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#REDIRECT[[Ascarid Impaction - Horse]]
 
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{| cellpadding="10" cellspacing="0" border="1"
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| Also known as:
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|'''Colic in foals<br>
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'''Impaction<br>
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'''Simple Obstruction<br>
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'''Small Intestinal Simple Obstruction<br>
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'''Small Intestinal Obstruction<br>
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'''Small Intestinal Impaction'''
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|}
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==Signalment==
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Foals younger than 6 months on a poor worming schedule and with a heavy parasite burden.  Adult horses are thought to show age-related immune resistance. 
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==History==
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Recent history of being wormed with a product that causes sudden ascarid death.
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==Aetiology==
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Products that cause sudden death of ascarids, particularly [[Parascaris equorum|''Parascaris equorum'']] within the small intestine.  Adult ascarids are large and thus readily cause small intestinal impaction.  Suspected products include(37):
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*Organophosphates
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*[[Macrocyclic Lactones|Ivermectin]]
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*Pyrantel pamoate
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*Piperazine
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==Clinical Signs==
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*Acute onset colic after administration of anthelmintic (onset varies with degree of obstruction (37))
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*Signs compatible with [[Colic Diagnosis - Clinical Signs|small intestinal obtruction]]
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**[[Colic Diagnosis - Naso-gastric Intubation|Nasogastric reflux]] (occasionally dead parasites are seen in reflux)
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==[[:Category:Colic_Diagnosis_in_the_Horse|Diagnosis]]==
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*History
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*[[Colic Diagnosis - Clinical Signs|Clinical signs]] referable to small intestinal obstruction
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*Abdominal imaging (radiography and [[Colic Diagnosis - Abdominal Ultrasound|ultrasonography]]) may demonstrate multiple loops of distended small intestine, but imaging is not required if the clinical presentation indicates immediate surgery.
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==Treatment==
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*[[Colic, Medical Treatment|'''Medical treatment:''']] immediate treatment of hypovolaemic shock resulting from sequestration of fluid in small intestine
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*'''Surgical treatment:''' enterotomy made over the intraluminal impaction and removal of ascarids
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==Prognosis==
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Fair in cases that are rapidly treated but poor in foals with evidence of hypovolaemia and septic shock.  In a recent study, long term survival of 25 affected horses was 33%(37).
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[[Category:Colic_in_Horses]]
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[[Category:To_Do_-_Nina]]
 
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