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Exam 3
GI Exam + Dysphagia
66
Veterinary Medicine
Professional
02/27/2017

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Cards

Term
LOOK AT TOOTH ERUPTION TIMES ON SLIDE 3/4
Definition
Term
How does the nose relate to GI dz?
Definition
-they use their tongue to clean their nose thus if nose is dirty it indicates oral dz
Term
What is the purpose of the tongue?
Definition
-prehensile in cattle
-not in Ov, Cap, llamas
Term
What is the composition of salivary glands in cows?
Definition
-HCO3, Na, PO4
-K, BUN
Term
Why do we rarely see a hyperkalemia w/ cows off feed?
Definition
-it is secreted in saliva
Term
What are the forestomach? Stomach?
Definition
-forestomachs: reticulum, rumen, omasum
-stomach: abomasum
Term
What makes up the ecosystem of the rumen?
Definition
-substrate: feed/water/saliva
-microbes: bacteria/protozoa
-byproducts: VFA/protein/gas
Term
How does the ecosystem of the rumen change?
Definition
-microbe pop dep on substrates taken in
-byproducts dep on microbes
Term
Is rumen aerobic or anaerobic? How does the osmolality of the rumen relate to that of the serum?
Definition
-anaerobic
-osmolality < serum
Term
How does the diet alter the rumen flora?
Definition
-mostly grain: gram + > gram -
-mostly roughage: gram - > gram +
Term
What is the typical pH of cellulolytic diet? Amylolytic?
Definition
-cellulolytic (forage): pH: 6.5-7.5
-amylolytic: pH 5.5-6.5
Term
What is the primary E src in the cow? Protein source?
Definition
-E src: VFA's
-protein src: microbes
Term
At what age does a calf become a functional ruminant? Anything required in the diet?
Definition
-6w
-diet must contian roughage, dep on VFA's
-develops faster on grian diet
Term
What controls rumen motility?
Definition
-gastric center: medulla
-vagus n: stim (90% sensory)
-splanchnic n: inh
Term
What are some excitatory stimuli for rumen motility?
Definition
-feeding
-moderate rumen distension
-dec abomasal pH
Term
What are some inhibitory stimuli for rumen motility?
Definition
-inc VFA's
-abomasal distention
-severe rumen distention
-pyrexia, pain
Term
What is the rate of rumen motility?
Definition
-3 in 2 mins
-primary= mixing (2 of the 3)
-secondary = eructation (1 of the 3)
Term
What is the function of esophageal groove in calves?
Definition
-rumen bypass
Term
What is the significance of esophageal groove?
Definition
-esophageal feeder/tube: would go into rumen (fine if warm enough)
-rumen drinking: crhonic diarrhea + poor doer
-cold water erythrolysis: hemoglobinuria
Term
How is the esophageal groove stimulated?
Definition
-oral CuSO4 & bicarb
0IV vasopressin
Term
What kinds of receptors are in the wall of the reticulum?
Definition
-VFA, tension, scratch
Term
What are the functions of the reticulum?
Definition
-eructation
-sorting & mixing
Term
What are some common clinical entities w/ bovine reticulum?
Definition
-hardware dz
-bloat
-vagal indigestion
Term
What are the functions of the omasum?
Definition
-transport of ingesta: pump
-sieve-strain out long fibers
Term
What are some common clinical entities w/ bovine omasum?
Definition
-omasal canal obstruciton
-denervation: vagal indigestion
Term
The abomasum is the true glandular stomach. Why?
Definition
-HCl & pepsinogen
-protein digestion
-pN 2-3
-torus pylurus
Term
What are some of the common clinical entities w/ bovine omasum?
Definition
-DA's in dairy cattle
-ulcers
-vagal indigestion
-LSA
Term
Describe the omentum in bovine. What does it do?
Definition
-greater & lesser: well developed pouch (supraomental bursa)where SI & LI live
-protective against widespread peritonitis
Term
How long is the SI in bovine? Ovine? Equine?
Definition
-bovine 130 ft
-ovine: 80 ft
-equine: 65 ft
Term
Describe the mesentery in the cow.
Definition
-short & fat
-difficult to exteriorize
-protective against ischemia
Term
Describe the LI in the cow.
Definition
-large distensible cecum
-complex spiral colon
-30 ft long
Term
What is the purpose of the LI in the cow?
Definition
-fermentation chamber
Term
How do we examine the strata of the rumen? Motility?
Definition
-external palpation
-auscultaiton
Term
What do we examine in regards to forestomach w/ rectal?
Definition
-content, size, pain
Term
How do we examine the abomasam?
