10 - Large Intestinal Diseaes

Question 1

differentials for acute large bowel diarrhea - primary GI

Answer 1

dietary indiscretion, stress, endoparasites, clostridium

Question 2

what is the number one cause of acute large bowel diarrhea

Answer 2

dietary indiscretion

Question 3

what are the four F’s of managment for acute large bowel diarrhea

Answer 3

Food change, fiber, fenbendazole, and fortiflora

Question 4

what diet change should you do for acute large bowel diarrhea

Answer 4

highly digestible, low residue diet

Question 5

novel protein diets are not indicated for

Answer 5

acute diarrheas

Question 6

soluble fiber

Answer 6

fermented, absorbs water, SCFAs

Question 7

SCFAs are an

Answer 7

energy source for coloncytes

Question 8

Butyrate

Answer 8

anti inflammatory

Question 9

insoluble fiber has what properties

Answer 9

fecal bulking

Question 10

probiotics have been shown to decrease

Answer 10

duration of acute diarrhea

Question 11

Differentials for chronic large bowl diarrhea

Answer 11

stress colitis, tritrichomonas blagburni, inflammatory enteropathy, colonic polpys , infectious, and hisocytic ulcerative colitis

Question 12

signalment for tritrichomonas

Answer 12

young cats less than 2, shelter, or purebred

Question 13

Histoplasmosis can affect

Answer 13

small or large bowel causing severe intestinal thickening

Question 14

histoplasmosis organisms may be detected on

Answer 14

rectal scraping, lymph node aspirates, colonic biopsies

Question 15

best way to diagnose histoplasmosis

Answer 15

histoplasma urine antigen

Question 16

signalment for histiocyte ulcerative colitis

Answer 16

young, boxers, french bull dogs, english bull dogs

Question 17

what are the clinical signs of ulcerative colitis

Answer 17

severe large bowel diarrhea, weight loss

Question 18

what is being invasive in histiocytic ulcerative colitis

Answer 18

E coli

Question 19

how do you diagnose histiocytic ulcerative colitis

Answer 19

macrophage infiltration from PAS positive staining

Question 20

how do you treat histiocytic ulcerative colitis

Answer 20

fluoroquinolone for 8 weeks

Question 21

if no response to other F’s, what should you do for chornic large bowel diarrhea

Answer 21

hypoallergenic diet for food responsive disease

Question 22

what are the indications for colonoscopy

Answer 22

chronic large intestinal diarrhea, normal bloodwork, no response to 4F’s , uncontrollable hematochezia, suspect colonic mass

Question 23

colonoscpy requires how many hour clean out

Answer 23

36 hour

Question 24

consti[ation

Answer 24

infrequent, difficult evacuation of feces

Question 25

obstipation

Answer 25

intractable cnspiratory refractory to cure or control

Question 26

Megacolon

Answer 26

irreversible dilation of the colon not caused by mechanical obstruction

Question 27

Treatment for Colonic IBD

Answer 27

hypoallergenic diet

Question 28

constipation differentials

Answer 28

inflammation, neuromuscular, mechanical obstruction, metabolic and endocine, pharmacologic, environmental & behavioral

Question 29

inflammation causing constipation can come from

Answer 29

chronic colitis, perianal inflammation or anal sac abcess

Question 30

3 types of mechanical obstruction causing constipation

Answer 30

intraluminal, intramural, extraluminal

Question 31

metabolic differentials for constipation

Answer 31

dehydration and hypokalemia

Question 32

what is teh last resort for constipation

Answer 32

subtotal colectomy

Question 33

clinical signs of anorectal disease

Answer 33

dyschezia, hematocheszia, fecal retention, scooting, flattened stool

Question 34

perianal fistula

Answer 34

ulcerative tracts in perianal region

Question 35

clinical signs of perianal fistula often concurrent with

Answer 35

diarrhea

Question 36

managment of perianal fistula

Answer 36

modified cyclopsorine