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SINDROAME MAJORE IN GASTROENTEROLOGIA LA CAINE SI PISICA

SINDROAME MAJORE IN GASTROENTEROLOGIA LA CAINE SI PISICA. Conf. Dr. Mircea Mircean. Schimbari diverse (casa, persoane , alte animale , etc). 1. Stress ambiental. Verifica :. Palatabilitate redusa , AA ramificati. FALSA. Anamneza. 2. Modificari ale dietei. Exclus punctele

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SINDROAME MAJORE IN GASTROENTEROLOGIA LA CAINE SI PISICA

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  1. SINDROAME MAJORE IN GASTROENTEROLOGIA LA CAINE SI PISICA Conf. Dr. MirceaMircean

  2. Schimbari diverse (casa, persoane, alteanimale, etc) 1. Stress ambiental Verifica: Palatabilitateredusa, AA ramificati FALSA Anamneza 2. Modificari ale dietei Excluspunctele 1 si 2 ANOREXIA Examen clinic Reducereaacuitatiiolfactive Exclude anosmia ADEVARATA Faramedicamente Acuitateolfactivanormala Anamneza • Verifica: • Opioide • Chimioterapie • - Fluidoterapie Medicamente

  3. Verifica: • Enterite, pancreatite • - I.C.C. • - I.U.A. /I.U.C. ANOREXIA + Diaree • Verifica: • - Pneumopatii, ICC • Efuziunipleurale • Hernia diafragmatica ANOREXIA + Dispnee • Verifica: • Torsiuneagastrica • Ascita • Piometra ANOREXIA + Examen clinic Distensieabdominala • Verifica: • Afectiunineurologice • Miozitaeozinofilica • Fracturamandibulei • Stomatite, corpistraini Trismus / Pseudotrismus ANOREXIA + • Verifica: • Boli de organ: • Ileusul intestinal • Hepatite, peritonite, pancreatiteBoliinfectioase , parazitare Vomitare ANOREXIA +

  4. Exclude: • Supraalimentatia • Cresterea • Gestatia Anamneza Supraponderal • Examen clinic • Examenespeciale: • biochimiesanguina • testespeciale • imagisticamedicala • Investigheaza: • Sindromul Cushing • Diabetulzaharat • Acromegalia Consult. Anamneza Exclude: - Subnutritia POLIFAGIA Subponderal • Examen clinic • Examenespeciale: • control coproparazitologic • biochimiesanguina • examenurina • testul de absorbtie a glucozei • Investigheaza: • Malabsorbtia • Hipertiroidismul • Megaesofagul • Sunturiportosistemice • Insuficientapancreatica Consult. • Exclude: • Efortfizic • Frigul • Lactatia Anamneza Normoponderal • Examen clinic • Examenespeciale: • biochimiesanguina • testespeciale, imagisticamedicala Investigheaza: - Stadiultimpuriu al sindromului Cushing Consultatia

  5. PTIALISMUL Leziunioraleprezente Leziuniorale absente • Imposibilitateainchideriigurii • crepitatieosoasa • durere Fracturabilateralamandibula • Simptome de SNC • Ficat normal - Consultatieneurologica Clinic + Rx Verifica pt.: - Sunturiportosistemice • Simptome de B.H.C. Pseudotrismus, febra -Stomatite - Glosite - Gingivite Clinic, citologie Verifica pt.: - Gastropatii • Greata • Vomitare • Periodontopatii • Malformatiimaxilo-faciale • Tumori Prehensiune + masticatiedificile Clinic + Rx • Regurgitare Verifica pt.: - Esofagopatii Reg. parotidiana: - tumefactii, fluctuenta, durere Verifica: - Glandelesalivare

  6. VOMITAREA Cortex cerebral Emotia, frica, excitatia Medicamente Endotoxemia Infectii Zona de stimulare a chemoreceptorilor (ZSC) (trunchiul cerebral) Centrulvomei (bulbul rahidian) Vomitare • Imput neurologic de la • aparatul vestibular: • Otitemedii • Răul de miscare Viscere digestive Iritatii, inflamatii

