Gastric Disorders Flashcards
1
Q
List CS of gastric disease
A
- Vomiting
- Retching
- Bloating
- Hematemesis
- Melena
- Ptyalism
2
Q
What are the 3 phases of vomiting?
A
- Nausea
- Retching
- Expulsion
3
Q
When is vomiting classified as chronic?
A
> 1 week
4
Q
CS of acute gastritis?
A
- Rapid onset vomiting and rapid resolution
5
Q
Tx for acute gastritis?
A
- PO water / rehydration solutions
- Bland, fat restricted diet
6
Q
List parasitic causes of chronic gastritis
A
- Helicobacter
- Ollulanus Tricuspis (nematode in cats through ingestion of vomit)
- Physaloptera spp
7
Q
How to diagnose parasitic causes of chronic gastritis?
A
- Ollulanus Tricuspis is a nematode in cats found in VOMIT (NOT feces!)
- Physaloptera found in feces or vomit
8
Q
Tx protocol for Physaloptera spp causing chronic gastritis??
A
Fenbendazole, Pyrantel, or Ivermectin
9
Q
List Extra-GI / Systemic causes of GI ulceration
A
- Coagulopathies
- Uremia
- Addisons
- MCT
- Hypotension (shock, sepsis)
- Stress
- Spinal surgery
10
Q
What is a common cause of GI ulcers in older cats?
A
Primary gastric neoplasia (Lymphoma) or pancreatic neoplasia
11
Q
Most common medication causing GI ulcers in dogs?
A
NSAIDs!
12
Q
How to diagnose GI ulcers?
A
Endoscopy
13
Q
Tx plan for GI ulcers?
A
- PPI like Omeprazole
- Sucralfate
- Analgesics
- IV fluids
- Nutrition
14
Q
CS of bilious vomiting syndrome?
A
- Vomiting bile early in the morning
- Usually BAR and not nauseus after
- History of long overnight fasting
15
Q
Tx for bilious vomiting syndrome?
A
- Frequent feedings
- Feed late at night
- Sucralfate
(long overnight fasting triggers duodenogastric reflux)
