Podcast
Questions and Answers
What type of therapy is primarily used for managing inflammatory bowel disease (IBD)?
What type of therapy is primarily used for managing inflammatory bowel disease (IBD)?
- Immunosuppressive therapy (correct)
- Enzyme replacement therapy
- Nutritional therapy
- Antibiotic therapy
Which factor is NOT mentioned as influencing prognosis and welfare in conditions related to large intestinal diarrhea?
Which factor is NOT mentioned as influencing prognosis and welfare in conditions related to large intestinal diarrhea?
- Comorbidities
- Stage and grade of neoplasia
- Age of the animal (correct)
- Severity of the condition
Which is a preventive measure mentioned for managing large intestinal disorders?
Which is a preventive measure mentioned for managing large intestinal disorders?
- Regular use of pain medication
- Immediate surgery when symptoms appear
- Increased fiber intake
- Vaccination and deworming (correct)
What approach should be taken to manage dietary needs in animals with chronic conditions?
What approach should be taken to manage dietary needs in animals with chronic conditions?
What does NOT indicate a treatment option for surgical intervention in large intestinal diarrhea?
What does NOT indicate a treatment option for surgical intervention in large intestinal diarrhea?
What is an appropriate length for an exclusion diet trial when diagnosing gastrointestinal issues?
What is an appropriate length for an exclusion diet trial when diagnosing gastrointestinal issues?
Which of the following is NOT a recommended treatment option for large intestinal diarrhoea?
Which of the following is NOT a recommended treatment option for large intestinal diarrhoea?
What type of protein should be used in a restricted novel protein diet trial?
What type of protein should be used in a restricted novel protein diet trial?
Which medication is classified as a proton pump inhibitor used in gastrointestinal treatment?
Which medication is classified as a proton pump inhibitor used in gastrointestinal treatment?
When should antibiotics be used in treating gastrointestinal issues?
When should antibiotics be used in treating gastrointestinal issues?
Which of the following is commonly used to treat ulceration of the gastrointestinal mucosa?
Which of the following is commonly used to treat ulceration of the gastrointestinal mucosa?
Which of the following treatments is most appropriate for addressing inflammation in the gastrointestinal tract?
Which of the following treatments is most appropriate for addressing inflammation in the gastrointestinal tract?
What type of therapy is primarily used to replenish fluid and electrolytes in cases of large intestinal diarrhoea?
What type of therapy is primarily used to replenish fluid and electrolytes in cases of large intestinal diarrhoea?
Which of the following laboratory tests is primarily used to assess renal disease?
Which of the following laboratory tests is primarily used to assess renal disease?
What is the purpose of conducting a SNAP test during faecal examination?
What is the purpose of conducting a SNAP test during faecal examination?
Which condition requires the administration of ACTH stimulation tests?
Which condition requires the administration of ACTH stimulation tests?
What does the presence of non-regenerative anemia and eosinophilia suggest?
What does the presence of non-regenerative anemia and eosinophilia suggest?
Which of the following is NOT a common cause to rule out when investigating large intestinal diarrhea?
Which of the following is NOT a common cause to rule out when investigating large intestinal diarrhea?
Which clinical parameter is an essential part of the physical examination when assessing hydration status?
Which clinical parameter is an essential part of the physical examination when assessing hydration status?
What type of biochemistry test elevation indicates a possible issue in the liver?
What type of biochemistry test elevation indicates a possible issue in the liver?
For evaluating exocrine pancreatic insufficiency, which test is specifically used?
For evaluating exocrine pancreatic insufficiency, which test is specifically used?
What additional imaging modality might be useful to assess gastrointestinal dysfunction?
What additional imaging modality might be useful to assess gastrointestinal dysfunction?
When analyzing biochemical levels, what does a mild elevation in alanine aminotransferase (ALT) usually indicate?
When analyzing biochemical levels, what does a mild elevation in alanine aminotransferase (ALT) usually indicate?
What type of diarrhoea is characterized by increased frequency and volume?
What type of diarrhoea is characterized by increased frequency and volume?
Which of the following findings would be typical in large intestinal diarrhoea?
Which of the following findings would be typical in large intestinal diarrhoea?
What differentiates chronic small intestinal diarrhoea from acute small intestinal diarrhoea?
What differentiates chronic small intestinal diarrhoea from acute small intestinal diarrhoea?
Which of the following is NOT a cause of acute small intestinal diarrhoea?
Which of the following is NOT a cause of acute small intestinal diarrhoea?
What is a common characteristic of small intestinal diarrhoea compared to large intestinal diarrhoea?
What is a common characteristic of small intestinal diarrhoea compared to large intestinal diarrhoea?
