Diseases of Digestive System

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103 Cards. Created by Paul ().

cholangiohepatitis DX : bw

cbc--neutraophilia w/ left shift --mild, regenerative anemia

cholangiohepatitis DX : chem

mild to moderate increase in ALT, normal to increased ALP, mild to moderate increase in GGT, normal to increased fasting serum bile acids, hypoalbuminemia,(later stages), decreased BUN(later stages)

cholangiohepatitis DX: liver biopsy

cellular infiltrates in or near bile ducts; +/- portal triad fibrosis (definative diagnosis)

cholangiohepatitis DX: radiology

hepatomegaly or choleliths may be observed

cholangiohepatitis PX

prognosis uncertain and variable; tx may be prolonged and expensive; permanent damage to liver my occur

cholangiohepatitis signs

anorexia, depression, weight loss, vomiting, dehydration, fever, jaundice, ascites, hepatomegaly

cholangiohepatitis TX

antibiotics, ursodeoxycolic acid, prednisone, fluid and electrolyte corrections, vitamin and nutritional support, S-adenosylmethioonie

Chronic Enteropathies

chronic small intestinal inflammatory bowel disease (IBD) in dogs and cats chronic antigenic stimulation of the intestinal lumen (from many causes) causes and infiltration of lamina propria with lymphocytes and plasma cells (causes damage to mucosa and abnormal intestinal absorption)

Chronic Enteropathies signs

often non specific, chronic intermittent vomit/,+/- diarrhea, listlessness, weight loss, older animals, Borygmus (gas sounds in intestine), halitosis, flatulence, signs progressive over time

describe docusate enema for mega colon or constipation.

-possesses wetting and emulsifying properties -salts reduce surface tension and allow water and fat to penetrate the ingesta and formed feces -may have an effect on cells of the colonic mucosa allowing the ceels to more easily secrete water into lumen

Diseases of Large Intestine: large inflammatory bowel disease

very similar to small intestine diseases, excessive number of inflammatory cells in mucosa, unknown etiology, likely multi factorial, colonic inflammation disrupts mucosal integrity and results in decreased absorption of water and electrolytes

Diseases of Pancreas TX

supportive care: fluids and electrolyte balance; potassium if needed; NPO 3-4 days if vomiting; antiemetics; analgesia (Buprenorphine in cats; butorphanol in dogs) antibiotics: (enroflaxin, trimethaprin gluccocorticoids)

Diseases of Pancreas: cbc and chem

cbc -leukocytosis -increased PCV chem -azotemia -increased ALT -mils hypocalcemia -hyperlipemia -normal to increased amylase and lipase4

Diseases of Pancreas: DX: tests

increased serum trypsinogen-like immunoreactivity, pancreatic lipase immunoreactivity (cPLI), and (fPLI)

Diseases of Pancreas: what/causes

inflammation of the pancreas; acute or chronic digestive enzymes are activated within the gland causes autodigestion, gland becomes inflamed resulting in tissue damage, high fat diets predispose, assoc w/ hepatic liidosis, drugs , parasites, tumors, trauma may cause pancreatitis

Diseases of Pancreas: who/signs

older obese dogs with history of recent fatty meal; painful abdomen, anorexia, depression, dehydration, vomiting, diarrhea, fever,shock and collapse

Diseases of Rectum/Anus perineal hernias (who gets it/what it is)

common in intact older male dogs >8; atrophy of levator ani muscle causes herniation of rectum and pelvic organs into ischiorectal fossa

Diseases of Small Intestine acute diarrhea what/why/ causes/signs

most common diarrhea; change in diet, drug therapy, stressful situations causes disruption of normal bacterial flora signs abrupt onset diarrhea, +/- vomiting

Diseases of the Liver: what is cholangiohepatitis?

common hepatobiliary disorder of cats, less in dogs complex of disorders that involve cholangitis, cholangiohepatitis, and biliary cirrhosis, bile duct inflammation leads to hepatocyte involvement, progresses to cirrhosis

Exocrine Pancreatic Insuffciency (what it is and then some...)

pancreas loses acinar cells followed by inadequate production of digestive enzymes; usually asymptomatic until 85-90% of secretory ability has been lost; lack of normal pancreatic secretions affect mucosal lining of small intestine and decrease absorption