Gastrointestinal Disease: Vomiting

Question 1

when should you take radiographs for acute vomiting?

Answer 1

obstructive disease or foreign body suspected

Question 2

what systemic non-gastrointestinal diseases can cause acute vomiting?

Answer 2

renal failure
hepatic failure
infectious
hypoadrenocorticism
electrolyte changes
neurological disease
diabetic ketoacidosis

Question 3

what are the clinical signs of canine pancreatitis?

Answer 3

acute vomiting
anorexia, depression
dehydration
abdominal pain
shock
fever
large bowel diarrhea
dyspnea

Question 4

what complications of canine pancreatitis are associated with non-survival?

Answer 4

prolonged anorexia
extrahepatic bile duct obstruction
thrombosis/DIC
hyperglycemia
hypoalbuminemia

Question 5

what are the clinical signs of feline pancreatitis?

Answer 5

vague
lethargy and anorexia
only 1/3 have vomiting
icterus
abdominal pain

Question 6

what are the causes of gastrointestinal ulceration?

Answer 6

drugs
chronic hepatic disease
hypoadrenocorticism
ischemia
chronic renal disease
paraneoplastic
inflammatory bowel disease
neoplasia
exercise induced

Question 7

what is seen on ultrasound to indicate IBD?

Answer 7

thickened walls
mucosal speckles
mildly enlarged lymph nodes

Question 8

what is leimyosarcoma like?

Answer 8

dogs
malignant, locally invasive, in pyloric antrum
can have prolonged survival with resection

Question 9

what concurrent diseases can occur with canine chronic pancreatitis?

Answer 9

diabete mellitus
hypothyroid
hepatobiliary
reactive hepatitis

Question 10

what are the common causes of acute small bowel diarrhea?

Answer 10

parasitic
dietary indiscretion
toxins
drugs
infectious
acute hemorrhagic diarrhea syndrome

Question 11

what would be the likely causes of vomiting in a young animal?

Answer 11

foreign body
parasites
viral

Question 12

what would be the likely causes of vomiting in an old animal?

Answer 12

systemic disease
neoplasia

Question 13

what should you do for acute vomiting that is likely self-limiting (diagnostics)?

Answer 13

fecal
+/- PCV, TS, electrolytes, lactate, BUN, creatinine
abdominal radiographs if obstructive disease or foreign body suspected

Question 14

what are some primary gastrointestinal diseases that cause acute vomiting?

Answer 14

dietary indiscretion
infectious
toxic
drug induced
ulceration
pancreatitis
constipation- cats
neoplasia
obstructive/foreign body

Question 15

what endocrine diseases can cause canine pancreatitis?

Answer 15

hyperadrenocorticism
diabetes mellitus

Question 16

what in the pancreas can cause canine pancreatitis?

Answer 16

pancreatic ischemia or trauma
pancreatic duct obstruction

Question 17

what is seen on a biochemistry profile in canine pancreatitis?

Answer 17

increased amylase, lipase, cholesterol, liver enzymes, bilirubin
decreased calcium

Question 18

what is seen on ultrasound with canine pancreatitis?

Answer 18

enlarged hypoechoic pancreas surrounded by bright hyperechoic fat
abdominal effusion

Question 19

when should you use antibiotics in canine pancreatitis?

Answer 19

persistent fever
abnormal WBC +/- left shift
septic abdominal tap
pancreatic abscess
shocky
hypoglycemia

Question 20

what are the etiologies of feline pancreatitis?

Answer 20

idiopathic
idiopathic hepatic lipidosis
trauma
toxic
infectious: toxoplasma, FIP, liver flukes
inflammatory: concurrent intestinal and/or hepatic disease is “triaditis”

Question 21

what portions of the gastrointestinal tract can you reach with an endoscope?

Answer 21

stomach
duodenum
colon
ileum in some

Question 22

what is leiomyosarcoma in the stomach like?

Answer 22

dogs: malignant, invasive locally, in pyloric antrum
can have prolonged survival with resection

Question 23

what is lymphosarcoma like in the stomach?

Answer 23

older cats: weight loss, anemia, ultrasound thickening or mass lesion, most large cell
older dogs: not usually confined to stomach

Question 24

what percentage of ultrasound of canine chronic pancreatitis is normal?

Answer 24

50%

Question 25

how can you treat feline chronic pancreatitis?

Answer 25

appetite stimulants
low fat diet
pain medications
corticosteroids: triaditis