Eidgenössisches Examen Veterinärmedizin Practice Questions - Eidgenössisches Examen In Veterinärmedizin Examen Fédéral De Médecine Vétérinaire Exam

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An 8-year-old Warmblood gelding presents with acute, severe colic signs (pawing, sweating, violent rolling) of 3 hours' duration. Nasogastric intubation yields 12 liters of foul-smelling, reddish-brown gastric reflux. Transrectal palpation reveals distended, turgid small intestinal loops ('bicycle tires') in the caudal abdomen. Heart rate is 72 bpm, mucous membranes are congested, and blood lactate is 4.8 mmol/L. What is the mandatory management recommendation?

Administer repeat doses of flunixin meglumine and mineral oil via nasogastric tube and re-evaluate in 12 hours Initiate aggressive oral rehydration therapy with 40 liters of isotonic electrolytes via stomach tube Perform emergency surgical exploratory celiotomy (laparotomy) for suspected small intestinal strangulating obstruction (e.g., epiploic foramen entrapment or strangulating lipoma) Administer intramuscular xylazine and perform standing left flank laparoscopy to evacuate the cecum

Correct Answer:

Perform emergency surgical exploratory celiotomy (laparotomy) for suspected small intestinal strangulating obstruction (e.g., epiploic foramen entrapment or strangulating lipoma)

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