Page 761 - The Veterinary Care of the Horse
P. 761

OBSERVATION OF THE RESPIRATORY PATTERN

        Fast, shallow breathing often accompanies severe colic.
  VetBooks.ir  EXAMINATION OF THE MUCOUS MEMBRANES




        The gums of a healthy horse are a pale salmon-pink colour. In a serious colic they change
        colour, becoming redder, bluish purple or greyish white. The conjunctival membranes turn
        from salmon pink to brick red as the horse becomes toxic and circulatory changes occur.



        MEASUREMENT OF CAPILLARY REFILL TIME

        Pressing firmly on the horse’s gum blanches the mucous membrane. The pink colour should
        return within three seconds. Failure to do so indicates circulatory shock.



        CHECKING IF THE HORSE IS DEHYDRATED

        This will be assessed from the skin tone and inspection of the mucous membranes.


        ASSESSING IF THE ABDOMEN IS DISTENDED


        Accumulation  of  gas  and  food  material  in  the  intestines  may  lead  to  painful  abdominal
        distension.


        RECTAL EXAMINATION


        A lot of valuable information can be obtained by the vet performing a rectal examination.
        The vet will feel for:
        •    droppings in the rectum, to see if digested food material is still passing through the horse

        •    the consistency of the droppings, to see if the horse has diarrhoea or is constipated

        •    impaction of the large bowel

        •    loops of small intestine (normally not palpable) distended by gas

        •    tight bands of tissue and sites of acute pain indicating bowel displacement
        •    with a severe displacement, the rectum may be so tight that internal examination is not

             possible.



        PASSING A STOMACH TUBE
        A  warmed,  flexible  stomach  (nasogastric)  tube  may  be  passed  up  one  nostril,  into  the

        pharynx.  When  the  horse  swallows,  the  tube  is  pushed  down  the  oesophagus,  into  the
        stomach  (Figure  17.6).  This  procedure  may  be  helpful  in  establishing  a  diagnosis.  For

        example,  reflux  of  a  large  amount  of  gas  or  fluid  suggests  that  the  problem  lies  in  the
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