Page 2793 - Cote clinical veterinary advisor dogs and cats 4th
P. 2793

Vomiting, Acute 1457.e1



            Vomiting, Acute
  VetBooks.ir                                     Acute vomiting





                                                 History and physical
                                                   examination




                          Mild signs,                                        Severe or life-
                          likely self-                                     threatening signs
                           resolving

                                                                          Complete blood count
                       Minimal diagnostics                                 Biochemistry profile
                       • Fecal exam                                           Urinalysis
                       • +/– Radiographs                                     Fecal exam
                                                                             Radiographs
                                                                            +/– Ultrasound

                  Parasites       Nonspecific
                • Anthelmintic    gastroenteritis
                   therapy                            Systemic or metabolic  Positive imaging   No significant
                                                           disease                               findings
                                Supportive therapy
                                • Withhold food 12-
                                   24 hours             Specific therapy        GDV           Supportive therapy
                                • +/– Fluids                                 Foreign body     • Fluids
                                • +/– Antiemetics                            Obstruction      • Antiemetics
                                                                                Mass
                                                                              Peritonitis
                                                                                             Reassess frequently
                Treatment success  Treatment failure
                                                                               Surgery
                                                                                              Treatment failure
           (From Gallagher A: Vomiting and regurgitation. In Ettinger SJ, Feldman EC, Cote E, editors: Textbook of veterinary internal medicine, ed 8, St. Louis: Elsevier, 2017.)











                                                                                                                      Clinical   Algorithms





















                                                      www.ExpertConsult.com
   2788   2789   2790   2791   2792   2793   2794   2795   2796   2797   2798