Page 60 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 60

Internal Medicine                                                                                                                                                                                                  Internal Medicine
       Gastrointestinal tract                                                                                                                                                                                           Gastrointestinal tract



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                                                                                                                                                                                           Blood in
                                                                                                                                                                                            faeces
                                                         No defaecation

                                                                                                                                                              Bloody                                                    Enteric
                                                                                                                                                             diarrhoea                                                  bleeding

                                No attempts to                                  With tenesmus ani                                        Acute haemor-                                                        Severe damage    â Coagulo-
                                  defaecate                                                                                              rhagic diarrhea    Non-                  Infectious                      of the         pathy
                                                                                                                                        syndrome (AHDS)   infectious                                           intestinal wall  pp. 18–19


                                                                                                                                                  Inflammation   Ingestion of   – Parvovirosis   Mechanical                     Severe
                                Neuromuscular                                               Large bowel                                            spreading to   irritating                      damage to      Mucosal     gastrointestinal
                Pain                                 Empty gut          Inflammation                                                                 the gut     substances    – Distemper                       ulceration
                                  disorders                                                 obstruction                                                                        – Salmo-          the mucosa                    parasite
                                                                                                                                                                                nellosis                                      infestation
                                                                                                                                                  – Pancreatitis               – Clostridiumspp.
                                                                                                                                                                               – Giardiosis      – Foreign    – Iatrogenic
           – Anal sac abscess  – Spinal cord                          – Colitis           – Stricture                                                                          – Coccidiosis       body         (e.g. therapy
           – Perianal fistulas  lesion S1–S3         â Anorexia                           – Prostatic                                                                          – Tricho-         – Trauma       with high-
                                                                                                                                                                                                                dose gluco-
                                                      pp. 34–35
                               – Damage to the                                              enlargement                                                                         moniasis                        corticoids,
                                pudendal nerve                                            – Perineal hernia                                                                                                     NSAIDs)
                               – Polyneurop-                                              – Constipation                                                                                                      – Neoplasia
                                athy                                                                                                                                                                          – Uraemic
                               – Smooth muscle                                                                                                                                                                  enterocolitis
                                dysfunction
                                                                                                                                                                                                              – Severe
                                                                                                                                                                                                                inflammation








































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