Theraputic Nutrition- EPI

Question 1

when do we see EPI

Answer 1

after panreatits, young adults usu, higher incidence in german shepards

Question 2

signs of EPI

Answer 2

weight loss, polyphagia, pica, diarrhea (large volume, semi formed), pale feces (tan-grey) w foul odor, flatulence secondary bacterial overgrowth
bc of malabsorption/ digestion

Question 3

how to diagnose EPI

Answer 3

fecal trypsin test (gelatin or xray, should be present), TLI (trypsin-like immunoreactivity) blood test

Question 4

ways to treat and manage EPI

Answer 4

suppliment pancreatic enzymes, (pancreazyme, viokase), feed high digestibility food (low fiber, low fat, good protein), suppliment vitamins (esp fat soluble ones), antibiotics for bacterial growth (metronidazole)

Question 5

possible causes of hepatitis

Answer 5

neoplasia, infection, toxin

Question 6

signs of hepatitis

Answer 6

lethargy, anorexia, jaundice, ascites (build up of fluid in abdomen from blood back up in portal vein, fluid leaks), weight loss, v/d, CNS after eating (ammonia and other things not being detoxified by liver)

Question 7

abnormalities we would see on bloodwork of an animal w hepatitis

Answer 7

elevated liver enzymes, decreased bile acids, increased BSP clearance time, elevated billiruben (uncongigated), increased clotting time (liver makes clotting factors), decreased protein (liver synthesizes protein)

Question 8

ways to treat hepatitis

Answer 8

treat any underlying disease (antibiotics), vitamins, milk thistle (contains silymarin, an antioxidant), easier to digest food (ex: EN)

Question 9

what is feline hepatic lipidosis

Answer 9

fatty accumulation in liver

Question 10

possible causes of feline hepatic lipidosis

Answer 10

cats that have lost weight rapidly: starvation, med condition that causes inappetance, stress in environment, diet too quickly

Question 11

signs of feline hepatic lipidosis

Answer 11

weight loss->jaundice, elevated liver enzymes

Question 12

how to treat feline hepatic lipidosis

Answer 12

force feed highly digestible food, nasogastric or gastrostomy tube, appetite stimulants (recovery up to 3 months)

Question 13

food to feed to prevent cancer (suposedly)

Answer 13

antioxidants (vitamins A, C, E, beta carotene, selenium, zinc)
synthetic antioxidants (ethoxyquin, binds to carcinogenic chemicals), soy protein

Question 14

how soy protein prevents cancer

Answer 14

inhibits tumor growth, contains isoflavins (protease inhibitors), decreases chance of breast and colon cancer

Question 15

why cancer patients need to be fed a high calorie diet

Answer 15

high BMR (need 2 x normal energy), cachexia, decreased appetite

Question 16

ways to increase calories in feed for cancer patients

Answer 16

add chicken fat, season w garlic (not in cats, causes heinz body hemolytic anemia), warm food to increase palatability, science n/d

Question 17

TLI blood levels of pancreatitis v EPI

Answer 17

pancreatitis: high (chronic persistant: low)
EPI: low

Question 18

what is jaundice

Answer 18

back up of billirubin (normally made by RBC breakdown, normally goes thro liver to be detoxified and excreted)