Page 10 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 10

Legend                                                                                                                       Internal medicine

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                                                                                                                                                                     Obesity
                                 Start of a diagnostic path/problem




                                                                                                                                          Decreased calorie use                      Increased calorie intake

                                 Intermediary steps/decision-making steps



                                                                                                                                         – Lack of exercise
                                                                                                                                         – Hypothyroidism         Calorie content of diet
                                                                                                                                         – Post-castration             too high                              Polyphagia

                                 Problem



                                                                                                                                                                – False declaration on
                                                                                                                                                                  the food
                                                                                                                                                                – Too many treats          Psychogenic polyphagia     Appetite stimulants
                                                                                                                                                                – Feeding ad libitum
                                 Important causes
                                 (only the most important causes are listed)

                                                                                                                                                                                         – Competition for food    – Hyperadrenocorticism
                                                                                                                                                                                         – Lack of satiety         – Iatrogenic
                                                                                                                                                                                                                     (e.g. therapy with
                                                                                                                                                                                                                     glucocorticoids,
             â   p. 100          Reference to another diagnostic path                                                                                                                                                phenobarbital)




                          *      See footnote
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