Gastroenterology

Question 1

A 6-year-old spayed female DSH is presented for a 3 month history of intermittent vomiting without weight loss. A complete workup ruled out all other causes of chronic inflammation of the intestinal tract. The plan for endoscopic evaluation should include biopsies from the stomach and duodenum

a. colon and ileun, regardless of the appearnce of the mucosa

b. only if the mucosa appears abnormal

c. only regardless of the appearance of the mucosa

Answer 1

a. colon and ileun, regardless of the appearnce of the mucosa
- infiltrative diseases may only have microscopic modification

It is advised to always to upper and lower GI endoscopy because:
- colonic disease can cause vomiting
- digestive diseases (e.g. IBD, small cell lymphoma) are diffuse