bia fibrin initally and collagen- with vessels and fibroblasts growing in d5 2. plasmatic imbibition - graft becomes oedematous as it gains nourishment passively from open vessels 3. Revascularisation - Inosculation - after 48hrs capillaries or recip bed transverse and anastomose with graft Neovascularistion - new vessels of recip bed form and join with the graft 4. Vascular bridging - allows an overlying non vascular protion of the graft to be vascularised |
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Term
3 most comon reasons for graft failure |
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Definition
Infection, Movement Fluid accumulation beneath graft |
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Term
Common sites to take a pinch graft from |
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Definition
neck, pectorials and perineum |
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Term
Common sites to take a punch graft from? |
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Definition
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Term
Advantages od Island skin grafting? |
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Definition
little expertise, no soecial equipment neededm recip bed status not critical |
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Term
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Definition
non adherent dressing and bandage |
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Term
Causes of pruritis in horses |
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Definition
Lice - winter aka Damalinia mites - Choroptes equie - leg mites Insect iritiation |
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Term
Treatment of pediculosis in horses? |
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Definition
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Term
Treatment of Mites in horses? |
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Definition
Fipronil or systemic arcaricides - ivermectin |
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Term
Sweet itch in horses Treatment |
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Definition
a hypersensitivity reactin type 1 and 4 to culicoides midges Teat with corticosteroids antihistamines |
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Term
Rain scald - what is it and the treament? |
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Definition
Dermatophilosis congelensis infection - gram +ve anaerobe Causes exudtive dermatitis over the back area Treat with - crust removal and washing with dilute cholorhexidine Keep them dry |
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Term
Possible treatment options for equine sarcoids? |
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Definition
conventional surgery Cryosurgery Laser surgery ligation chemotherapy AW4 Ludes cream Radiotherapy immunotherpy leave alone |
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Term
Paranasal Sinusitis? Types, what is it? |
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Definition
Infection of the paransal sinuses Primary:- following an URT infection eg fungal and secondary:- due to an infection of an associated structures - eg infection of a tooth root, trauma to facial bones, expanding mass Young horses - often have 1y and older horses often have 2y |
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Term
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Definition
discharge from one nostril - unilateral sinuses or nasal cavity
Both nostrils if - gutteral pouch, nasopharynx Lungs |
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Term
clinical signs of paransal sinusitis? |
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Definition
persistant nasal discharge - purulent enlarged submandicular LNs obstructed outflow facial distortion halitosis head tilt reduced resonance to sinus percusion |
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Term
what would you see on imaging of the sinuses? |
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Definition
- Increased opacity fluid lines |
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Term
When culturing bacteria from primary and secondary sinusitis - what would you expect? |
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Definition
Primary - Beta heamolytic streps Secondary - multiple |
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Term
Treatment of paranasal sinusitis? |
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Definition
lavage broad spec Ab - penicillin Removal of causative - if primary sinusitis eg antifungals like fluconizole |
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Term
insipidated pus in the ventral conchal sinus |
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Definition
occurs when sinusitis fails to resolve remove the ventral conchal bulla and flush out |
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Term
best type of standing sedation in horses? |
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Definition
detomidine and butorphanol |
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Term
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Definition
an epidermal inclusion cyst in the nasal diverticulum |
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Term
clinical signs of upper respiratory tract disease in horses |
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Definition
discharge noises - at rest or inspiratory at exercise dysphagia cough |
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Term
pharyngeal lymphoid hyperplsia? |
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Definition
Diffuse inflammation - immune responce due to exposure of infection young horse problem Tx - with rest and NSAIDS |
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Term
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Definition
mucosa ventral to the aryepiglottic folds can become displaced above the epiglottis causes cough and exercise intolerance Dx - endoscopy |
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Term
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Definition
big cause of reduced performance in horses One side - usually the left arytenoid cartilage wont abduct because it is paralysed - neurogenic muscle atrophy damage or dysfunction to the recurrent laryngeal nerve |
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Term
causes of laryngeal hemiplegia? |
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Definition
genetic damage to the nerve - eg perivascular injections |
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Term
best surgical option for laryngeal hemiplegia? |
