Page 42 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Internal Medicine                                                                                                                                                                                                   Internal Medicine
       Gastrointestinal tract                                                                                                                                                                                           Gastrointestinal tract


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                                                                                        Polyphagia




                                                                       Without weight gain/                                                                                                                     With weight gain
                                                                         with weight loss




                                    Increased calorie                          Loss of calories                                                           Caloric intake                                 Psychogenic      Stimulation of
                                     requirements                                                                                                           reduced                                      polyphagia         appetite




                    Energy needed for                                                                                                                                                                  – Competition    – Hyper-
                       additional                        Increased                          Gastro-                                         Low energy                          Mal-                     for food         adreno-
                      cells/tissue/                     metabolism             Renal        intestinal                                     content in diet                   assimilation              – Lack of satiety  corticism
                       organisms                                                                                                                                                                       – Behavioural    – Iatrogenic
                                                                                                                                                                                                         abnormality      (e.g. therapy
                                                                                                                                                                                                                          with
                                                                            – Protein-     – Protein-                                     – Feeding                                                                       glucocorticoids,
                        Parasite                                Physio-                                                                                           Mal-                   Mal-                             diazepam,
         Pregnancy                   Neoplasia    Hormonal                    losing        losing                                         inadequate diet
                       infestation                               logic                                                                                          absorption             digestion                          phenobarbital)
                                                                              nephrop-      enter-                                         (e.g. vegan)
                                                                              athy          opathy                                         concerning
                                                                            – Glucos-                                                      species, age,
                      – Gastro-                    Hyper-      – Stress       uria/                                                        activity level     Damage to the        – Exocrine pancreatic
                        intestinal                thyroidism   – Lactation    diabetes                                                    – Poor-quality         gut wall           insufficiency
                        parasites                                             mellitus                                                     diet                                    – Bile deficiency due
                      – Ecto-                                                                                                                                                       to cholestasis
                        parasites
                      – Diro-                                                                                                                               – Intestinal
                        filariosis                                                                                                                            parasites
                                                                                                                                                            – Chronic enteritis
                                                                                                                                                            – Infiltrative
                                                                                                                                                              gastrointestinal
                                                                                                                                                              neoplasia



























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