Difference between revisions of "Small Animal Emergency and Critical Care Medicine Q&A 09"
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+ | |book = Small Animal Emergency and Critical Care Medicine Q&A}} | ||
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− | + | '''Your triage nurse alerts you that a three-year-old, male Coonhound (40 kg) with a few hours’ history of non-productive retching and pacing has entered the hospital. Primary survey reveals poor perfusion, rapid and irregular heart rate, and a tympanic, distended cranial abdomen. A lateral radiograph reveals gastric dilatation and volvulus.''' | |
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− | <FlashCard questions=" | + | <FlashCard questions="3"> |
− | |q1=What | + | |q1=What are the pros and cons of the following surgical procedures for preventing gastric volvulus from recurring: |
+ | *circumcostal gastropexy; | ||
+ | *antral incisional gastropexy; | ||
+ | *tube gastropexy; | ||
+ | *midline abdominal closure gastropexy? | ||
|a1= | |a1= | ||
− | + | Circumcostal gastropexy. | |
− | |l1= | + | :*Pros: most reliable adhesions obtained. |
− | |q2=What | + | :*Cons: time-consuming preparation; potential for rib fractures; potential for entering pleural space and causing pneumothorax.<br> |
+ | Antral incisional gastropexy. | ||
+ | :*Pros: rapid technique with less technical difficulty. | ||
+ | :*Cons: none. <br> | ||
+ | Tube gastropexy. | ||
+ | :*Pros: ability for postoperative decompression and feeding control. | ||
+ | :*Cons: requires time for fistula formation before tube can be removed; requires exposure of the gastric lumen. <br> | ||
+ | Midline abdominal closure gastropexy. | ||
+ | :*Pros: rapid technique. | ||
+ | :*Cons: makes a reapproach to the cranial abdomen very difficult. | ||
+ | |l1=Gastric Dilatation and Volvulus#Treatment | ||
+ | |q2=What vessels are most commonly torn during a gastric dilatation/volvulus episode, and where are these located? | ||
|a2= | |a2= | ||
− | + | Short gastric arteries and left epiploic artery along the greater curvature of the fundus. | |
− | |l2= | + | |l2=Monogastric Stomach - Anatomy & Physiology#Vasculature |
− | |q3=What is | + | |q3=What surgical findings would indicate that a splenectomy is required? |
|a3= | |a3= | ||
− | + | *Dark/black areas suggesting an infarction/ischemia; | |
− | + | *lack of palpable pulses in the splenic hilus suggesting arterial thrombosis; | |
− | + | *disseminated masses that may be neoplastic; | |
− | + | *bleeding mass; | |
− | + | *uncontrollable hemorrhage of the spleen. | |
− | + | |l3=Gastric Dilatation and Volvulus#Treatment | |
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− | |l3= | ||
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Latest revision as of 16:37, 11 October 2011
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This question was provided by Manson Publishing as part of the OVAL Project. See more Small Animal Emergency and Critical Care Medicine Q&A. |
Your triage nurse alerts you that a three-year-old, male Coonhound (40 kg) with a few hours’ history of non-productive retching and pacing has entered the hospital. Primary survey reveals poor perfusion, rapid and irregular heart rate, and a tympanic, distended cranial abdomen. A lateral radiograph reveals gastric dilatation and volvulus.
Question | Answer | Article | |
What are the pros and cons of the following surgical procedures for preventing gastric volvulus from recurring:
|
Circumcostal gastropexy.
Antral incisional gastropexy.
Tube gastropexy.
Midline abdominal closure gastropexy.
|
Link to Article | |
What vessels are most commonly torn during a gastric dilatation/volvulus episode, and where are these located? | Short gastric arteries and left epiploic artery along the greater curvature of the fundus. |
Link to Article | |
What surgical findings would indicate that a splenectomy is required? |
|
Link to Article |
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