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Definition
tie back aka laryngoplasty |
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Term
two types of dorsally displaced soft palate (ddsp) |
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Definition
intermittent - expiratory noiseand only occurs at high speeds
Permanent - reduced performance, dysphagia secondary to neurological problems |
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Term
surgical treatment of DDSP? |
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Definition
tie forward - to lift the larxyn rostral and dorsal |
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Term
ddx for epistaxis in horses at rest at exercise after trauma |
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Definition
Rest - gutteral pouch mycosis, ethnoidal heamatoma, nasal polyp
Exercise - Exercise induced pulmonary heamorhage
Trauma - sinus trauma1 |
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Term
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Definition
recurrent airway obstruction non infectious LRT dz likely a hypersensitivity responce from inhaling some forn of allergen in dust so get a neutrophil influx and bronchospasm Disease is permanent but clincal signs are recurrent |
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Term
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Definition
subtle cough Discharge ecpiratory effort nostril flaring |
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Term
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Definition
reduce inflammation, bronchoconstriction, bronchospasm, viscosity etc treat any obstruction prevent reoccurance environmental change/management drugs |
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Term
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Definition
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Term
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Definition
beta-1 agonists allow easy breathing by prevent bronchoconstriction |
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Term
Inflammatory airway disease (IAD) in horses? |
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Definition
young athletic horses usually will have exercise intolerance, cough, increased respiratory secretions Simialar treatment to heaves Multifactorial causes - viral, environmental, bacterial etc |
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Term
differentials for a coughing horse? |
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Definition
RAO IAD URT inflammation or irritation flu, herpes Dysphagia Strangles Bacterial pneumonia Parasitic pnumonia FB |
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Term
Exercise induced pulmonary heamorrhage? EIPH |
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Definition
follows strenuous exercise pathological and physiological factors contribute
assoc with poor performance |
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Term
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Definition
NONE?! Post exercise epistaxis poor performance abnormal lung sounds/?? |
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Term
Diagnosis? Treatment of EIPH? |
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Definition
Dx - endoscopy Bal
Tx - reduce haemorrhage, rest for a couple of weeks change training |
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Term
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Definition
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Term
Equine Influenza vax policy? |
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Definition
1st - jag 1 1 month later - jag2 6 months later - jag 3 1 year later - jag 4 and annually after this |
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Term
name the 4 heart sounds and what they correlate to? |
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Definition
S1, S2, S3, S4 s1 - lub - when the AV valves close s2 - dub - when the semilunar vlaves close s3 - lu - when ventricals fill s4 - de - when the ventricals contract |
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Term
conditions that cause a non pathological dysrythmis in a horse? |
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Definition
2nd degree AV block Sinus block ventricular premature beat Atrial premature beat sinus arrythmia |
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Term
Pathological dysrythmias? |
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Definition
3rd degree AV block Atrial fibrillation atrial and ventricular premature contractions - APC / VPC ventricular Tachycardia |
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Term
What dysrythmias give a normal heart rate? |
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Definition
atrial fibriliation APC and a VPC |
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Term
what is a sinoatrial block? |
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Definition
when the SA node doesnt fire so you get a bradyarrythmia |
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Term
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Definition
serious - horse will collapse fluttering - no definite beat Lots of P waves over and over again Atria and ventricals are completely dissociated |
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Term
aetiology of 2nd and 3rd degree AV blocks? |
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Definition
Electrolyte imblanaces AV node disease - Degenerative or inflammatory Digitalis toxicity |
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Term
Ventricular premature contractions? |
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Definition
normal rate but irregular rhythm Wider QRS complex Ventricals are contracting under their own influence away from the sa node No P wave |
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Term
Causes of tachydysrythmias? |
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Definition
APC ir VPC Ventricular tachycardia Atrial Fibrillation |
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Term
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Definition
normal ish rate but chaotic rhythm. no detectable s4 (de) |
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Term
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Definition
quinidine sulphate at 2hr intervals Only 5 doses max - toxic |
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Term
management and treatment of quinidine sulphate treatment for AF? |
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Definition
stop using it and give mineral oil to try and reduce the absorption |
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Term
