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Extra info for Diagnostic Techniques in Equine Medicine. A textbook for students and practitioners describing diagnostic techniques applicable to the adult horse
Passage of a well-lubricated hand along the oedema44 Gut rupture Rupture of the stomach or intestine can be diagnosed on the basis of the roughened granular feel to the surface of the gut due to adherent particles of food. Emphysema of the bowel wall or gaseous distension of the abdominal wall may also be detected. Gas and fluid within the peritoneal cavity separate the loops of bowel, and movement of the arm is less restricted than would be expected when multiple loops of intestine are present.
Normal structures The normal structures palpable in the left dorsal quadrant include the spleen, the caudal pole of the left kidney and, linking the two, the nephrosplenic ligament (Fig. 7). Moving to the right and extending forwards in the midline below the spine, the root of the mesentery can be palpated – although in large horses the reach may be difficult. Specific arterial identification may be impossible and it is frequently easier to identify the caecocolic artery at the base of the caecum rather than the cranial mesenteric artery.
The teeth on this side may also be palpated by careful insertion of the fingers inside the cheek. In general, providing the tongue is held between the horse’s teeth on the opposite side, it will not attempt to bite the examiner’s hand for fear of biting its own tongue. However, a gag and torch or a headlamp designed to be worn by the veterinarian are highly recommended to adequately and safely examine all the teeth without injury to the clinician or horse. 1 Examination of the mouth using the tongue as a gag.