Avoidance and management of stress related dx Flashcards
(35 cards)
Revision - what are the two main emotional systems?
- Desire seeking, social play, lust, care
- Fear/ anxiety, frustration, panic grief, pain
What common problems areas associated with EH and PH interplay?
- GI
- Skin problems
- Eyes/ areas
- Oral dx
- Cardioresp
- Obesity
- Urogenital
Pain can be things …?
Physiological, inflammatory and neuropthic
What is chronic pain associated with ?
Depressive-like symptoms
What happens with continued and prolonged stress?
may disturb the HPA axis to such an extent that
the negative feedback mechanisms are disrupted; the adaptive responses of the
HPA axis may then become maladaptive.
Low levels of serotonin …= ?
Found to be relevant in increased pain sensitivity
How to take a bhvr history?
» Done while taking medical history.
» Look for incidents or events that could be related to the behaviour change/clinical signs.
» Best map it in a timeline.
» Use specific terminology to describe behaviour/ findings not anthropomorphic terminologies
What can commonly be emotional disorders manifesting as physical disorders ?
»Urinary disorders – Feline Idiopathic
Cystitis, Feline urological syndrome
»Gastrointestinal disorders – IBD,
stomatitis, gingivitis, gut stasis
(rabbits/rodents), constipation
»Neurological type disorder- Feline
Hyperesthesia Syndrome (FHS)
»Obesity
FIC - Describe
- neurohormonal abnormality complex
- Tx aimed to dec central noradrenergic drive important in reducing signs of FIC
C/S of FIC?
- Change in bhvr, inappropriate urination, excessive grooming, vocalisation
What problems with FIC?
- Genetics
- Rearing
- Husbandry
- Emotional conflict
- Confidence
- Self confidence
- Environment
Environmental optimising strategies?
» Prey preference
» Scratching preference
» Safe space – rest space, hunting space
» Feeding – location, space, routine,
» Water – location, amount
» Resource spacing
» Litter tray – substrate, location, numbers, type
Behaviour modification ?
» Reduce conflict
» Avoid change in lifestyle.
» Positive association – training for health
» Increase confidence – seize punitive tx, praise small wins
Drug/pheromone Therapy ?
- Inc self confidene
- Inc feeling of a safe space
Analgesia
Feline hyperesthesia syndrome C/S?
dilated pupils ; sudden excitaiton, biting tail, vocalisation,
General info for feline hyperesthesia syndrome?
- Disorder poor pathophysiology
- Must rule out other conditions
- Often brought in as a neurological problem
Differentials for Feline hyperesthesia syndrome?
- Derm
- Bhvr
- Orthopaedic
- Neurological brain tumours
What to do for feline hyperesthesia syndrome?
- Optimising environment
- Address emotional arousal
- Provide safe space to rest and hide
- Pain management
Describe GI disorders
- Prolonged/acute stress affect GI through different mechanisms eg microbiome, permeability, inflammatory response
- Inc Sympathetic NS and lack of cortisol inhibition can lead to inc tissue permeability
Bhvr signs of GIT ?
Change in defecation pattern , stool consistently, feeding eg conpulsive eating, PICA
Risk factors to Obesity associated with negative or conflicted emotional states
- Poor diet & feeding
- Social stress
- Lifestyle
- Owner’s behaviour
- Co-existing health problems
- Genetics & Gender
Diagnosis of Obesity (Bhvr motivated) ?
- Behaviour history
- Videos/ Photo
- Rule out other conditions eg DM, Hypothyroidism
- Emotional motivation – F/A?
- Eating pattern- compulsive, PICA
Tx & Management for Obesity?
- Change feeding pattern – slow feeder, puzzle, scatter
- Reduce emotional conflict
- Pain management
- Safe feeding space
- Establish normal feeding pattern eg predatory feeding in cats
- Treat emotional disorder - drugs/pheromone/ nutraceuticals
Physical disorders contributing to emotional conditions ?
- Epilepsy
- Pseudopregnancy