GIT Flashcards
Pancreas: Acute Pancreatitis - Etiology
necrosis, edema, neutrophilic infiltrate of the pancreas
Pancreas: Acute Pancreatitis - Signs
depression, anorexia, vomiting, abdominal pain, fever, shock, coagulopathy
Pancreas: Acute Pancreatitis - Lab
Left shift, thrombocytopenia, hyperlipidemia, inc. PLI + liver enzymes
Pancreas: Acute Pancreatitis - Dx
imaging, PLI (dog), TLI (cat), biopsy
Pancreas: Acute Pancreatitis - Tx
supportive - fluids, analgesia, anti-emetics, GI protectants, nutrition
Pancreas: Chronic Pancreatits - Presentation
acute due to flare up
Pancreas: Chronic Pancreatitis - Signs
intermittent , low grade
Pancreas: Chronic Pancreatitis - Dx
TLI, imaging, biopsy
Pancreas: Chronic Pancreatitis - Tx
supportive - fluids, analgesia, anti-emetics, GI protectants, nutrition
Pancreas: EPI - Etiology
Pancreatic Acinar Atrophy (genetic), chronic pancreatitis
How much of the pancreas must lose function before signs of EPI?
80-90%
Pancreas: EPI - Signs
wt loss, poor hair coat, inc. appetite, coprophagia, diarrhea
Pancreas: EPI - Dx
reactive hepatopathy, TLI
Pancreas: EPI - Tx/Management
supplemental enzymes, individualized diet, poss. B12
Liver: Indicator Enzymes
Intracellular - ALT, AST Membrane bound - ALKP, GGT bilirubin
Liver: Dx Tests
Bile Acids Stim., Ammonia tolerance, coag., biopsy
Acute Liver Dz: Hepatic Failure - Signs
dull, vomit, PU/PD, poss. icterus
Acute Liver Dz: Hepatic Failure - Lab
inc. ALT, poss. ALP + Bilirubin
Acute Liver Dz: Fulminant Hepatic Failure - Signs
anorexia, v/d, dull, hepatic enchalopathy, seizures, coag. disorders
Acute Liver Dz: Fulminant Hepatic Failure - Lab
inc. ALT, ALP, bilirubin dec. glucose, albumin, urea
Acute Liver Dz: Dx
chem, coag, U/S
Acute Liver Dz: Tx
treat underlying cause, SAMe, feed, supportive
Acute Liver Dz: Etiology
toxins (acetaminophen, carprofen, aflatoxin), metabolic (lipidosis), infection, hypoxia
Chronic Liver Dz: Etiology
copper accumulation, idiopathic, chronic sholangiohepatitis, drug induced, infectious, vacuolar hepatopathies
Chronic Liver Dz: Signs
lethargy, anorexia, v/d, wt. loss, ascites, PU/PD, icterus
Chronic Liver Dz: Tx
treat underlying cause, diet (low fat, high protein), supportive
Inflammatory Liver Dz: Etiology
supurative/lymphatic cholangitis
Inflammatory Liver Dz: Signs
anorexia, pyrexia, jaundace, abdominal pain
Inflammatory Liver Dz: Lab
inc. ALT, ALP, GGT, bilirubin
Inflammatory Liver Dz: Dx
chem, U/S, histo
Inflammatory Liver Dz: Supurative/Lymphatic Tx
antibiotics, supportive/pred, supportive
Biliary Tract Obstruction: Etiology
Dog - edema, inflammation, fibrosis Cat - inflammation, pancreatitis
Biliary Obsruction: Signs
icterus, vomit, anorexia, dull, pain
Biliary Obstruction: Lab
inc. bilirubin, ALKP, GGT, cholesterol
Biliary Obstruction: Dx
chem, radiographs, U/S
Biliary Obstruction: Tx
supportive, sx
Biliary Non-Obstructive Dz: Cholecystitis - Dx
radiographs, U/S
Biliary Non-Obstructive Dz: Cholecystitis - Tx
supportive, sx
Gallbladder Mucocele: Etiology
high fat, low fiber diet
Gallbladder Mucocele: Signs
icterus, anorexia, lehargy, diarrhea, PU/PD
Gallbladder Mucocele: Lab
severe inc. enzyme; inc. cholesterol, triglyceride, bilirubin
Gallbladder Mucocele: Dx
chem, U/S (kiwi appearance)
Gallbladder Mucocele: Tx
sx
Pharyngitis: Signs
anorexia, lethargy, cough, dysphagia, odynophagia, pyrexia
Pharyngitis: Etiology
viral, neoplasia, secondary bact, foreign body
Pharyngitis: Dx
CBC, DI, endoscopy, biopsy
Pharyngitis: Tx
treat underlying cause, symptomatic
What is a polyp?
