8 - Chronic Enteropathy

Question 1

Clinical manifestations for chronic enteropathy in cats

Answer 1

Weight loss and changes in appetite

Question 2

Chronic enteropathy you have to rule out what metabolic causes

Answer 2

Hepatic or renal disease, pancreatitis, endocrine diseases

Question 3

Most prevalent chronic enteropathy cause

Answer 3

Food responsive enteropathy

Question 4

PLE definition

Answer 4

Small intestinal malabasorptive syndrome characterized by excessive protein loss

Question 5

PLE is not typically seen in

Answer 5

Cats

Question 6

3 Pathophysiology of PLE

Answer 6

Increased mucosal permeability,mechanical causes, lymphatic obstruction or rupture

Question 7

Mechanical causes of PLE include

Answer 7

GI ulcers, worms, RHF, intussusception

Question 8

Lymphatic obstruction or rupture causing PLE include

Answer 8

Lymphangiectasia

Question 9

PLE in dogs are most often associated with

Answer 9

Lymphoplasmacytic enteritis followed by lymphangiectasia

Question 10

Breeds predisposed to PLE

Answer 10

Yorker, border collie, GS, Rottweiler, terrier

Question 11

Clinical presentation of PLE

Answer 11

Small intestinal diarrhea, weight loss, panyhypoproteinemia, hypercoaguable, edema

Question 12

Lymphangiectasia is a type of

Answer 12

PLE

Question 13

Clinical presentation of lymphangiectasia

Answer 13

Panhypoproteinemia, decreased cholesterol, striation on ultrasound

Question 14

Predisposed to lymphangiectasia

Answer 14

Yorker

Question 15

Lymphangiectasia are at risk of

Answer 15

Vitamin D deficiency

Question 16

Treatment for lymphangiectasia

Answer 16

Low fat diet is the most importnat intervention

Question 17

Always confirm hypocalcemia with

Answer 17

Ionized calcium

Question 18

Goals of abdominal ultrasound

Answer 18

Screen for underlying disease and asses teh GI tract and lymph nodes

Question 19

With chronic eneteropathy, the small intestine may appear how on ultrasound

Answer 19

Thickened

Question 20

Intestines that measure thickened do not tule in

Answer 20

Chronic enteropathy

Question 21

What can be more concerning on abdominal utlrasound for chronic enteropathy

Answer 21

Loss of normal layering

Question 22

What on ultrasound increase suspicion of lymphangiectasia

Answer 22

Mucosal hyperchoic striations perpendicular to the lumen

Question 23

Check folate for

Answer 23

Duodenal malabospriove

Question 24

Check cobalamin for what absorption

Answer 24

Ileal malabsroptuve disease

Question 25

Cobalamin supplementation recommended when cobalamine is

Answer 25

Less than 400

Question 26

Options for deworming

Answer 26

Fenbendazole, Drontal plus, profender

Question 27

Topical cat wormer

Answer 27

Profender

Question 28

Problem with endoscopy for chronic enteropathy

Answer 28

All looks the same

Question 29

Patients in which biopsies may be indicated earlier

Answer 29

Hyporexic, anorexic, weight loss, low albumin, boxer, loss of wall layering

Question 30

Surgical biopsy for

Answer 30

Jejunum

Question 31

Endoscopy upper GI

Answer 31

Gastric, duodenal

Question 32

Lower GI scope

Answer 32

Colon, ileum

Question 33

Most common intestinal neoplasia

Answer 33

Intestinal adenocarcinoma and GI lymphoma

Question 34

Treatment of choice for adenocarcinoma

Answer 34

Surgery