Chronic Vomiting Flashcards
What is the difference between vomiting and regurgitation?
Vomiting:
Abdominal contractions
Vomit and bile
Nausea or salivation
Regurgitation:
Passive
-Lower head and stuff comes out, after eating
What cause of vomiting is associated with the following factors?
Early in the day:
Ibuprofen:
Fatty Material:
Coffee grounds:
Early in the day: Bilous vomit syndrome
Ibuprofen: Gastric Ulcer
Fatty Material: Pancreatitis and vomit
Coffee grounds: Digestive and Ulcer
What are some differentials for chronic vomiting?
Primary GI:
IBD - steroid or food
Neoplasia - lymphoma, gastric adenocarcinoma
Parasitism
Idiopathic Gastritis
Chronic FB
Extra-GI:
Hyperthyroidism
Chronic pancreatitis
Hepatobiliary Disease
Chronic Kidney Disease
Hypercalcemia
What are differentials for weight loss with a normal appetite?
Enteropathy - IBD, Neoplasia, Parasitism
Exocrine Pancreatic Insufficiency
Metabolic
What are some diagnostics you may run on a chronic vomiting case?
Chem and CBC
UA
T4
Fecal Float
Diet trial
Rads
Ultrasound
Biopsy (Surgical or endoscopic)
Endoscopy
What is the treatment for IBD?
Prednisolone
Recheck 2 week
Taper off (Drop 25% every 2-3 weeks)
Secondary
-Chlorambucil
-Cyclosporine
Supportive Care
Antiemetics - cerenia and ondansteron
What are some side effects of prednisolone?
Dibetes Mellitus
Skin Fragility
Weight Gain
Polyphagia
PU/PD
Increased Risk Infection
How would you treat Small Cell GI Lymphoma?
Prednisolone + chlorambucil
What test helps differentiate IBD from small cell lymphoma on histopathology?
PCR for antigen receptor rearrangements (PARR)
What are some chronic vomiting differentials in dogs?
Primary GI:
-IBD
-Neoplasia
-Parasitism
-Idiopathic Gastritis
-FB
-Dietary indiscretion
-Bilious vomiting syndrome
-Pyloric Hypertrophy
Extra- GI/Systemic:
Hypoadrenocorticism
Chronic pancreatitis
Heptatobiliary disease
Chronic kidney disease
hypercalcemia
Hyperthyroidism
