Please enable JavaScript.
Coggle requires JavaScript to display documents.
Uroperitoneum in foals (Immediate therapy (Peritoneal drainage, 0.9% NaCl…
Uroperitoneum in foals
-
Diagnostic approach
CBC/Biochem: haemoconcentration, azotaemia, hyponatraemia, hypokalaemia, hypochloraemia, metabolic acidosis (decreased AG and low HCO3)
Abdominocentesis: compare peritoneal to serum creatinine (greater than/equal to 2:1 is diagnostic for uroperitoneum) and use cytology to ID peritonitis or GIT compromise.
Ultrasound: peritoneal fluid/fluid wave, bladder/urachal tears
PE: depressed/weak, bradycardia, potentially signs of sepsis, dehydration, fluid wave on abdominal ballottement
-
ECG: assess for bradycardia, prolonged QRS, increased P wave duration, or A-V conduction disturbances.
Immediate therapy
-
-
Treatment of hyperkalaemia if severe (Ca gluconate to protect myocardium, dextrose/insulin, rarely NaHCO3)
Systemic antimicrobials if evidence of sepsis (swollen joints/navel, diarrhoea, pneumonia, injected mucous membranes) or peritonitis: penicillin + gentamicin (or TMS/Ceftiofur if renal compromise). Additional metronidazole if diarrhoea/concerned about anaerobic involvement.
-
-
-
-
Risk factors
-
-
-
Prematurity, NE, FPT, Sepsis
Complicating factors
Sepsis, hypoxaemia, pneumonia, peritonitis, acute respiratory distress syndrome
Ongoing therapy
-
Surgical
Abdominal lavage, drainage and usually resection of umbilical remnants