At BVEH your horse’s health is our passion. Our goal is to care for each patient, from conception...
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Transcript of At BVEH your horse’s health is our passion. Our goal is to care for each patient, from conception...
At BVEH your horse’s health is our passion. Our goal is to care for each patient, from conception through retirement, with the highest quality care available at a reasonable cost. As highly trained and dedicated professionals, we are committed to exceeding expectations and to helping each horse reach its full athletic potential.
The Equine Acute Abdominal Crisis
ColicBen Buchanan, DVM
Brazos Valley Equine HospitalBoard-certified Specialist
•Internal Medicine•Emergency and Critical Care
Slided Developed By
• AAEP
• www.aaep.org/horseowner
• Photos courtesy of– Ben Espsy, DVM, DACT – Diana Zimmel, DVM, DACVIM, DABVP
• www.aaep.org/horseowner
Surgery?
• Most cases of colic resolve with medical treatment
• Surgical cases minority of total colics
Surgery?
• Most common cause of equine mortality– These are the ones that don’t resolve
• Treat every case as it is surgical
Indications for Surgery
• Pain– Recurrent or intractable– The longer it persists, the less severe required to
indicate surgery
• Gastric reflux (large amount)– Not necessarily
Indications for Surgery
• Rectal exam– Small intestinal distention– Displacement or distended large colon– Mass
• Ultrasound– Thickened bowel wall– Gas in bowel wall
Indications for Surgery
• Absence of borborygmi– Ileus
• Peritoneal fluid– Increased protein– Serosanguinous
Normal Mucosa
Strangulation ObstructionEndotoxin
Verminous Arteritis
Contraindications for Surgery
• Fever– Most often means enteritis
• CBC– Neutropenia: enteritis
• Auscultation– Good motility
Preoperative Prognostic Indicators
• Cardiovascular status (shock)– Indicates severity of problem– Reversible?
• Small intestinal distention– Usually strangulated– Small intestine has more postoperative
complications– Peritoneal fluid elevations
Thank You
• Ben Buchanan, DVM, DACVIM, DACVECC
– Brazos Valley Equine Hospital– [email protected]– 936-825-2197