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Vet 222 BRCC
Colic Article
13
Veterinary Medicine
Undergraduate 2
02/23/2010

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Term
Colic
Definition
One of the most frequent disease syndromes in horses. Single largest cause of mortality. Abdominal pain.
Term
Gender risk factors
Definition
Males - Inguinal hernias
Mares - large colon volvulus/displacement after foaling
Geldings - pedunculated lipoma
Term
Age Risk factors
Definition
Foals - yearlings - rarely have colic
Neonates - meconium impaction
Weanlings/Yearlings - ileocecal intussusception
>12 yrs - strangulating lipomas
Term
Heart Rates
Definition
Normal (28-44 bpm) - mild pain
50-65 bpm - Moderate pain
65-80 bpm - Severe pain
>80 bpm - Excruciating pain
Term
Increased Respiratory Rate
Definition
Pain during early stage, abdominal distention during late stage
Term
Toxic ring
Definition
Red or purple mmm around upper incisors. Sign of progressive endotoxemic shock
Term
Signs of Mild colic
Definition
refuse to eat normal ration
pawing infrequently
lying in sternal recumbency and reluctant to stand
Looking briefly at flanks
Circling stall slowly
Term
Signs of Moderate colic
Definition
Pawing frequently/vigorously
Lying in lateral recumbency and attempting to roll
Looking consistently at flanks
Circling vigorously and repeatedly attempting to lie down
Sweating
Term
Signs of Severe colic
Definition
Lying down or falling violently
Rolling vigorously and repeatedly
Sweating profusely
Preferring to lie in dorsal recumbency
Moving violently
Term
Short acting, potent analgesics
Definition
Xylazine
Butorphanol
A combination of the two.
The initial treatment to allow estimation of severity of colic, based on speed of recurrence of signs.
Term
Long-acting moderate analgesic
Definition
Flunixin meglumine
Ketoprofen
NSAIDs
Used once short-acting analgesic has determined the case is not severe.
Term
Detomidine
Definition
Used in most severe cases when repeated doses of short-acting analgesics have no effect.
Term
Fluid administration
Definition
Administered via nasogastric tube or IV depending on dehydration and presence of reflux.
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