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Can you solve this puzzle?

Test your veterinary knowledge with our monthly Brain Teaser

April 29, 2020

By Phil Zeltzman, DVM, DACVS, CVJ, Fear Free

Presentation

Your laparotomy unexpectedly reveals a septic abdomen and general peritonitis in a 30-kg (66-lb.) Labrador.

Question 1: Which philosophy is correct?
	My goal is to remove the source of contamination and close the abdomen.
	My goal is to remove the source of contamination, lavage the entire abdomen, and close the patient.
	My goal is to remove the source of contamination, only lavage the contaminated area to prevent spreading infection, and close the abdomen.

Question 2: After lavaging, the immediate next step is:
	To remove as much of the fluid as possible to avoid fluid reabsorption and hemodilution.
	To remove most of the fluid to facilitate peristalsis (i.e. avoid dry abdomen syndrome).
	To remove as much of the fluid as possible to allow chemotaxis and phagocytosis by white blood cells.

Question 3: An indirect benefit of using warm, sterile lavage fluid is:
	To preventing tissue desiccation due to exposure to room air.
	To increase the patient’ body temperature.
	To combat hypotension via fluid reabsorption and rehydration.

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