Diseases of the Stomach Flashcards
What are clinical signs associated with diseases of the stomach?
-VOMITING
-hematemesis (common w/ ulceration)
-melena
-hypersalivation
-Abdominal distention/pain
retching/burping
What is acute gastritis? What is the classic signalement?
sudden onset of vomiting
(less than 2 weeks duration) due to a mucosal insult or inflammation
A patient that is usually stable and may still be eating.
+/- hematemesis
+/- dysrexia (poor appetite/no appetite)
Describe the umbrella of acute gastritis
primary: insult to/in the gut itself
secondary: outside of the gut
A patient presents with acute vomiting and abdominal pain. What secondary acute gastritis causes should I consider testing for?
run a Pancreatic lipase to r/o pancreatitis
Abdominal rads
CBC, biochem, UA
A patient with a history of acute vomiting and a history of corticosteroid containing medication (prednisone) should undergo what additional diagnostic testing?
basal cortisol ( will be low)
CBC/UA/biochem
What is a general treatment plan for a patient with acute gastritis?
If a cat comes in for acute or chronic vomiting, what should you check for in an oral exam?
under the tongue- a string FB could be anchored there, DONT pull it!
A patient presents with Acute or chronic vomiting, what other clinical signs may also be present that would make me consider a foreign body?
-hematemesis
-dysrexia
-diarrhea
How do I diagnose a FB?
rads, serial studies may be necessary (i.e barium study)
ultrasound (to observe pyloric outflow obstructions)
What are my tx options for a gastric foreign body patient?
-induce vomiting - UNLESS it is a caustic or sharp item.
-endoscopic retrieval
-SX
What is the dosage of apomorphine for a dog that I want to induce vomiting in?
Apomorphine: 0.05 mg/kg IV
What is the dosage of dexmedetomidine to give cats that I want to induce vomiting in?
5-10 ug/kg IM
What clinical signs are associated with gastric ulceration and erosion?
vomiting
Dysrexia
hematemesis
melena
pale mucus membranes/ weakness
abdominal pain
sepetic abdomen and fever with perforation
Describe the. bloodwork findings I will see in a patient with chronic gastric ulceration and erosion
microcytic hypochromic non regenerative anemia
How do I diagnose gastric ulceration and erosion?
history: ask about meds (prednisone/ NSAIDS) + look at supplements
cbc/chem/uA
abdominal imaging
endoscopy