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| ==Traumatic Pathology== | | ==Traumatic Pathology== |
− | ===Impaction=== | + | ===[[Impaction of the Oesophagus]]=== |
− | {| style="color:darkblue;background-color:#ffffcc;" cellpadding="10" cellspacing="0" border="1"
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− | |'''Upper Block'''
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− | |'''Lower Block'''
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− | |-
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− | | Acute vomiting
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− | | Gradual intestinal distention
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− | |-
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− | | Dehydration
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− | | Mucosal destruction
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− | |-
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− | | Alkalosis
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− | | Toxaemia
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− | |-
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− | | Pre-renal azotaemia
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− | | Peritonitis
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− | |}
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− | *Commonly in cattle, horses and dogs.
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− | *The most common sites of obstruction are the '''thoracic inlet''', '''the base of the heart''', and the '''hiatus oesophagus''' of the diaphragm, i.e.: the narrowest points.
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− | | |
− | ====Clinical Signs====
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− | ====Horse====
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− | *With foods that expand in [[Oesophagus - Anatomy & Physiology|oesophagus]] such as haylage etc.
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− | *Also seen with whole apples.
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− | ====Cattle====
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− | [[Image:Bovimpaction.gif|right|thumb|125px|<small><center>Impaction of a bovine oesophagus (Courtesy of Alun Williams (RVC))</center></small>]]
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− | *May eat a spherical object that obstructs the [[Oesophagus - Anatomy & Physiology|oesophagus]] mostly in anterior 1/3rd of [[Oesophagus - Anatomy & Physiology|oesophagus]] and can often be palpated in live animal.
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− | *Potatoes can be a cheap source of feed and if fed whole can become stuck in [[Oesophagus - Anatomy & Physiology|oesophagus]].
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− | *If obstruction occurs further down can be difficult to diagnose and remove.
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− | *Cattle develop bloat when [[Oesophagus - Anatomy & Physiology|oesophagus]] obstructed.
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− | *Apples fairly easily to dislodge.
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− | ====Dog====
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− | *Usually with small bones
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− | *Animals that feel protective of feed may gulp food down quickly, particularly if given small chops / knuckle bones.
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− | *Knobbly shape may make bone lodge in [[Oesophagus - Anatomy & Physiology|oesophagus]], particularly just anterior to heart.
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− | *Very difficult to dislodge (because of shape).
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− | *Pressure necrosis occurs very quickly around it and can erode through [[Oesophagus - Anatomy & Physiology|oesophagus]] within about 24 hours.
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− | *Small bone may also lodge in [[Duodenum - Anatomy & Physiology|duodenum]] if they pass through the [[Forestomach - Anatomy & Physiology|stomach]].
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| ===Rupture=== | | ===Rupture=== |