Which disease is a typical cause of chronic large intestinal diarrhoea?
Which disease is a typical cause of chronic large intestinal diarrhoea?
What is a likely outcome of increased intestinal permeability?
What is a likely outcome of increased intestinal permeability?
Which clinical sign indicates large intestinal diarrhoea?
Which clinical sign indicates large intestinal diarrhoea?
If an animal presents with haematochezia, what type of diarrhoea is indicative?
If an animal presents with haematochezia, what type of diarrhoea is indicative?
Which of the following would NOT be a factor in diagnosing large intestinal diarrhoea?
Which of the following would NOT be a factor in diagnosing large intestinal diarrhoea?
What kind of diarrhoea results from excessive secretion in the small intestine?
What kind of diarrhoea results from excessive secretion in the small intestine?
In which case would diarrhoea typically present with undigested food?
In which case would diarrhoea typically present with undigested food?
What type of intervention might be appropriate for a patient diagnosed with inflammatory bowel disease leading to chronic diarrhoea?
What type of intervention might be appropriate for a patient diagnosed with inflammatory bowel disease leading to chronic diarrhoea?
In the evaluation of an animal's dietary history, which of the following could indicate a cause of diarrhoea?
In the evaluation of an animal's dietary history, which of the following could indicate a cause of diarrhoea?
Flashcards
Inflammatory Bowel Disease (IBD)
Inflammatory Bowel Disease (IBD)
Inflammation of the intestines, often in dogs and cats, characterized by diarrhea, vomiting, and weight loss.
Surgical Treatment for Large Intestinal Diarrhea
Surgical Treatment for Large Intestinal Diarrhea
A type of surgical treatment for large intestinal diarrhea that involves removing a section of the intestine containing a tumor or other diseased tissue.
Immunosuppressive Therapy
Immunosuppressive Therapy
Medications used to suppress the immune system and manage inflammatory bowel disease in animals.
Intestinal Parasites
Intestinal Parasites
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Preventive Measures for Large Intestinal Diarrhea
Preventive Measures for Large Intestinal Diarrhea
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Intestinal Biopsy
Intestinal Biopsy
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Exclusion Diet Trial
Exclusion Diet Trial
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Restricted Novel Protein Diet
Restricted Novel Protein Diet
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Hydrolysed Protein Diet
Hydrolysed Protein Diet
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GI Protectants
GI Protectants
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Proton Pump Inhibitors (PPIs)
Proton Pump Inhibitors (PPIs)
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Mucosal Binding Agents
Mucosal Binding Agents
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Probiotics
Probiotics
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Physical examination
Physical examination
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Haematology
Haematology
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Biochemistry
Biochemistry
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Faecal examination - Microscopy and flotation
Faecal examination - Microscopy and flotation
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SNAP test
SNAP test
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Albumin and globulin
Albumin and globulin
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Pancreatic lipase immunoreactivity test
Pancreatic lipase immunoreactivity test
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Total T4 and TRH stimulation test
Total T4 and TRH stimulation test
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ACTH stimulation test
ACTH stimulation test
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Radiography
Radiography
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What is diarrhoea?
What is diarrhoea?
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When do you call it diarrhoea?
When do you call it diarrhoea?
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Where is it originating from?
Where is it originating from?
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What form of diarrhoea is it?
What form of diarrhoea is it?
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Small intestinal diarrhoea: Features
Small intestinal diarrhoea: Features
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Large intestinal diarrhoea: Features
Large intestinal diarrhoea: Features
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Acute small intestinal diarrhoea: Causes
Acute small intestinal diarrhoea: Causes
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Chronic small intestinal diarrhoea: Causes
Chronic small intestinal diarrhoea: Causes
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Chronic small intestinal diarrhoea: Inflammatory diseases
Chronic small intestinal diarrhoea: Inflammatory diseases
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Chronic small intestinal diarrhoea: Lymphatic disorders
Chronic small intestinal diarrhoea: Lymphatic disorders
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Acute large intestinal diarrhoea: Causes
Acute large intestinal diarrhoea: Causes
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Chronic large intestinal diarrhoea: Causes
Chronic large intestinal diarrhoea: Causes
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Diarrhoea: Volume
Diarrhoea: Volume
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Diarrhoea: Appearance of Blood
Diarrhoea: Appearance of Blood
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Diarrhoea: Effects on Weight
Diarrhoea: Effects on Weight
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Diarrhoea: Straining
Diarrhoea: Straining
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Study Notes
Approach to Diarrhea in Companion Animals
- Learning objectives include constructing a differential diagnosis list for diarrhea, selecting appropriate diagnostics, determining medical and surgical interventions for diarrhea-related diseases, evaluating prognosis and welfare implications of treatment options, and identifying disease prevention measures.
