Page 58 - 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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                                                                                                                                                                             Faecal
                                                      Flatulence                                                                                                          incontinence





                                                                                                                                                            Abnormal                                                Normal
                                                                                                                                                          sphincter tonus                                        sphincter tonus

                         Increased intestinal gas                         Excessive ingestion of
                             production                                          air

                                                                                                                                                                                                         Increased           Normal
                                                                                                                                              Sphincter                    Neurologic                    defecation         defecation
                                                                                                                                               disease                      disorders
                                                                                                                                                                                                          stimulus           stimulus

              Increased number of                                Obstruction
             gas-forming bacteria in   Increased substrates      of the upper          Ravenous appetite                                  – Neoplasia                                                 – Colitis          – Behavioural
                                       for gas production
               the intestinal tract                             respiratory tract                                                         – Postoperative       Cauda equina        Spinal cord       – Proctitis          abnormalities
                                                                                                                                            (e.g. tumour           lesion           lesion S1–S3      – Neoplasia
                                                                                                                                            resection)                                                – Narrowing of
                                                                                                                                          – Fistula                                                     the pelvis
                                                                                                                                                                                                        (e.g. after pelvic
             – Bacterial overgrowth   – Feeding of milk      – Rhinitis                                                                                       – Spinal disc       – Spinal cord         fracture)
              (e.g. due to exocrine   – Ingestion of spoiled   – Nasal neoplasia                                                                                herniation          infarction        – Laxatives
              pancreatic              food                   – Tracheal collapse                                                                              – Discospondylitis  – Neoplasia (e.g.
              insufficiency or                               – Laryngeal paralysis                                                                            – Neoplasia           lymphoma in
              anatomical                                     – BOAS                                                                                                                 cats)
              abnormalities)                                 – Foreign body                                                                                                       – Spinal disc
                                                                                                                                                                                    herniation





































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