fibrocartilage
Biliary Non-Obstructive Dz: Cholecystis - Class
I - no rupture II - Bile peritonitis III - omental adhesion
Dysphagia: Oral Phase Signs
tilting head to swallow
Dysphagia: Pharyngeal Phase Signs
cough, gagging, nasal discharge
Dysphagia: Cricopharyngeal Phase Signs
repeated effort to swallow, cough, gagging
Dysphagia: Etiology
foreign body, infection, neoplasia
Dysphagia: Dx
DI
Dysphagia: Tx
treat underlying cause, symptomatic, temporary esophagostomy tube
Esophageal Dz: Examples
megaesophagus, myasthenia gravis, vascular ring anomolies, esophagitis, stricture, hiatal hernia
Esophageal Dz: Signs
regurg, dysphagia, wt loss
Esophageal Dz: Dx
DI (contrast), endoscopy
Esophageal Dz: Megaesophagus - Pathophysiology
generalized esophageal dilation
Esophageal Dz: Myasthenia Gravis - Pathophysiology
autoimmune antibodies against acetyl choline receptors
Esophageal Dz: Esophagitis - Pathophysiology
chronic exposure to gastric acid
Esophageal Dz: Hiatal Hernia - Types
sliding, paraesophageal
Gastric Dz: DDx
acute gastritis, chronic gastritis, dec. gastric outflow, gastric ulcer, infiltrative gastric dz
Gastric Dz: Acute Gastritis - Etiology
bad food, foreign body, toxin, drugs
Gastric Dz: Chronic Gastritis - Etiology
IBD, helicobacter, physaloptera
Gastric Dz: Gastric Outflow Problems - Etiology
idiopathic hypomotility
Gastric Dz: Gastric Ulcers - Etiology
shock, drugs, tumor
Gastric Dz: Infiltrative Gastric Dz - Etiology
IBD, neoplasia
Diarrhea: Definition
inc. in frequency or volume, and/or change in concistancy
Diarrhea: Small Intestine Origin - Appearance
inc. volume, melena, vomiting
Diarrhea: Large Intestine Origin - Appearance
inc. frequency; dec. frequency; tenesmus, mucus, fresh blood
SI Acute Diarrhea: Systemic Etiologies
acute pancreatitis, liver/renal dz, addison’s, sepsis
SI Acute Diarrhea: GIT Etiologies
viral, bacterial, obstruction
SI Acute Diarrhea: Tx
supprotive (fluids)
LI Acute Diarrhea: Management
diet, anti-parasitics
LI Chronic Diarrhea: Management
sulfasalazine, High soluble fiber diet
Constipation: Etiologies
diet/environment, pain, obstruction, neurologic, metaolic, drug induced
Constipation: Signs
blood +/ mucus, vomit, hyperemic mm, mass palpated,
Constipation: Dx
DI, endoscopy
Constipation: Tx
correct fluids, laxatives, treat underlying cause
Megacolon: Signs
depression, progressive, mass palpated
Megacolon: Etiology
irreversible neural dmg => no parastalsis
Megacolon: Dx
DI, MDB
Megacolon: Tx
stool softener, enemas
Recto-Anal Fistula: Signs
pain, inflammation, tenesmus, blood/mucus in feces
Recto-Anal Fistula: Dx
signs, rectal
Recto-Anal Fistula: Tx
clip + clean, ciclosporin, supportive
Anal Saculitis: Signs
“scooting”, tenesmus, pain
Anal Saculitis: Dx
signs, rectal
Anal Saculitis: Tx
express +/- lavage, local infusions