Define acute form (3)
Sudden onset
May be life threatening
More common in dogs
Define chronic form (3)
May be asymptomatic
May result from repeated acute pancreatitis
More common in cats
Pathophysiology
Inflammation of pancreas due to auto-digestion
Pancreatic enzymes released into circ.
Causes severe systemic complications
Most common cause
Idiopathic
Other causes (5)
Obesity High fat diet Severe blunt trauma Toxin ingestion Bile duct obstruction
May be secondary to (4)
Infection
Cushings
Hypothyroidism
D.mellitus
Acute clinical signs (6)
Severe abdominal pain and distension Pyrexia Vomiting Diarrhoea Dehydration Anorexia
Chronic clinical signs (3)
Vague and variable
May be asymptomatic
Weight loss
Diagnosis (8)
Hx/cs/exam Haem/biochem/urinalysis - underlying conditions/cause Trypsinogen-like immunoreactivity Canine pancreatic lipase immunoreactivity Assessment of amylase/lipase FNA Ultrasound Radiography
Special consideration when nursing
Painful in cranial abdomen
- careful handling
Pancreatic diet properties (2)
Low fat
Enzyme supplementation