Page 59 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 59

Internal Medicine
                                                                                                  Gastrointestinal tract


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                                                      Faecal
                                                   incontinence






                                     Abnormal                                                Normal
                                   sphincter tonus                                        sphincter tonus





                                                                                  Increased           Normal
                       Sphincter                    Neurologic                    defecation         defecation
                        disease                      disorders
                                                                                   stimulus           stimulus



                   – Neoplasia           Cauda equina        Spinal cord       – Colitis          – Behavioural
                   – Postoperative          lesion           lesion S1–S3      – Proctitis          abnormalities
                     (e.g. tumour                                              – Neoplasia
                     resection)                                                – Narrowing of
                   – Fistula                                                     the pelvis
                                                                                 (e.g. after pelvic
                                       – Spinal disc       – Spinal cord         fracture)
                                         herniation          infarction        – Laxatives
                                       – Discospondylitis  – Neoplasia (e.g.
                                       – Neoplasia           lymphoma in
                                                             cats)
                                                           – Spinal disc
                                                             herniation






































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