Down with the Sickness
The side of the abdomen that a cecal pathology will be felt on rectal palpation.
What is the right side?
The location of a cecal ping
What is the right paralumbar fossa, extending caudally to the tuber coxae?
Push this organ towards the body wall instead of pulling towards the body wall
What is the cecum?
The type and size of suture that should be used to close the typhlotomy incision.
What is absorbable, monofilament, 2-0 suture? (e.g PDS, monocryl)
The layers of tissue incised on a R-flank surgical approach.
What are the skin, external abdominal oblique, internal abdominal oblique, transversus abdominis, and peritoneum?
When the cecal apex is displaced cranially, instead of being in the pelvic inlet.
What is retroflexion?
These two cecal disorders should not be medically managed
What are cecal volvulus and cecal dilatation with retroflexion?
This organ is located ventral to cecum
What is the spiral colon?
These three inverting suture patterns can be used to close the typhlotomy site.
What are Cushing/Connell, Lembert, and Utrecht?
This should be done after emptying the cecal contents and closing the typhlotomy incision.
What is change into new gloves and sleeves?
These molecules in high concentration are thought to be a contributing factor to cecal dilatation and dislocation.
What are volatile fatty acids?
The three most important drugs used for pre- and post-surgical management of a typhlotomy
What are lidocaine, antibiotics (cephalosporins or penicillins), and NSAIDS (flunixin or meloxicam)
The apex of the cecum points this direction
What is caudally
This should be done if the cecum refills after closing the typhlotomy incision.
What is re-open and re-empty cecum contents?
Obstructions are often found in this junction of the GI tract.
What is the ileocecal junction?
Clinical signs and PE findings that this cow may have a cecal disorder.
What are acute colic, decreased fecal production, decreased/off feed, right-sided abdominal distention, elevated heart rate, decreased rumen contractions, R-PLF ping?
Three common lab abnormalities associated with cecal disorders.
What are hypocalcemia, hypochloremia, and hypokalemia? (Metabolic alkalosis can also be added)
If possible, this procedure is performed in the abdomen before the typhlotomy.
What is abdominal explore?
This size and type of suture should be used to close the abdominal wall.
What is #2 absorbable (chromic gut) suture?
The distance, in centimeters, below the paralumbar fossa that the incision should be started.
What is 10 centimeters?
This can be felt on rectal palpation when a cow has cecal volvulus.
What is a taught ileocecal fold?
A cecal dilatation with mild clinical signs (still eating, fecal output only slightly reduced) can be medically managed with these three categories of therapy
What are prokinetics (bethanecol or neostigmine), fluid therapy (drench or IV), and purgative therapy (mineral or paraffin oil)?
This can be injected into the submucosa of the cecum before making an incision or performing a typhlectomy
What is lidocaine?
Closure of the abdominal wall should be performed in this direction.
What is ventral to dorsal?
Two common post-operative complications.
What are incisional infection and peritonitis?