Anorexia/inappetance Flashcards

1
Q

DDx for anorexia/ineppetance in small animals?

A
FIP
FIA
FeLV
FIV
Uraemia
Liver disease
DKA
Neoplasia/lymphoma
Babesia
Borrrelia
Leishmania
AKI
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2
Q

Clinical signs of FIP?

A

Pyrexia, inappetance/anorexia, weight loss, diarrhoea, dehydration, jaundice, PUO

Effusive: abdominal effusion, pleural effusion, pericardial effusion

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3
Q

Two forms of FIP?

A

Effusive (60-75%)

Dry (25-40%)

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4
Q

Diagnoses of FIP?

A

History, clinical signs, physical exam (uevitis, fluid thrills), CBC =l ymphopenia, neutrophilia with left shift, hypergolbinaemia, hyperbilirubinaemia

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5
Q

Fluid analysis of FIP fluid?

A

Clear, straw colour => high protein content, viscous

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6
Q

Tx of FIP?

A
Supportive/palliative
Abs
SQ fluids
Nutrition
Rest
Thoracocentesis
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7
Q

CS of FIA?

A

Acute: inappetance/anorexia, lethargy, fever, aneamia, splenomegaly, icterus

Chronic: weakness, depression, weight loss, normal to subnormal temp

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8
Q

CBC of FIA cat?

A

Regenerative anaemia - PCV 15-18% erytheopagocytosis and autoagglutination may be present

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9
Q

Diagnosis of FIA?

A

Smear with evidence of mycoplasma haemofelis

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10
Q

Tx of FIA?

A

Doxycycline: 5-10mg/kg orally for 14-21 days, flea control, supportive care (blood transfuion is needed, immunosuprresion)

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11
Q

Prognosis of FIA?

A

Approc 1/3 with uncomplicated acute disease die

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12
Q

Clinical signs of FeLV?

A

Inappetance/anorexia, weight loss, wasting, poor coat, lymphadenopathy, fever, pale mms, occular disease, gingivitis, stomatitis, infections, d+, seizures

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13
Q

Diagnosis of FeLV?

A

Antigen test, immunoassay, PCR, IFA

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14
Q

Treatment of FeLV

A

Systemically well: general preventative health care: nutrition, neuter, confine indoors

Sick: supportive care, treat secondary illnesses and confine indoors

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15
Q

Phases of FIV?

A

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

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16
Q

Tests for FIV?

A

CBC - neutropenia, anaemia, thrombocytopenia, and co infections iwth M. haemofelis
Biocemistry NDAD
FIV antibody test
IFA - detects antibodies

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17
Q

Tx of FIV?

A

Supportive therapy, ABS lactoferrin (stomatitis)

Antiviral therapy (ziovudine) = reduces plasma viral load and improves stomatitis but monitor for heinz body anaemia

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18
Q

Clinical signs and diagnosis of uraemia?

A

Combination of azotaemia and clinical signs of vomiting, weight loss, diarrhoea, lethargy, stomatitis

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19
Q

Clinical signs of multicentric lymphoma?

A

Generalised lymphadenopathy, anorexia, pyrexia, lethargy, PU/PD (hypercal)

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20
Q

Clinical signs of babesiosis?

A

Lethargy, depression, anorexia, icterus, splenomegaly, tachycardia/pneoa

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21
Q

Diagnosis of babesia?

A

Thombrocytopenia common, many dogs coomb’s test positive, PCR, serology, smear

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22
Q

Treatment of babesia?

A

Imidocarb

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23
Q

Clinical signs, diagnosis and treatment of borrleiosis?

A

CS: lethargy, anorexia, pyrexia, inflammatory polyarthririts

Dx: No pathogenomic test

Tx: emprirical antibiotics - doxycycline/amoxicillin

24
Q

Clinical signs of leishmania?

A

Weight loss, lethargy, anorexia, skin disease, splenomegaly

25
Q

Diagnosis of leishmania?

A

Demonstration of parasite
Serology - high AB titres
PCR - senitive - useful in early infection
Clin path: hyperglob, decreased alb/glob ratio, thrombocytopaenia, non-regenertive anaemia

26
Q

Tx of leishmania?

A

Antilieshmanial drugs of prolonged treatment

27
Q

Prevention of leishmania?

A

Sandfly vaccine, topical insecticides (imidacloprid/permetrin spot on)

28
Q

Pathogenesis of DKA?

A

Lack of insulin leads to increased lipolysis releasing FFAs from adipose tissue => converted to ketones => excessive production of ketones => metabolic acidosis/ketoacidosis

29
Q

Clinical signs of DKA?

