6 - Acute Diarrhea Flashcards
Pathophysiology of small intestinal diarrhea large volume
Decreased absorption of fluid and electrolytes, incomplete absorption of nutrients, increased secretions of fluid and electrolytes, downstream t capacity of colon to reaborb water is overwhelmed
Is severe small intestinal diarrhea you may see loss of
Protein, lymph and blood
What is the most common cause of acute mild small bowel diarrhea
Dietary indiscretion
What is dietary indiscretion
Diet change, garbage, chemicals , house plants , etc
Stress can often accuse what intestinal signs
Large
What viral infections can be differential for acute mild small bowel diarrhea
Rotavirus and coronavirus
Rotavirus is seen in
Neonates
Corona virus is seen in what age
Less than 4 months
Acute mild small bowel diarrhea diagnostics
Fecal and PCV
Differentials for acute mild small bowl diarrhea
Drugs, stress, dietary , parasites, virus
Novel protein diets
Food elimination for food allergy
Deworming treatment
Fenbendazole
Antibiotic for acute mild small bowel diarrhea?
No
Metronidazozle for acute smal bowel diarrhea
No
Adverse effects of antibiotics in acute mild small bowel diarrhea
Dysbiosis, and antimicrobial resistant
Coronavirus targets
The tips
Signs of acute mild small bowel diarrhea should resolve
1 -5 days
Acute severe small bowl diarrhea differentials
Systemic, intestinal obstruction, Parvovirus, feline panleukopenia, distemper, parasites , Bact, HGE,
Finding of neutropenia in young dog with severe diarrhea should prompt
Parvovirus
Parvovirus targets
Rapidly dividing cells
Signalment of canine parvovirus
Unvaccinated, less than 6 months
C/s canine parvovirus
Depression, anorexia, diarrhea that is produce and hemorrhagic, fever , neutropenia
Chem findings of parvovirus
Electrolyte depletion, hypoglycemia, PLE if severe
Vaccination may cause weak positive in parvovirus how many days post
5 - 15 days
Neutropenia but a febrile with parvovirus what is treatment
First gen cephalosporins
Neutropenic and febrile parvovirus treatment
Broad spectrum - ampicillin + enrofloxacin
Examples of bacteria causing severe small bowel diarrhea
Campylobacter, clostridium , salmonella
campylobacter found in what environment
Dogs in animal shelter
HGE
Lesions from duodenum to colon
Etiology of acute hemorrhagic diarrhea syndrome
Associated with clostridium perfringens
Signalment acute hemorrhagic diarrhea syndrome
Adult toy and small breed dogs
Example of intestinal obstruction causing severe smal bowel disease
Foreign body and intussusception
C/s acute hemorrhagic diarrhea
Large volume hemorrhagic diarrhea syndrome, vomiting, hemoconcentration < 60 %
Discordant PCV/TP in an adult small breed dog with hemorrhagic diarrhea think
AHDS
Parvovirus targets
Intestinal crypt epithelium and bone marrow progenitors
What are findings to pay special attention to
Severe vomiting, abdominal pain, melena, dehydration, neonate, systemic
What should be done on every patient with abdominal pain and vomiting
Abdominal radiographs
What bugs in gut todo we need consider
Anaerobe, G negative, and enterococcus
What antibiotics can cover our stomach bug concerns
Metro and ampicillin
