3 - Approach To GI Flashcards
Halitosis
Bad breath
Halitosis could mean
Dental disease, necrotic oral tumor, oral foreign body, uremia, GI ulcers, gastric tumor
Dysphagia
Difficulty in eating
Gagging is a what sign
Pharyngeal sign
How is gagging stimulated
Mechanical irritation of posterior palate or pharynx
Gagging could be due to
Foreign body, post nasal drip, nasopharyngeal polyp, pharyngitis, and nausea
Ptyalism
Drooling
Retchig
Unproductive vomiting
Regurgitation is active or passive
Passive
Regurgitation definition
PASSIVE expulsion of food, fluid, or other material
Vomiting
ACTIVE expulsion of ingesta from the stomach
Localization of regurgitation
Esophagus
Localization of vomiting
Caudal to gastroesophageal sphincter - stomach, small intestine
Nausea with regurgitation?
No
Bile with regurgitation
No
Questions to ask for regurgitation v vomiting
Is there abdominal press, warning, is there bile material expelled
Hematemesis
Vomiting blood
Hematemesis can be signs of
Gastric ulcer/erosion, duodenal ulceration, tumors, coaguloapthy
Hematochezia
Frank red blood in teh stool
Hematochezia indicates disease of
Anal sac, rectum, large intestine
If the Hematochezia is independent of defecation what is it
Anal sac disease
If the Hematochezia is w normal stool
Rectal disease
If Hematochezia is with diarrhea
Large intestine disease
Melena
Black, tarry feces - digested blood
Melena can be from
Upper GI loss, swallowing blood or iatrogenic
How is hemorrhagic diarrhea different than Hematochezia
Larger volume
Hemorrhagic diarrhea is seen with what small intestine disease
Acute hemorrhagic diarrhea syndrome and Parvovirus enteritis
Most common reason for cats drooling
Hepatic encephalopathy
Regurgitation has to do with
Esophagus
Vomiting has to do with
Stomach / intestines
Hemmorahic diarrhea volume
Large
Hemorrhagic diarrhea suggest
Loss of mucosal barrier
Hemorrhagic diarrhea seen with
Acute hemmoraghic diarrhea syndrome and parvovirus enteritis
Small bowel diarrhea suggest problems with
Digestion and absorption
Major signs with small bowl diarrhea
Weight loss, polyphasic, mucous , vomiting, Melena
Major signs with large bowl diarrhea
Increase frequency, small volume, lots of mucous
Eructation
Burping
Flatulence
Expulsion of gas from anorectal canal
Borborygmus / Borborygmi
Rumbling noise of gas
If borborygmus is in the thorax what is it
Diaphragmatic hernia
Acute abdomen
Sudden onset of severe abdominal pain that often requires surgical intervention
Evidence of peripheral edema signals
Hypoalbuinemia
Occasional is
1 -2 times per month
Intermittent is
1 or more times a week
Acute range
Less than 7 - 14 days
Chronic range i
3 weeks
Secondary GI disease examples
Kidney disease, hepatopathy, DKA, pancreatitis
Primary GI disease
Disease of oropharynx, esophagus, stomach, small intestine, large intestine , rectum
What endocrine testing do u do for dogs
Baseline cortisol
What endocrine testing do you do for cats
Total T 4
What is indicated in any acutely vomiting animal
Intestinal obstruction, gastric dilation, abdominal mass,