Hepatic/Derm Flashcards
T/F: Hepatic diets are indicated for all patients presenting with elevated liver enzymes
False - depends on type of hepatic disease
What can be added to the diet for patients with elevated liver enzymes w/o identifiable cause?
Enhance antioxidants (Vitamin E)
Silymarin and S-adenosylmethionine
What macronutrient is limited in patients for biliary disease?
Fat!
Fat is a stimulant for the biliary system
What is the most important macronutrient to restrict in patients with HE?
Protein
How might enhancing soluble fiber help patients with HE?
Microbial fermentation traps nitrogen in the GIT (limiting reabsoprtion of ammonia) and allowing nitrogen to be excreted in the stool
Restrict ________ and enhance _______ in cases of coppper hepatopathy
Dietary copper; zinc
Food-allergy dermatitis is a type _____ hypersensitivity reaction. Clinical signs typically manifest in the _______ and ________
IV (take time to develop)
Skin and GIT
How does food intolerance differ from food-allergy dermatitis?
Food intolerance is a type 1 HSR and has a more immediate reaction
Are patients with food allergies usually clinically sick?
No
Most common allergens in dogs and cats?
Dogs: beef, dairy, chicken
Cats: beef, dairy, fish
What is the gold standard for diagnosing food allergies?
Diet trial! Use novel protein or hydrolyzed protein
How long to see improvement in dermatopathy associated with food allergies? Enteropathy?
8-12 weeks for derm
2 weeks for GI
Why do allergy tests suck ass?
Lots of false positives
_________ deficiency can be associated with poor skin/coat health
Protein
How can phenylalanine deficiency present?
Lightening (red) of a black coat
