Anorexia/inappetance Flashcards
DDx for anorexia/ineppetance in small animals?
FIP FIA FeLV FIV Uraemia Liver disease DKA Neoplasia/lymphoma Babesia Borrrelia Leishmania AKI
Clinical signs of FIP?
Pyrexia, inappetance/anorexia, weight loss, diarrhoea, dehydration, jaundice, PUO
Effusive: abdominal effusion, pleural effusion, pericardial effusion
Two forms of FIP?
Effusive (60-75%)
Dry (25-40%)
Diagnoses of FIP?
History, clinical signs, physical exam (uevitis, fluid thrills), CBC =l ymphopenia, neutrophilia with left shift, hypergolbinaemia, hyperbilirubinaemia
Fluid analysis of FIP fluid?
Clear, straw colour => high protein content, viscous
Tx of FIP?
Supportive/palliative Abs SQ fluids Nutrition Rest Thoracocentesis
CS of FIA?
Acute: inappetance/anorexia, lethargy, fever, aneamia, splenomegaly, icterus
Chronic: weakness, depression, weight loss, normal to subnormal temp
CBC of FIA cat?
Regenerative anaemia - PCV 15-18% erytheopagocytosis and autoagglutination may be present
Diagnosis of FIA?
Smear with evidence of mycoplasma haemofelis
Tx of FIA?
Doxycycline: 5-10mg/kg orally for 14-21 days, flea control, supportive care (blood transfuion is needed, immunosuprresion)
Prognosis of FIA?
Approc 1/3 with uncomplicated acute disease die
Clinical signs of FeLV?
Inappetance/anorexia, weight loss, wasting, poor coat, lymphadenopathy, fever, pale mms, occular disease, gingivitis, stomatitis, infections, d+, seizures
Diagnosis of FeLV?
Antigen test, immunoassay, PCR, IFA
Treatment of FeLV
Systemically well: general preventative health care: nutrition, neuter, confine indoors
Sick: supportive care, treat secondary illnesses and confine indoors
Phases of FIV?
Acute: several days to weeks clinical signs of mild ilness - fever, lethargy, d+, lymphadenopathy
asymptomatic carrier: up to 10 years. healthy appearance but defects to immune system
AIDS: only 10% FIV +ve cats reach this stage survival is only a few weeks to months, neurological disease and neoplasia
Tests for FIV?
CBC - neutropenia, anaemia, thrombocytopenia, and co infections iwth M. haemofelis
Biocemistry NDAD
FIV antibody test
IFA - detects antibodies
Tx of FIV?
Supportive therapy, ABS lactoferrin (stomatitis)
Antiviral therapy (ziovudine) = reduces plasma viral load and improves stomatitis but monitor for heinz body anaemia
Clinical signs and diagnosis of uraemia?
Combination of azotaemia and clinical signs of vomiting, weight loss, diarrhoea, lethargy, stomatitis
Clinical signs of multicentric lymphoma?
Generalised lymphadenopathy, anorexia, pyrexia, lethargy, PU/PD (hypercal)
Clinical signs of babesiosis?
Lethargy, depression, anorexia, icterus, splenomegaly, tachycardia/pneoa
Diagnosis of babesia?
Thombrocytopenia common, many dogs coomb’s test positive, PCR, serology, smear
Treatment of babesia?
Imidocarb