Outcome of quinidine sulohate treatment toxicity that can be seen on ECG? |
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Definition
torsades des pontes - give magnesium sulphate IV this blocks calcium channels |
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Term
Causes of ventricular tachydysrythmias? |
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Definition
myocardial hypoxia electrolyte derangement myocardial inflammation 2y to endotoxaemia |
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Term
functional murmurs without organic heart disease? |
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Definition
young fit athletic horses less than grade 3 |
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Term
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Definition
Murmurs due to decreased viscosity of the blood which cuases increased turbulance due to something like anaemia |
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Term
common systolic pathological murmurs in horses? Diastolic? |
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Definition
Systolic - tricuspid valve regurgitation mitral Valve insufficiency VSD Diastolic - aortic insufficiency |
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Term
Mitral valve insufficiency loudest on which side |
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Definition
left side Will hear/feel a buzzing |
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Term
Tricuspid valve insufficiency loudest on which side Sequale of this? |
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Definition
Right hand side rarely affects performance would get a jugular pulse with each heart beat If it were left to get worse - RA dilation - atrial fibrillation, jugular pulsation, ventral oedema |
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Term
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Definition
loudest on the RHS Not suitable for breeding |
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Term
Aortic insufficiency - loudest on which side? Affects on this tyoe of murmur? |
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Definition
left hand side Can cause a reducd performance due to LV hypetrophy which means a reduced CO leadin to pulmonary hypertension which actually lead to RHS heart issues too |
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Term
Most common valve to be predisposed to bacterial endocarditis? |
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Definition
Aortic mitral tricuspid pulomary |
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Term
Pre surgery considerations when aboout to castrate a stallions/colt? |
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Definition
tetanus prophylaxis Antibiotcs NSAIDS |
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Term
what are the options for castrating horses? |
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Definition
Standing open closed Semi closed Laproscopic |
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Term
Standing castration things to do/know? |
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Definition
done under standing sedation and local anesthesia |
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Term
Close castation considerations/must dos |
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Definition
MUST be done under general anesthetic dont incise through the tunic! |
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Term
post castration considerations in horses? |
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Definition
Exercise - 2-3 weeks of pasture rest/walk a couple of times a day no exposure for 3-4 weeks |
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Term
complications that can occur with castration in horses? |
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Definition
heamorrhage eventration infection oedema schirrous cord tetanus cystic cord Champignon |
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Term
excess haemorrhage - source of the blood, what to tell the owners, how to treat? |
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Definition
from the testicular artery, tell the owner to count the drips Treatment -go back and re emasculate or pack the scrotum or clamp/ligate the bleeder if can find it - under GA |
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Term
Evisceration of small intestine after castration in a horse? |
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Definition
Potentially fatal! - seen 4-6hrs after Sling it up - belly band or something AB and NSAIDS |
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Term
oedema after castration of a horse, why, avoidance, relief? |
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Definition
occurs to almost all castrations Avoided by - large scrotal incision and vigorous exercise post sx
Relieve - cold hosing, exercise, NSAIDS |
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Term
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Definition
staph aureus infection causing micro abscess to form on the cord Open castration may predispose Usually due to contaminated emasculators or ligature |
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Term
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Definition
is a persistant strep infection leading to excess granulation tissue Treatment - to resect the affected portion. |
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Term
Peritonitis is characterised by? |
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Definition
>10000 cells 0 but this is a common occurance after even the most routine castration for the forst few days - non septic |
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Term
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Definition
fluid build up within the tunic just incise the skin a little further back and disect the vaginal tunic to allow the fluid to drain and it should self resolve |
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Term
gestation length of horse? |
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Definition
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Term
placental or Cl p4 for most of the pregnancy? - |
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Definition
placentak chorioepithelial diffuse placenta |
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Term
what are the stages leading up to parturition in a horse? |
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Definition
48hrs before - fetal ACTH released, then increased cortisol - leads to change in hormone level in the mare - reduced p4 and incresased e2 Then increased oT AND RELAXin and parturiiom |
