7 - Chronic SI Diarrhea Flashcards
Primary GI Cause of chronic small bowel diarrhea
Chronic enteropathy
Chronic enteropathy is an umbrella term for
Endoparasites, FRE, etc
What % of dogs have chronic GI signs with hypoadrenocorticism
4
Classic hypoadrenocorticism is deficiencies in
Glucocorticoid and mineral Corticods
Atypical hypoadrenocorticism is when there is a deficiency in
Glucocorticoids alone
What are findings to suspect hypoadrenocorticism
Poodle, Great Dane, female and 4 years old
What is the median age of hypoadrenocorticism
4 years
Intermittent GI Signs can lead u to think
Hypoadrenocorticism
What blood work points to hypoadrenocorticism
Lack of stress leuk, lymphocytosis and eosinphils
What do you test to DX hypoadrenocorticism
Resting cortisol
What resting cortisol is indicative to hypoadrenocorticism
Less than or equal to 2
Signalment for hyperthyroidism
Older cats
When animal has hyperthyroidism they often have
Concurrent weight loss
What does CBC presentation for hyperthyroidism present as
Erythrocytesis, Heinz bodies, and stress leuk
What do you expect to find on a chemistry with hyperthyroidism
Increase ALT, ASP, AST
How do you diagnose hyperthyroidism
Total T4 and thyroid scintigrpahy
Resting cortisol should be evaluated in
All dogs with chronic GI signs
Total T 4 should be evaluated in all
Older cats with chronic GI signs
Differentials for weight loss despite a good appetite
Inadequate caloric intake, maldigestion, malabsorption, DM, energy consumptive DZ
The CBC with weight loss and adequate diet is usually
Normal
If your CBC shows inflammatory leukogram with left shift what should u do
Agressive diagnostics / therapeutics
If you CBC shows marked anemia what is next steps
Imaging for GI bleed
Erythrocytosis may indicate
Hemoconcnetaion and need for fluid therapy
What would anemia from GI hemmorage look like
Regenerative, macrocyctic hypochromic
What would non regenerative micro cystic hypochromic anemia signify
Iron deficiency and chronicity!
Reticulocytosis without anemia can be seen with
Increased RBC turnover
What signifies kidney disease on Biochem
Several azotemia
What signifies hepatic disease on biochem
Marked increase in liver enzymes
What can point to GI bleed
Increased BUN
Bun source
Protein break down product
How is BUN eliminated
Kidneys
Reactive hepatopathy
2 - 4 x increase in ALT and or ALP
If yo have increase K and decreased Na consider
Hypoadrenocorticism
Panhypoproteinemia is indicative of
Malabsorptive disease
PLE
Decrease albumin and globulin
PLE with lymphangiectasia
Decrease albumin, decrease globulin , and hypocholesterolemia
Causes of decreased albumin
Decrease production, loss, sequestration
If hypoalbuminermai what must be performed next
UA
