Equine Internal Medicine Q&A 23
|This question was provided by Manson Publishing as part of the OVAL Project. See more Equine Internal Medicine questions|
You are asked to examine a seven-year-old Warmblood gelding who has been showing signs of mild abdominal pain for two hours. Physical examination is unremarkable; his mucous membrane colour is pink, he has a heart rate of 36bpm and gut sounds are present, although quieter than might normally be expected. Gastric reflux yields approximately two litres of fluid. Findings on rectal examination are represented diagrammatically.
|Does this description allow you to make a diagnosis?||
Physical examination of this horse revealed no signs of cardiovascular compromise.
This combination of findings is characteristic of nephrosplenic entrapment (NSE) or left dorsal displacement of the large colon. In some cases, gas distension may be so severe that it is not possible to palpate beyond the caudal abdomen.
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