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Term
what is the most common cuase of abortion? |
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Definition
placental dysfunction then non infectious causes and then infectious causes |
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Term
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Definition
inflammation of the placenta usually from an ascending infection from breeding time strep zooepidemicus |
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Term
Risk factors for placentitis? |
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Definition
age - increased BCS- poor poor perineal conformation breed |
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Term
Clincial signs of placentitis? |
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Definition
vulval discharge risk of foal getting septicaemia |
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Term
Infectious causes of abortion in horses? |
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Definition
Herpes virus 1 EVA - viral arteritis leptospirosis neonatal sepsis |
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Term
non infectious causes of abortion in horses? |
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Definition
twinning placental issues mare issues - nutrition etc |
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Term
what are the 3 stages of partutition in a horse? |
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Definition
1. Prep for expulsion - fetus positions and relxaing occurs - can occur as early as 24hrs before foaling 2. Expulsion - rupture of corioallantois 3. fetal membrane expulsion |
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Term
things that can help you predict the gestation length? |
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Definition
dates mammary gland secretions |
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Term
dystocia in a horse? Causes? |
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Definition
Emergency! Fetal malpresentation/position/posture disproportion twinning uterine torsion Hydrops |
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Term
What do you do in cases of dystocia in horses? |
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Definition
15 mins assisted clea perineum and then give an epidural bw c1 and c2 sedate lubrication, |
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Term
malposition, presentation and posture - meanings? |
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Definition
malposition - upside down or right way up presentation - cross wise posture - breech etc |
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Term
post parturient complications? |
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Definition
haemorrhage RFM uterine tear |
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Term
resus of a new born foal? |
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Definition
remove membranes and dry with towls clear airway and tactile stimualtion
If breathing but bradycardic - 8L of oxygen intranasal If not brathing - intubate and provide IPPV 40-60breaths a min if heart rate less than 40 - cardiac compressions over the heart bse and adrenaline if remains low HR |
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Term
Target HR and RR xwhen resussing a new born foal? |
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Definition
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Term
signs of a premature and dysmature foal? |
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Definition
slower to stand and suck, post prandial colic slow resp rate |
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Term
What is perinatal asphyxiation syndrome? |
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Definition
imparied utero-placental perfusion which leads to poor tissue oxygenation which then leads to multiple organ failure onset occurs within a few hour of birth first you see neuro signs and then cerebral dysfunction |
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Term
ddx for perinatal asphyxia syndrome? |
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Definition
premature foal menigitis/Septicaemia |
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Term
Diagnosis of perinatal asphyxia syndrome? |
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Definition
complete sudden loss of the suck relfex |
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Term
most common cause of death in foals less than seven days old? clinical signs? |
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Definition
septicaemia Clincial signs - off suck , hypoglycaemia, toxic neutrophilia, pyrexia |
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Term
treament of neonatal septicaemia? |
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Definition
respiratoey support and antibiotics, ivft |
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Term
mares reproductive cycle? |
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Definition
seasonally polyoestrous in responce to increasing daylight/length - so cycle through the summer cycle length is between |
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Term
what factors may have an effect on the mares cycle? |
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Definition
day length weight/condition health temperature food supply |
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Term
how long do oetrous signs persist before ovulation? |
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Definition
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Term
methods to control oestrous cycle of horses? |
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Definition
Lighting - 16hrs light and 8hrs dark |
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Term
when can you PD a mre from? |
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Definition
early PD - 14/15/16 allows recognition if non pregnant mare also Later PD - d32-34 |
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Term
3 main methods of PD'ing horses? |
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Definition
daily teasing ultrasound and rectal Hormone assays - ECG (from d80-120) and E2 (from day100) |
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Term
if there are twins by how many days oldcan you squish them? |
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Definition
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Term
what are the three sections of a stallions ejaculate? |
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Definition
