11: Chronic diarrhoea

Question 1

What is the only type of colitis that causes systemic signs?

Answer 1

Histiocytic colitis

Question 2

Ddx chronic diarrhoea?

Answer 2

Dietary indiscretion, chronic inflammatory, infection, fat maldigestion, local irritation, neoplasia, irritable colon, uraemic colitis

Question 3

What are the different types of chronic inflammatory colitis?

Answer 3

Lymphocytic-plasmacytic, eosinophilic, granulomatous, histiocytic

Question 4

What do you often add to a hypoallergenic diet in colitis?

Answer 4

Fibre (fermentable and unfermentable)

Question 5

In which types of diarrhoea do you NOT add fibre?

Answer 5

Cats, SI, pancreatitis, gastritis

Question 6

Ddx chronic SI/mixed?

Answer 6

Dietary, chronic infection, pancreatic disease (pancreatitis, neoplasia, EPI), inflammatory, obstruction, neoplasia, lymphangiectasia, congestion, brush border enzyme deficits, short bowel syndrome, liver disease, renal disease, endocrine

Question 7

What are some other tests you can do in chronic diarrhoea?

Answer 7

TLI, B12, folate

Question 8

What does radiography often show in chronic disease?

Answer 8

Radiography