GI Medicine 10 - Chronic Vomiting and Diarrhoea

Question 1

What test do we use to diagnose exorcine pancreatic insuffiency (EPI)?

Answer 1

TLI

Question 2

What micronutrient is commonly low in EPI dogs and requires supplementation?

Answer 2

Vitamin B12

Question 3

What can EPI be a sequalae to in cats?

Answer 3

Chronic pancreatitis +/- diabetes mellitus

Question 4

How does you treat EPI?

Answer 4

Oral pancreatic extract
Uncoated power or fresh (frozen) pancreas.
Enteric coated preparations may not dissolve.
No need to pre-mix/digest enzyme with food.

Question 5

Which vitamin should you supplement with EPI?

Answer 5

Cobalamin (vitamin B12)

Question 6

What are the causes of the failure of EPI treatment?

Answer 6

Incorrect diagnosis
Poor owner or pet compliance
Inadequate enzyme supplementation
Secondary bacterial overgrowth

Question 7

How would you pragmatically treat PLE?

Answer 7

Low fat, exclusion diet
Prednisolone
Clopidigral
B12
Fenbendazole
Fat soluble vitamins