GIT Flashcards

1
Q

What happens if blood flow through the liver is obstructed?

A

Portal hypertension - transudation of fluids leading to ascites.

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2
Q

What happens if portal blood bypasses the liver?

A

Hypoperfusion of the liver leading to dysfunction. Portal blood will not be detoxified.

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3
Q

What are the mechanisms of hyperbilirubinaemia?

A

Excessive haemolysis, severe liver damage, cholestasis.

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4
Q

What are the systemic consequences of liver failure?

A

Decreased clotting factors, decreased gluco/glycogenesis, decreased albumin, increased bilirubin and increased ammonia.

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5
Q

How can you distinguish small intestinal and large intestinal diarrhoea?

A

SI: weight loss (if chronic/severe), increased volume, malena or fresh blood, polyphagia. LI: Small stools but increased frequency, straining, mucous present, may have fresh blood (but not malena).

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6
Q

What should you differentiate from tenesmus?

A

Straining to urinate.

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7
Q

What analgesia is best for GI patients?

A

Opiods.

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8
Q

Is chronic fibrosis and cirrhosis of the liver common in dogs and cats?

A

Common in dogs but uncommon in cats.

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9
Q

Does primary biliary disease commonly affect dogs or cats?

A

Cats. Rare in dogs.

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10
Q

What should you remember when doing an exploratory laparotomy?

A

Take biopsies while you’re in there! Save going back.

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11
Q

Can you give potassium as a bolus?

A

NEVER!! Add it to the fluid bag and do not exceed 0.5mEq/kg/hr.

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12
Q

How do you calculate RER for a cat/dog?

A

30 x weight (kg) + 70

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13
Q

List 3 antiemetics:

A

Metoclopramide, maropitant, ondansetron.

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14
Q

List 3 antacids/gastric protectants:

A

Ranitidine, omeprazole, misoprostol.

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15
Q

List 3 motility modifiers:

A

metoclopramide, ranitidine, cisapride.

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16
Q

When should you not induce emesis in a patient?

A

When the animal has abnormal mentation or if the ingested substance is caustic.

17
Q

What are the best emetics to use in a dog v. cat?

A

Dog - apomorphine in the conjunctiva of the eye. Cat - xylazine.

18
Q

Lethargy +/- bloody diarrhoea in a puppy in NQ - what should be at the top of your differential diagnosis list?

A

Parvovirus and hookworm!!

19
Q

What is used to diagnose EPI?

A

Serum trypsin-like immunoreactivity.

20
Q
A