A

Anorexia, lethargy, vomiting

30
Q

Diagnosis of DKA?

A

Hyperglycaemia, glucosuria, ketonuria and metabolic acidosis, hyponat and hypokal

31
Q

Tx of DKA?

A

Fluid therapy, correction of electrolytes imbalances and metabolic acidosis, insulin therapy with dextrose

32
Q

DDx of anorexia/inappetance for ruminants?

A
  1. Pericardial disease
  2. Pyelonephritis 3. Listeriosis
  3. Ketosis complex
  4. Fatty liver syndrome
  5. Chronic urolithiasis
  6. Endometritis
  7. Metritis
  8. LDA/RDA
  9. Lameness
  10. Mastitis
  11. Acintobacillosis (wooden tongue)
  12. Actinomycosis (lumpy jaw)
  13. Vesicular stomatitis
33
Q

causes andclinical signs of pyelonephritis in large animals?

A

Ascending infection of mainly gram -ve - coliforms, proteus, klebsiella

CS
Acute: pyrexia, anorexia, depression, colic, decreased milk yield, stranguria, polyuria, haematuria, pyuria
Chronic: weight loss, colic, decreased milk yield, d+, PU/ anaemia

34
Q

Diagnosis of pyelonephritis?

A

CS and rectal examination

35
Q

Treatment of pyelonephritis?

A

Long term borad spec ABs (14-21d) oxytetracycline or pen and strep

36
Q

Clinical signs of listeriosis?

A

Fever, anorexia, proprioceptive deficits, head pressing, circling

37
Q

Dx of listeria?

A

Clinical suspicion and CSF tap = increased protein and WBCs

38
Q

Treatment of listerosis?

A

High dose of pencillin, NSAIDs, fluid support

39
Q

Clinical signs of wooden tongue?

A

BCS loss/anorexia, salviation, gentle chewing, swollen, hard tongue, lymphadenitis

40
Q

Dx of wooden tongue?

A

Classical CSs

41
Q

Treatment of wooden tongue?

A

Actinobacillus
Strepomycin, tetracyclines, tilmicosin

Iodines until iodism develops

42
Q

Actinomycosis (lumpy jaw) CS?

A

BCS loss through inappetence
Painless, hard, immovable swelling of mandible/maxilla level of cranial molars
Discharge with small amounts of pus through openings in skin

43
Q

Treatment of lumpy jaw?

A

Iodine solutions
Debridement and AB therapy
Surgical removal NOT indicated

44
Q

Pathogenesis of vesicular stomatitis…

A

Wind bourne vectors, wildlife reserves

45
Q

CS of vesicular stomatitis?

A
Anorexia, drooling, frothing
Blister like lesions on oral mucosa, teats and prepuce
Mastitis
Decreased milk yield
Lameness
46
Q

Diagnosis of vesicular stomatitis?

A

Virus isolation on PCR, serology with rising titrs

Netralising antibody testing

47
Q

Tx of vesicular stomatitis

A

Clean/disinfect feed bunks 2x daily and remove leftover food

48
Q

DDx for anorexia/inappetance in horses?

A

Hyperlipaemia in shetlands
Pyelonephritis
Renal failure

49
Q

CS of hyperlipaemia in horses?

A

Lethargy, anorexia, icterus, mild colic, D+, recumbency

50
Q

Diagnosis of hyperlipaemia in horses?

A

Breed, history, triglycerides in serum => spin down blood = white

51
Q

Treatment of hyperlipaemia in horses?

A

Reserve NEFA, treat hepatic disease, inhibit fat mobilisation, eliminate stress

52
Q

Cause of renal failure in horses?

A
Mostly secondary due to hypovolaemia
Primary include:
Congenital
Intersitial nephritis
Glomerulonephritis, pyelonephritis, amyloidosis, neoplasia
53
Q

Signs of renal failure in hroses?

A

Depression, anorexia, weight loss, PU/PD, oedema, D+, purexia, colic, encephalopathy

54
Q

Urinalysis of a horse in renal failure?

A

Proteinuria, casts, WBCs, bacteria, haemturia, inability to concentration USG = 1.008-1.014

55
Q

Biochemistry of horse in renal failure?

A

Azotaemia, hyperkal, hyponat, hypercal, hypophos

56
Q

Treatment of a horse in renal failure?

A

Acute: restoring circulating volume = 0.9% NaCl, diuresis (20% mannitol and furosemide IV)

Chronic:
No specific treatment - supportive only, ad lib salt and water, high quality diet