Pre ejaculatory fraction Sperm rich fraction gel fraction |
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Term
how long does it take for the embryo to reach the uterus? |
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Definition
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Term
Advantages of AI in horses? |
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Definition
increase the genetic pool Increased choice of stallions more regulation of diseases increased safety |
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Term
Disadvantages of AI in horses? |
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Definition
increased cost and skills paperwr=ork freezing etc - may not sit well with some stallions semen and transport has to be well set up for this type of thing |
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Term
what sort of things are used for semen extending? |
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Definition
egg yolk skin milk base plus nutrients amd sugars and antibiotics |
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Term
susceptible mares will often have a persistant endometritis for 48hrs post mating - what are the complications of this? |
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Definition
not a viable environment for the fetus Due to inflammatory mediators - causing prostaglandin release = will cuase luteolysis and so the mare will come back onto heat 10-12 days later |
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Term
Treatment options for these horses? |
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Definition
antibiotics - TMPS Uterine lavage oxytocin steroids |
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Term
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Definition
when one testicle has failed to completely descend |
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Term
what types of cryptorchid are there? |
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Definition
complete abdominal - whole testicle is retained in the abdomen
Partial abdominal - only the epididymis has descended
Inguinal cryptorchid - teste retained in the inguinal cavity aka high flanker |
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Term
what is the signoficance of a cryptorchid? |
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Definition
sterility - unilateral can be subfertile - reduced sperm production
hereditary - so ideal not to breed from these animals reduced testosterone production |
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Term
what are the causes of failure of descent of the testes? |
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Definition
failure of the gubernaculum - which a the tendonous muscle that develops near the kidney and causes decent of the testes |
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Term
what hormonal assays can be used to diagnose if a horse is trueley monorchid or cryptorchid> |
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Definition
androgens and estrogens both levels in the serum will be higher in a stallions and cryptorchids than geldings |
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Term
Testosterone levls for hormonal assays/ |
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Definition
in a rig:- Testosterone - concentration before and after HCG admin will be >100pg/ml gelding <40 |
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Term
Oestrogen sulphate levels for hormonal assays? |
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Definition
Oestrogen sulphate - high level of incidence with thi levels and resence of testicular tissue so :-gelding levels <50pg/ml :_ rig - >400pg/ml - |
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Term
Exceptions to the oestrogen sulphate rule? |
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Definition
This only exception to this is if the rig is under 3 years old or if it is a donkey - They don't have the maturity to be able to produce as much hormone yet due to immaturity |
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|
Term
treatment for retained testicles? |
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Definition
surgery - remove the retained testicle first |
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Term
Approches for surgical removal of a retained testicle? |
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Definition
abdominal Parainguinal suprapubic paramedian Flank Laparoscopic Aneatheisa for all apart from flank and laparoscopic |
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Term
what are the landmark for castration of a cryptorchid? |
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Definition
proper ligament of the testes ligament of the tail of the epididymis scrotal ligament Vaginal process tunic |
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Term
what other methods apart from surgery are there to treat a rig? |
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Definition
hormonal therapy GnRH, LH-RH only works for inguinal testes - not abdominally retained testes |
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Term
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Definition
Inability to retract the penis into the prepuce |
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Term
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Definition
excessive oedema of the penis ACP sedative admin damage to the penile nerves |
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Term
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Definition
inability for the horse to extract his penis out of the prepuce Usually due to a stricture |
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Term
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Definition
Penile paralysis - oersisant erection without arousal Due to bloodflow disturbance, reduced venous outflow and the penis swells and cannot be retracted Usually after ACP |
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|
Term
types of neoplasia that affect the penis in horses? |
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Definition
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Term
History of SCC on horses and the treatment? |
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Definition
Very slow growing considering it is a carcinoma and often older horses on non pigmented skin metastisis to the inguinal LNs usually and occurs late in the disease
Treatment - cryosurgery, chemotherpy NSAIDS excision - if small and local |
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Term
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Definition
