Term
| What are the common causes of equine gastric ulceration? |
|
Definition
-EGUS
-blister beetle toxicosis
-neoplasia: LSA, SCC
-gastric impaction
-NSAID toxicosis |
|
|
Term
| Which animals are most commonly affected by AGUS? |
|
Definition
-foals: first few mm
-performance horses
-racing TB |
|
|
Term
| What percentage of horses w/ ulcers do not show signs? |
|
Definition
|
|
Term
| What are the CS of gastric ulcers in foals? |
|
Definition
-diarrhea
-poor hair coat
-poor growth, pot belly
-BRUXISM, PTYALISM
-rolling up onto back
-interrupted nursing |
|
|
Term
| What are the CS of gastric ulcers in adults? |
|
Definition
-attitude change
-poor performance
-SLOW EATER OR POOR APPETITE
-poor condition
-COLIC |
|
|
Term
| Describe the pathophys behind gastric ulceration. |
|
Definition
-continuous acid secretion pH <2.0
-domestication: highest prevalence w/ grain/pellets feed
-stressed animals |
|
|
Term
| How do we treat gastric ulcers? |
|
Definition
|
|
Term
| How do we treat performance horses w/ gastric ulcers? |
|
Definition
-treat 2w w/ Gastroguard
-repeat endoscopy
-quarter dose for prevention
-in croughage
-minimize NSAIDs |
|
|
Term
| What are the clinical signs of gastroduodenal ulceration? |
|
Definition
-1-4m old foals
-intermittent colic
-bruxism
-poor growth: unthrifty, poor hair coat |
|
|
Term
| Sick foals or foals receiving NSAIDs may benefit from concurrent admin of what other drugs? |
|
Definition
-omeprazole
-ranitidine
-sucralfate |
|
|
Term
| What treatment do we add to promote gastric emptying? |
|
Definition
-NG tube
-prokinetcs: bethanechol
-metoclopramide: excitation |
|
|
Term
| How do we surgically intervene w/ ulcers? What is the poor prognosis w/ sx intervention? |
|
Definition
-uncommon
-foals w/ obstruction
-poor |
|
|
Term
| What are the pertinent CS of cantharidin toxicosis? |
|
Definition
-hx of alfalfa hay
+/- fever
-severe colic pain or severe depression
-frequent urination
-playing in water (not necessarily drinkinng)
-synchronous diaphragmatic flutter
-muscle fasciculations or weakness
-wider spread of ulceration |
|
|
Term
| How do we diagnose blister beetle toxicity? |
|
Definition
-gastric desquamating ulcers of non-glandular region is very supportive
+/- oral or esophageal ulcers
-confirm w/ urine toxin analysis |
|
|
Term
| What causes gastric impaction? How do we treat it? |
|
Definition
-persimmons
-diet caffeine cola |
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