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3.16 Alimentary > Diagnosis & Management of Large Intestinal Disease > Flashcards

Diagnosis & Management of Large Intestinal Disease Flashcards

1
Q

Tenesmus

A

Straining to excrete

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2
Q

Dyschezia

A

difficult or painful defaecation

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3
Q

Parasites that can cause Faecal tenesmus/dyschezia plus diarrhoea

A

Giardia, Trichuris, Ancylostoma, Tritrichomonas (cats)

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4
Q

Management of Idiopathic Colitis

A

Management of Idiopathic Colitis
Antibiotics: Metronidazole
Anti-inflammatory drugs: Sulfasalazine (5-ASA, Salazopyrin)
Immunosuppressive Drug Therapy: Prednisolone

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5
Q

Anti-inflammatory drug of choice for large intestinal disease

A

Sulfasalazine

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6
Q

Management of Granulomatous Colitis

A

Antibiotics: Fluoroquinolones

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7
Q

Breed associated with Granulomatous Colitis

A

Boxers

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8
Q

Diagnostic Tests for Tritrichomonas foetus

A

Faecal Wet prep
In-Pouch Culture
PCR for Tritrichomonas DNA

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9
Q

Tritrichomonas foetus infection: Treatment

A

High fibre diet
Ronidazole
Probiotics

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10
Q

2 causes of feline obstipation

A

Dilative megacolon
Hypertrophic megacolon

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11
Q

Management of Feline Constipation, Obstipation & Megacolon

A

Achieve normal hydration
Remove impacted faeces
Increase dietary fibre
Laxatives and prokinetic agents

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12
Q

Examples of enemas

A

Microlax,Lactulose

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13
Q

Examples of laxatives

A

Psyllium fibre
Polyethylene glycol “Movicol”
Lactulose

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14
Q

Examples of Prokinetics Agents

A

Cisapride
Ranitidine

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15
Q

Consequences of chronic obstipation and megacolon

A

Mucosal ulceration and inflammation
Colonic perforation

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16
Q

Anal Furunculosis/Perinanal Fistula

A

Chronic inflammatory disease resulting in ulceration & fistulous tracts in the anal and perianal areas

17
Q

Breed predisposed to Anal Furunculosis/Perinanal Fistula

A

German Shepards

18
Q

Anal Furunculosis/Perinanal Fistula Treatment

A

Cleaning to reduce bacterial contamination
Antibiotics to treat secondary infection (e.g. metronidazole/clindamycin)
Analgesia
Stool softeners

Immunosuppressive therapy
Ciclosporin (oral) (+/- ketoconazole)
Tacrolimus (topical)
Tx aimed at inducing and maintaining remission

19
Q
A

3.16 Alimentary (15 decks)

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