Acute and Chronic Diarrhea Flashcards Preview

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Flashcards in Acute and Chronic Diarrhea Deck (23):
1

diarrhea in adults =

colitis

2

infectious etiologies of acute diarrhea

salmonellosis - typhlocolitis
clostridial
potomac horse fever
rotavirus in foals

3

infectious etiologies for chronic diarrhea

salmonella
PE (keep in the back of your mind for DDx)

4

4 clinical syndromes of salmonella

carrier
depression, fever, anorexia, neutropenia and no diarrhea
enterocolitis with diarrhea
septicemia

5

what is the rule for sneding into isolation?

2 of 3
fever, neutropenia, diarrhea

6

Risk factors for PHF

later summer/fall
near water - trematodes, snails

7

Who does PE (lawsonia) normally hit? what wuill you see?

3-7 month old weanlings, but can hit adults.
see ill thrift, weight loss, etc.
Fever and hypoalb in adults is a key-on

8

Tx and Prog of lawsonia PE

DXC and very good to treat

9

DDx of Chronic Diarrhea

Gran enteritis
MEED
Idiopathic eosionophilic colitis
lymphocystic-plasmacytic enteritis
neoplasia

10

Classic CLinical signs of chronic diarrhea

malab
maldigestion

11

when do we need a definitive dx for diarrhea/

zoonoses
biosecurity
special treatment
prognosis
cost

12

Etiology of PHF

neorickettsia risticii

13

With the fecal sample what to do to rule in/out some pathogens

serology - lawsonia, neorick
FEC
settle for sand
ELISA - CLost diff and perfringens
PCR - clost toxins

14

If chronic diarrhea, what is a good idea to do

intestinal biopsies
absorption tests

15

Rads only use for diarrhea is

sand

16

US only use for diarrhea is

thickened colonic wall

17

Which is better, d glucose or d xylose test

d-glucose is sensitive but not specific
d xylose is great (doesn't affect insulin, but is by renal function), but labs don't often run it.

18

DDx list for positive D_Glucose test

lymphoma
IBD - LP, E, MEED
Cyathostomiasis
chronic colitis (salmonella)
allergies
SIBO

19

in prevent diarrhea problems, what is an important thing to do?

address the feet and put them in ice

20

What do you never give to horses ever?

DXC?

21

How do they treat endotoxemia?

Polymixin B, but is nephrtoxic and comes in on EDR

22

When are fibrinogen levels bad?

4

23

what amount above baseline indicates normal absorption on glucose absorption test

> 85%