Page 43 - 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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