diseases of the canine and feline stomach Flashcards
1
Q
what are the signs of acute gastritis
A
- vomiting
- lethargy
- depression
- polydipsia (due to all the fluid loss)
- hematemesis
- cranial abdominal pain
2
Q
differential dx for acute gastritis
A
- gastric foreign body
- acute pancreatitis
- infectious dz
- systemic dz
3
Q
diagnosis of acute gastritis
A
- history + PE
- response to tx
- abdominal rads + biochemical tests exclude other dz
4
Q
tx for acute gastritis
A
rest GI, bland diet, supportive care
5
Q
what are some causes of chronic gastritis
A
- inflammatory (lymphoplasmacytic or eosinophilic)
- food responsive dz
- reflux (bilious vomiting syndrome)
- helicobacter (warthin-starry stain)
6
Q
Tx for lymphoplasmacytic chronic gastritis
A
- mild: diet trials with hypoallergenic diet, omeprazole, cisapride
- mod to severe: pred, azathioprine, chlorambucil
7
Q
what is bilious vomiting syndrome? (ps. causes chronic gastritis)
A
- defect in pyloric function that causes motility defect and lets stomach be in prolonged contact with bile-> damages mucosa
- bile stained vomit after long fast (morning time)
8
Q
Tx for bilious vomiting syndrome
A
- increase feeding frequency
- cisapride or metoclopramide
- omeprazole
- ranitidene (prokinetic)
9
Q
possible causes for gastric ulcers
A
- ulcerogenic drugs
- liver dz
- tumors
- protein caloria malnutrition
- uremia + stress?
10
Q
tx for gastric ulcers
A
- eliminate underlying dz
- protein pump inhibitors like omeprazole
- sulcrafate
- blood transfusion
- endoscopy
- sx
11
Q
clinical presentation of gastric outlet obstruction
A
- intermittent vomiting (maybe projectile) with increased frequency and may contain food hrs after eating
- hypoCl, hypoK, metabolic alkolosis
