most acute vomiting and diarrhea - Answers are self-limiting
most chronic vomiting and diarrhea - Answers requires a specific diagnosis before treatment, although
supportive care is important
categories of acute V&D - Answers nonfatal/self-limiting
secondary to extra-intestinal/systemic disease
severe potentially life threatening- enteric infection, HGE, intestinal obstruction
non-fatal/self-limiting V&D - Answers parasitism
dietary indiscretion
severe, potentially life-threatening V&D- enteric disease - Answers parvovirus
bacterial
HGE
surgical disease
surgical disease - Answers intussesception
volvulus
incarceration
stricture/partial obstruction
FB
vomiting is likely
the most important part of supportive care - Answers treatment/prevention of dehydration
daily fluid volume entering the gut of a 20kg dog - Answers diet- 600ml
saliva-300ml
gastric-600ml
bile-300ml
pancreatic-300ml
, SI-300ml
total-2700ml per day
daily fluid volume absorbed by gut of 20kg dog - Answers jejunum-1350ml
ileum-1000ml
colon-315ml
total-2665ml
fecal water-35ml
decision making for V&D - Answers is it self limiting or life threatening
things to consider for decision making - Answers moderate to severe dehydration
abdominal pain
depression
blood in F+
palpation of mass/dilated bowel loop
frequent vomiting
signs of systemic illness- pyrexia, LN, oronasal discharge
questions to answer for decision making - Answers it intensive emergency treatment needed-
fluid/electrolyte, acid/base
is there an underlying non-enteric cause
is surgical management needed
is hospitalization needed
is an infectious cause likely
is non-specific treatment sufficient
V&D - Answers frequently occur together or sequentially
vomiting +/- abdominal pain -> profuse diarrhea -> mucoid diarrhea + tenesmus
acute gastritis - Answers acute onset of frequent vomiting
often associated with acute diarrhea