Definition
-percussion: look for air ping
-succession: look for splash
-ballotement: look for bump
-rectal
-abdominal contour
-U/S
-abomasocentesis
-rumen chloride
Term
What is usually behind completely lacking stool?
Definition
-intussusception
Term
Describe the options for fecal quality.
Definition
-normal
-liquid
-dry
-fiber length: too long or too short
Term
What are some options for stuff in the feces?
Definition
-hematochezia (frank)
-melena (digested)
-mucus
-ucosa/casts
-sand
Term
What is indicated by parietal (dull) pain?
Definition
-peritonitis
Term
What is indicated by visceral (sharp) pain?
Definition
-intestinal distension
Term
What does parietal pain look like in cattle?
Definition
-arched back, tensed facial features, don't want to walk around, push nose against things, teeth grinding
Term
What are some examples of parietal pain?
Definition
-paritonitis: hardware, ulcers
-lymphoma
Term
What are some causes of visceral (colic) pain?
Definition
-intestinal distension
-tension on mesentery: intussucseption, mesenteric volvulus, cecocolic volvulus, hemorrhagic bowel syndrome
Term
What often mimics parietal pain in cattle?
Definition
-pleuritis in thorax
Term
What often mimics visceral pain in cattle?
Definition
-urogenital dz: urolithiasis, pyelonephritis, uterine torsion
Term
How can we test for abdominal pain on PE?
Definition
-pinch back and listen for grunt
-feel near reticulum: painful
-push on epaxial mm: will tense or move away from hand
Term
What can cause abdominal distention?
Definition
-flatus
-feed
-feces
-fluid
-fetus
-fat
Term
Where can abdominal distension occur anatomically?
Definition
-rumen
-abomasum
-intetine
-peritoneum
-uterus
Term
LISTEN TO SLIDE 49 ON MOODLE
Definition
Term
Describe the camelid stomach.
Definition
-pseudoruminant
-compartment1: like rumen
-compartment 2: reticulum + omasum
-copartment 3: stubular stomach, aglandular cranially
Term
Do camelids have a spiral colon? Anything special about it?
Definition
-yes
-different layers connected by fibrous bands
Term
What are the non-specifc signs of GI dysfunction?
Definition
-wt loss
-anorexia
-ADR
Term
What are some more specific CS of GI dysfunction?
Definition
-dysphagia
-oral/facial masses or growths
-oral erosions & ulcers
-abdominal pain (parietal vs visceral)
-abdominal distention: bloat/vagal/intestinal accidents
-altered fecal character
Term
What are some issues that can cause wt loss in cattle?
Definition
-dec feed available
-dec appetite
-inc demand: sepsis
-dec assimilation: Johnne's
Term
What is necessary for cattle euphagia?
Definition
-appetite
-mobility: feet & limbs
-prehension: neck, jaws, tongue
-mastication: teeth, tongue, pharynx, jaws
-deglutition: tongue, pharynx, esphagus
Term
What are some reasons for anorexia due to not wanting to eat in a cow?
Definition
-generlized illness or depression
-prehensile pain: jaw, tongue, teeth, oral mucosa
Term
What are some reasons for anorexia due to inability to eat in a cow?
Definition
-dysphagia
-neck, feet, or leg pain
Term
What are the clinical signs of dysphagia?
Definition
-repeated attempts to swallow
-ptyalism
-quidding: dropping food
-appear to choke on food
-feed in nares
-feed packed in cheeks
-regurge
Term
What are some causes of dysphagia due to pain?
Definition
-trauma
-infalmmation
-ulceration
Term
What are some causes of dysphagia due to obstruction?
Definition
-foreign body
-swelling
Term
What are some causes of dysphagia due to neuromuscular disorder?
Definition
-altered innervation/contractility: Listeria for example
Term
What are some causes for oropharyngeal dysphagia?
Definition
-FB
-trauma: pharynx
-lumpy jaw
-wooden tongue
-necrotic stomatitis
-dental dz
-mandibular fracture
-erosion and ulceration
-cleft palate
Term
What are some causes of esophageal dysphagia?
Definition
-FB
-trauma: tubing
-stricture
-esophagitis: hypoderma
-intraluminal/extraluminal mass
-motility defect: megaesophagus
-congenital defect: PRAA
Term
What are some causes of neuromuscular dysphagi?
Definition
-rabies
-listeriosis
-tetanus
-botulism
-tick paralysis
-WMD
Term
What clinical signs indicate the necessity for gloves on a bovine oral exam?
Definition
-caudal paresis
-bellowing
-yawning
-aggressive behavior
-tenesmus
Term
What do we look at for dysphagia exam from a distance?
Definition
-mentation/ambulation: RABIES
-abdominal contour: bloat
-offer feedd and water, then watch
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