Definition of Diarrhea
- Diarrhea is defined as an increase in the frequency, fluidity, and/or volume of bowel movements.
- It's characterized by different forms, including osmotic, secretory, and dysmotility.
- Osmotic diarrhea results from excess fluid in the intestinal lumen, frequently affecting absorption.
- Secretory diarrhea is caused by excessive secretion within the small intestine, impacting absorption.
- Dysmotility, usually secondary to other factors, increases intestinal motility.
Small vs. Large Intestinal Diarrhea
- Small intestinal diarrhea:
- Frequency: Normal to mild increase
- Urgency: Normal
- Mucus: No
- Straining: No
- Blood: Melena(digested blood)
- Volume: Increased
- Large intestinal diarrhea:
- Frequency: Increased
- Urgency: Increased
- Mucus: Yes
- Straining: Yes
- Blood: Haematochezia (fresh blood)
- Volume: Normal to mild increase
Acute Small Intestinal Diarrhea
- Infectious: Bacteria, parasites, viruses
- Obstructive: Foreign body, intussusception, volvulus
- Extra-intestinal: Renal failure, hepatic disease, acute pancreatitis
- Dietary: Insecticides, heavy metals, changes in diet, overfeeding, intolerance and sensitivity
- Toxic: Drugs
Chronic Small Intestinal Diarrhea
- Dietary: Food-responsive chronic enteropathy, gluten-sensitive enteropathy
- Inflammatory diseases: Chronic gastritis, chronic enteritis, plasmocytic-lymphocytic enteritis, eosinophilic gastroenteritis, hemorrhagic gastroenteritis
- Ulceration of GI mucosa: Acute infectious enteritis, gastric ulcers, parasitic enteritis, intestinal carcinoma
- Disorders of intestinal lymphatics: Mesenteric neoplasms, congestive heart failure, congestive pericarditis, lymphosarcoma
Acute Large Intestinal Diarrhea
- Infectious: Parasitic (whipworm, hookworm, giardia, tritrichomonas), bacterial (campylobacter, clostridia)
- Acute non-specific colitis:
- Obstructive:
- Infectious:
Chronic Large Intestinal Diarrhea
- Inflammatory bowel disease:
- Parasitic:
- Neoplasia:
Investigation of Large Intestinal Diarrhea
- History taking (diet, behaviour, vaccination, activity changes, individual or herd status)
- Physical examination (hydration status, temperature, pulse, respiration, body condition, mucus membrane colour, abdominal palpation)
- Emergency testing (blood tests, urine tests, fecal examination, faecal tests, biochemistry, haematology)
- Diagnostic imaging
Diagnostic Plans for Large Intestinal Diarrhea
- History taking: Diarrhea?, Infectious?, Acute/Chronic? Localisation?
- Physical Exam: Hydration, Body condition, Mucous membrane colour, Abdominal Palpation
- Laboratory tests: Haematology, Biochemistry, Faecal examination (microscopy, flotation, SNAP tests like Giardia, Parvo, FeLV, FIP), Faecal culture.
- Imaging: Radiographs (Thorax and abdomen), Ultrasound
- Additional Considerations: Rule out extra-intestinal causes, exclusion diet trial(4-8 weeks)
Rule Out Extra Intestinal Causes
- Exocrine pancreatic insufficiency
- Pancreatitis
- Renal diseases
- Hepatic insufficiency
- Hyperthyroidism
- Hypoadrenocortism
Treatment of Large Intestinal Diarrhea
- Fluid therapy: Crystalloids/Colloids, blood transfusion
- Antibiotics (when applicable):
- Anthelmintics: Praziquantel, Pyrantel, Milbemycin, Fendbendazole/Metronidazole
- Adsorbents: Kaolin, Montmorillonite
- GI protectants: H2 receptor antagonists, proton pump inhibitors, mucosal binding agents
- Probiotics/Prebiotics
- Vitamin supplementation: Folate, Cobalamin
- Nutrition:
Surgical treatment
- Surgical treatment is dependent on the site of neoplasia, correction surgery for intussusception, and removal of foreign bodies.
Prognosis and Welfare
- Dependent on severity, comorbidities, neoplasia stage and grade, and dietary compliance.
- Consideration should be given to chronic conditions that may not respond to treatment. (Pain/discomfort management is crucial.)
Preventative Measures
- Controlling infectious agents via vaccination and deworming.
- Good hygiene and herd health management.
- Client education on dietary changes, nutrition and feeding methods.
- Senior health monitoring for co-morbidities.
- Behavior modification for compulsive and scavenging dogs.
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