SA gastroenterology Flashcards
what are severe potentially life threatening acute vomiting/diarrhoea causes?
severe enteric infection (parvo…)
intestinal obstruction
haemorrhagic gastric enteritis
surgical disease
what is the most common non-fatal self limiting diarrhoea?
dietary indiscretion
what are some surgical diseases that can cause vomiting/diarrhoea?
intussusception
volvulus
stricture/partial obstruction
foreign body
what is enteritis?
small intestinal inflammation
what is colitis?
large intestinal inflammation
what is tenesmus?
straining/cramping associated with the need to defecate
do diarrhoea associated with the SI or LI produce larger volumes of diarrhoea?
SI
what can cause acute gastritis?
dietary indiscretion (garbage intoxication) foreign body bezoars drugs acute systemic disease
what clinical signs associated with diarrhoea of acute enteritis?
normal/increased frequency
no tenesmus
with/without digested blood
large volume
what clinical signs associated with diarrhoea of acute colitis?
tenesmus
mucoid
frequent small volumes
fresh blood
what should be done when restricting GI intake as symptomatic treatment for vomiting/diarrhoea?
fats for 12 hours then frequency small amounts of bland food
when should anti-emetics not be given?
if there is a suspected obstruction
what are some centrally acting anti-emetics?
maropitant
metoclopramide
what is the mode of action of maropitant?
NK1 receptor antagonist
when are gastric mucosal protectants used?
if vomiting or ulceration persists