Skin and mucosae only so vuvla would look bigger than normal |
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Term
second degree laceration? |
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Definition
involves the musculature as well as the skin and mucosae |
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Term
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Definition
complete perforation of the vaginal wall and rectum producing a single opening to the rectum and vagina |
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Term
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Definition
tear through from the rectum to the vaginal vestibule but the perineal body is still intact |
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Term
Repair of a first degree laceration? |
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Definition
caslick opp remove a wee bit of tissue and then suture it - using continuous or simple interupted to the level of the pelvic brim |
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Term
What would happen if you tried to repair a second degree laceration with a caslick operation? |
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Definition
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Term
Repair of a second degree laceration? |
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Definition
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Term
repair of a 3rd degree laceration? |
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Definition
Rectovaginal/rectovistibular lacerations should be left for 4-6 weeks- so they heal themselves and then go and fix it |
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|
Term
causes of a urovagina in a mare? |
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Definition
oestrous behavious - when spraying Excessive caslick op pneumovagina |
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Term
Granulosa theca cell tumour? |
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Definition
neoplasia of the ovary in a horse can be benign but could lead to 3 types of behavioural change eg - stallion like Anoestrous Persistant oestrous |
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|
Term
Diagnosis of ovarian neoplasia in the horse? |
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Definition
behavioural chnage Rectal Ultrasound Hormones - inhibin |
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|
Term
approaches to dystocia in a mare? |
|
Definition
assistanced vaginal delivery Controlled vaginal delivery C section embryotomy |
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|
Term
complications of dystocia? |
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Definition
Ruptured middle uterine Artery Ruptured uterus Broad ligament haematoma |
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|
Term
Signs of a ruptured uterus? |
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Definition
Colic like s peritonitis high mortality |
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Term
|
Definition
Uuslaly male foals Due to bladder rupture, urachal tears or uretal defects Usualy due toa semi full bladder in the foal and the pressure increase during foaling leads to rupture Often tenesmus assoc with ut |
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Term
xclincial signs of uroperitoneum? |
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Definition
2-4 days old Abdominal distension may still be able to urinate tachcardia and tachypnoea anorexia and dullness tenesmus like action sudden death |
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Term
Diagnosis of uroperitoneum |
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Definition
conc of creatinine in the peritoneal fluid will be higher than in the serum Electrolytes - Increased K+ - hyponatraemia - hypochloraemia ultrasound - see lots of fluid - dark - |
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Term
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Definition
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|
Term
management of uroperitonium in a foal? |
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Definition
medical emergency stabilise before GA Fluids etc and drainage to reduce the hyperkalaemia saline, bicarb and fluids |
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Term
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Definition
high saturation of CO2 in the blood caused by respiratory depression in aneasthetised horses |
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|
Term
what level of CO2 is harmful? |
|
Definition
PaCO2 of more than 80mmhg |
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|
Term
what is permissive hypercapnia? |
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Definition
when the PaCO2 is allowed to be a little higher than normal to allow the SNS to be stimulated which allows increased myocardial contractility and increased tissue blood flow |
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Term
Treatment of hypercapnia? |
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Definition
IPPV of 6-8 breaths a min |
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Term
|
Definition
low inspired oxygen hypoventilation VQ mismatch shunt |
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|
Term
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Definition
positive end expiratory pressure allows recruitment of collapsed alveoli when VQ mismatch dont let the thoracic pressure reduce as much after each expiration |
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|
Term
treatment of hypotension in horses in surgery? |
|
Definition
fluids anticholinergics Dobutamine beta 1 agonist |
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|
Term
complications of horses recovering from surgery? |
|
Definition
myopathies airway obstructiosn colic Catheters trauma |
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|
Term
post aneasthetic myopathy? PAM |
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Definition
muscle compressed form lying on it but the blood pools there and cant escape so becomes oedematous and swollen and painful |
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Term
|
Definition
atheltic, fit heavy hypotnesion repeated aneathetic |
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Term
|
Definition
nursing care, nasaid support fluids |
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|
Term
|
Definition
spinal cod malacia CCN blindness |
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|
Term
|
Definition
sit like a dog young, well muscledhorses |
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