Difference between revisions of "Small Animal Emergency and Critical Care Medicine Q&A 09"

 
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<FlashCard questions="3">
 
<FlashCard questions="3">
|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?
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|q1=What are the pros and cons of the following surgical procedures for preventing gastric volvulus from recurring:  
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*circumcostal gastropexy;  
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*antral incisional gastropexy;  
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*tube gastropexy;  
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*midline abdominal closure gastropexy?
 
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|a1=
 
Circumcostal gastropexy.  
 
Circumcostal gastropexy.  
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:*Pros: rapid technique.  
 
:*Pros: rapid technique.  
 
:*Cons: makes a reapproach to the cranial abdomen very difficult.
 
:*Cons: makes a reapproach to the cranial abdomen very difficult.
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|l1=Gastric Dilatation and Volvulus#Treatment
 
|q2=What vessels are most commonly torn during a gastric dilatation/volvulus episode, and where are these located?
 
|q2=What vessels are most commonly torn during a gastric dilatation/volvulus episode, and where are these located?
 
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|a2=
 
Short gastric arteries and left epiploic artery along the greater curvature of the fundus.
 
Short gastric arteries and left epiploic artery along the greater curvature of the fundus.
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|l2=Monogastric Stomach - Anatomy & Physiology#Vasculature
 
|q3=What surgical findings would indicate that a splenectomy is required?
 
|q3=What surgical findings would indicate that a splenectomy is required?
 
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|a3=
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*bleeding mass;  
 
*bleeding mass;  
 
*uncontrollable hemorrhage of the spleen.
 
*uncontrollable hemorrhage of the spleen.
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|l3=Gastric Dilatation and Volvulus#Treatment
 
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Latest revision as of 16:37, 11 October 2011


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ECC 09a.jpg


ECC 09b.jpg


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? Link to Article
What surgical findings would indicate that a splenectomy is required? Link to Article


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