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Stomach/ Abomasum

Rachael Jones 4. Gastrointestinal English 26 cards

Cards in this deck (26)

  1. 1What are the 2 areas that can be found in the stomach (although not all species have both)?1. Non-glandular regions (stratified squamous cell lining): Pigs and Horses
    2. Glandular regions (mucinous epithelium and gastric pits): All species (including ruminants
  2. 2What are the defence mechanisms found in the stomach?1. Movement (vomiting/regurgitation, emptying)
    2. Mucosal integrity/rapid turnover of surface cells
    3. Microbiota
    4. Secretions:
    - Acid (bacteriostatic)
    - Mucus (protective, positive charge)
    - Prostaglandins
    - IgA
  3. 3Why does the mucous in the stomach being alkaline help?Protects/ neutralises the HCl produced by the stomach
  4. 4What are the 2 types of obstruction found in the stomach?- Partial
    - Complete
  5. 5Give examples of what can cause a partial obstruction?FBs
    Displaced abomasum
    Hernia -congenital, acquired
    Pyloric stenosis
  6. 6Give examples of what can cause a complete stomach obstruction.FBs
    Torsion/volvulus
  7. 7What are the predisposing factors to displacement of abomasum?- High producing dairy cows
    - Predisposing factors:
    * Activity
    * Abomasal atony & ↑gas production
    * Hypocalcaemia
    * Organ adjustment after calving
  8. 8What is the process that usually happens with displacement of abomasum?- Usually ventral & to left of the rumen
    - → Acid-base & electrolyte alterations (↓Cl-, ↓K+), ketosis, abdominal pain (right displacement)
  9. 9What is the consequence of a left displaced abomasum?-Normally benign so does not completely prevent emptying (just slower)
  10. 10What happens with gastric dilation in horses?- Fermentation (carbohydrates, lush pasture) → gas & lactic acid → water influx
    - Idiopathic causes, secondary causes
    - PME: Bloat line, compression of lungs, gastric tear
  11. 11What happens with gastric dilation in dogs?- Secondary (to other gastric disorders)
    - “Primary” - Large, deep-chested breeds
    * Overeating, gas-production (Cl. perfringens, aerophagia, fermentation)
    * Fluid accumulation (drinking, osmosis)
    * Not able to vomit or progress ingesta
    - Repeated episodes
  12. 12What can the consequence of gastric dilation and volvulus be in the dog?- Recurrent GD stretches attachments causing instability
    - Overfeeding, exercise after feeding
    - Usually clockwise (viewed from behind) 180º, 270º, 360º
    - Gastric hypoxaemia + compression of large veins
    ↓
    cardiovascular effects → shock (rapidly fatal)
  13. 13What occurs with gastric obstruction caused by pyloric stenosis?- Abnormal pyloric function
    - Hypertrophy ± hyperplasia
    - Brachycephalic dogs - Boxers, Siamese cats, horses
  14. 14What occurs with a gastric obstruction caused by diaphragmatic hernia?- Congenital or acquired
    - ±liver; ±intussusception of stomach into oesophagus
    - Pressure on thorax, ↓lung function, congestion, ↓ venous return
  15. 15When can gastric rupture occur?- Post mortem
    - Antemortem
  16. 16How can you tell the difference between post mortem or antemortem gastric rupture?- Dead animals don't bleed
    - Muscle fibres contract further back than the mucosa - increasing haemorrhage
  17. 17What is a erosive and ulcerative gastritis?- Imbalance between mucosal protective factors and the effects of HCl
    - Stress, irregular feeding, NSAIDs, pH, local disturbance to mucosal barrier, heredity
    - Erosions/ulcers = common sequelae of inflammation of epithelial surfaces
    → coagulation necrosis (crater), with crust or not, thrombosed blood vessels. May perforate or haemorrhage. Healing by granulation tissue → fibrous scar
  18. 18What are features of equine erosive and ulcerative gastritis?- Common - Diet, stress
    - Often cardial area (adjacent to margo plicatus)
    - Glandular mucosa (NSAIDs)
  19. 19What are features of ruminant erosive and ulcerative gastritis- Varying severity – usually pyloric region
    - Calves – dietary change (+ stress), mechanical effect (roughage)
    - Dairy – acidosis, abomasal displacement, impaction, torsion, BVD/MD, lymphoma
  20. 20What are features of pig erosive and ulcerative gastritis- Common in housed pigs
    - High carbohydrate + bacteria (e.g. Lactobacillus and Bacillus)
    - Always cardial area (stratified squamous epithelium)
  21. 21What are features of dog and cat erosive and ulcerative gastritis- Mast cell tumour, skin - ↑ circulating histamine →↑ acid secretion
    - Uraemic gastritis – with CRF
    - Gastric and Pancreatic tumours
    - Liver disease (fatty change/ tumour/ cirrhosis)
    - Other diseases associated with vomiting, nausea
    - Helicobacter?
  22. 22Give 2 causes for parasitic gastritis.1. Gasterophilus spp
    2. Ostertagiosis - abomasitis
  23. 23What happens with Gasterophilus spp?- Equine bots (fly larvae)
    - Third instars attach by pincers, cause small craters
    - Site depends on species of fly
    - Can be very numerous → Effects?
  24. 24What happens with ostertagiosis - abomasitis?- Nodules 2-3 mm diameter “Moroccan leather” “cobblestone”
    - Heavy infection – lesions confluent
    - Emergence → epithelial necrosis, sloughing, bacterial infection
    - Contents dark, fetid fluid
    - Causes ill-thrift, loss of protein, oedema, diarrhoea
  25. 25What happens in pigs with oedema disease (enterotoxaemic colibacillosis)?- E. coli infection post-weaning (fastest growing animals)
    - Incoordination, collapse, tremor, convulsions, oedema in skin
    - Marked oedema in stomach wall
    - Vasotoxin (angiotoxin) → endothelial damage to arterial circulation
    ↓
    ↑↑ fluid loss (endotoxic shock)
  26. 26What are the different types of stomach neoplasia that are found?- Gastric adenocarcinoma–most common, often presents as ulceration
    - Leiomyoma, leiomyosarcoma, lymphoma, SCC also occur

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4. Gastrointestinal (Gastrointestinal Tract Pathology - Rute Noiva) Flashcards on Stomach/ Abomasum, created by Rachael Jones on 23/10/2018.
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