Exam 2 - GI Webb/Lappin Flashcards
(27 cards)
“Nugget” Sphynx chronic diarrhea differentials
parasites
IBD
diet - allergy/insensitivity
GI lymphoma
“Oscar” DLH chronic intermittent vomitting differentials
constipation/megacolon
CKD
hyperthyroidism
what are the treatments for constipation
- fluids
- psyllium enriched moderate insoluble/soluble fiber diet
- cisapride
“spike” DMH anorexia and lethargy differentials
cholangitis
pancreatitis
IBD
–> triaditis
5 findings of pancreatitis on radiograph
soft tissue opacity
decreased serosal detail
wide pyloric duodenal angle
gas filled duodenum
corrugated small intestines
cholangitis findings on US
thick GB wall
echogenic particulate matter
tortuous and dilated cystic and common bile duct
what are we concerned about with feline triaditis
feline hepatic lipidosis
- increased ALP
treatment for feline hepatic lipidosis
first thing to do is place NG or E tube to get nutrition in them
vomiting or regurgitation
Active retching always
Marked abdominal effort
May contain bile
Typically ingesta looks digested (can be undig)
Typically long time after eating (can be soon)
Rarely tube-shaped
Rarely composed of just saliva
Retching often noisy
Rarely occurs >1-2x/day for 1-2 days
Rarely try to ingest ingesta after
Nausea or Salviation
vomiting
vomiting or regurgitation
Usually no retching
Passive process
Usually no bile
Typically ingesta looks undigested (can be dig)
Typically soon after eating (can be long)
Can be tube-shaped
May consist of just white frothy saliva
May be quiet
Frequency can occur >5x/day for weeks
Frequently try to ingest ingesta after
regurgitation
small bowel or large bowel diarrhea
Increased volume of feces
Normal-increased frequency of defecation
Flatulence, steatorrhea (reduced absorption)
Melena (tarry, black)
Weight loss
No urgency or dyschezia or mucus
Vomiting may occur
small bowel diarrhea
small bowel or large bowel diarrhea
Small volume of feces
Increased frequency of defecation
Mucus in feces
Hematochezia (frank, red)
Tenesmus (straining)
Pain or urgency to defecate
Infrequent vomiting
large bowel diarrhea
treatment for tritrichomonas foetus/blagburni
Ronidazole
Pradofloxacin
fortiflora
risk of ronidazole
neutrotoxicity
treatment for Giardia
febantel/fendendazole
Drontal plus
not metronidazole bc damages microbiome
high fiber diet + probiotics
treatment for Isospora spp.
Ponazuril (toltrazuril) – coccidio-cidal, may sterilze bowel
Sulfadimethoxine
treatment for a dog or cat with Cryptosporidium and best test
dog - Tylosin
cat - Azithromycin
PCR
in hospital treatment for Parvovirus
IV fluids
Cefoxitin
Maropitant
NG tube + highly digestable bland food ASAP + probiotics
outpatient protocol for puppy with parvovirus
IV fluids before discharge
at home SQ fluids
Maropitant
Cefovecin
oral support
amikacin and gentamicin concerns
nephrotoxicity
treatment for cat with Salmonella “songbird” treatment
diarrhea only - probiotics + diet
fever/bacteremia - Ampicillin or if septic Quinolones
boxer with colitis
cause?
treatment?
E.coli
Enrofloxacin
tritrichomonas diagnostics
wet mount
PCR
giardia diagnostics
fecal float w/ centrifuge - cyst
antigen assay
IFA w/ crypto (lappin preferred test, gold standard)
wet mount - troph
PCR (least)
