Abdominal pain in small animals Flashcards Preview

Alimentary > Abdominal pain in small animals > Flashcards

Flashcards in Abdominal pain in small animals Deck (14):
1

Define acute abdomen

Severe abdominal pain, caused by acute disease or of injury to the internal organs (24-48 hour duration)

2

How to identify an acute abdomen

HISTORY - V/R, anorexia/decreased appetite, lethargy, behaviour, gait, prayer position, grunting, groaning, biting, progression, recent surgery, toxin, medication, FB, urination, defaecation, vaccination, worming, spey/neutered/on-heat, travel history
PE - SPECIFIC (abdominal palpation - pain and its location, fluid thrill versus tympany, physiological changes - tachycardia, tachypnea, panting) AND GENERAL - Triage and general (oral, hydration, rectal exam, temperature, LNs)

3

Plan for acute abdomen

1. DDx
2. diagnostic plan
3. treatment plan
4. follow up plan

4

Physiological approach to DDx for acute abdominal pain

MECHANISMS - distension, inflammation, ischaemia, traction
ORGANS - any in abdomen

5

'Vitamin D' approach to DDx for acute abdominal pain

VASCULAR - thrombosis, haemorrhage
INFECTION/INFLAMMATION/IMMUNE-MEDIATED
TOXIN/TRAUMA
ANOMLAOUS
METABOLIC
IATROGENIC/IDIOPATHIC
NEOPLASIA/NUTRITION
DEGENERATIVE

6

Look alikes of acute abdominal pain - 4

Spinal pain, nervousness, respiratory, hyperaesthesia

7

Stomach cuases

GDV, mesenteric torsion, infarction, ulceration, infection (parvo, HGE), FB, intussusception, toxin, neoplasia

8

Pancreas causes

Pancreatitis, abscesses, neoplasia

9

Liver causes

Torsion, cholangiohepatitis, abscess, bile obstruction

10

Spleen causes

torsion, infarction, haematoma, abscess, neoplasia

11

'Cavity' causes

PERITONEAL vs RETROPERITONEAL
septic peritonitis (GIT, repro, external), uroperitoneum, bile peritonitis, severe distension frm transudate/haemabdomen, abdominal wall trauma

12

Renal causes

infarction, pyelonephritis, neoplasia

13

Bladder/urethral causes

cysititis, calculi, urethral obstruction

14

Reproductive causes

pyometra, dystocia, prostatic abscess, prostatitis