  7. VOMITAREA Act reflex Central (ZSC) Vagal Periferic Medicamente: Digitalice Xilazina Apomorfina Peritonite Hepatite Pancreatite Edempulmonar Intermitent: Supraalimentatia Schimaredieta Gastritacronica Persistent: Gastrite Gastroenterite Stenozapilorica Ulcer gastric Neoplasm gastric Sindrom vestibular: Otitemedii Rău de transport Toxemia: Uremia Piometra Diabetzaharat

  8. Da Boliesofagiene, gastrite Hranirea Nu Bolisistemice, obstructiiintestinale Da Boliesofagiene, gastritecronice Prezentaapetitului Nu Bolisistemice, neoplaziigastrice, disfagia VOMI TAREA Caracterincoercibil Bolisistemice, gastrite acute, obstructii Asociata cu : Caracterintermitent Gastritecronice, neoplaziigastrice, enteropatiicronice Ptialism Afectiuniorale, esofagopatii, gastropatii Diaree Gastroenterite (maiputin in gastrite)

  9. Ulcer gastric, gastritahemoragica, neoplaziegastrica. “Zaţ de cafea” Hemoragiedigestivasuperioara (cavitateorala, faringe, esofag) Sangeproaspat Esofagita de relux, boalapilorica, tulburari de motilitate Alimentar Materialulvomitat Dupavomitariincoercibile, torsiuneagastrica Mucus redus Vomitariincoercibile, obstructieintestinala (jejun) Bilios Coprostaza / obstructiacolonului Fecaloid

  10. VOMITAREA • Bolisistemicesaumetabolice: • gastroenterite • ileusul • tumori • pancreatite • peritonite • bolihepatobiliare • insuficientarenala • hipocorticismul • diabetulzaharat • agentiinfectiosi • agentiparazitari Investigatiiparaclinicevizand: Alterareastariigenerale Acuta • Intolerantealimentasre • Indigestii • Medicamenteiritante • Materialestraine Anamneza, examen clinic vizand: Stare generalanemodificata

  11. VOMITAREA • Anamneza • Teste de coagulare • Test stimulare ACTH • Gastroscopie • Ecografie • Radiografie • Gastritahemoragica • Ulcer gastric • Corp strain • Intoxicatie cu anticoagulante • Hipoadrenocorticism • Neoplaziigastrice Hematemeza Masaabdominalapalpabila • - Ecografie • Radiografie • Laparotomie CRONICA • Inflamatii: • Gastritacronica • Enteritecronice • Colite Gastropatiiprimare • Anamneza • Gastroscopie • Ecografie • Radiografie • Ileus: • Ocluzii • Obstructii • Tulburari de motilitateintestinala Farahematemeza • Ex. biochimicsange • T4 • Test stimulare ACTH • Ecografie • Radiografie • Insuficientarenala • Pancreatite, peritonite • Diabetzaharat • Hipoadrenocorticism • Hipertiroidism Gastropatiisecundare

  12. DIAREEA

  13. Diareeacronică Anamneza, examen clinic Examen de laborator Diareea – intestinsubtire Bolisistemice Diareea - colon Investigatiietiologice Terapie specifică Investigatiietiologice

  14. Diareeacronica – intestinsubtire Fecale =>Sudan III Ser =>TLI, Folati, cobalamina Pozitiv Negativ Insuficientapancreaticaexocrina Imagisticamedicala, biopsiaintestinala, coprocultura, ex. Coproparazitologic, ELISA (FIV, FeLV) Enteritacronica Parazitoze Alergii/intolerante Neoplazii FIV, FeLV

  15. Diareeacronica – colon Fecale =>Sudan III Ser =>TLI, Folati, cobalamina Negativ Imagisticamedicala, biopsiaintestinala, coprocultura, ex. Coproparazitologic, ELISA (FIV, FeLV) Parazitism Colitacronica Colon spastic Neoplazii Boliperineale

  16. Tenesmelesidischezia Afectiunigenito-urinare Colonopatii Bolianorectale Cistite Urolitiaza Tumori Hipertrofiaprostatei Saculitaperianala Abcesulperianal Fistula anorectala Adenocarcinomulperianal Hernia perineala Parazitism Colitacronica Colon spastic Neoplazii Coprostaza Corpistraini Invaginatia

  17. ASCITA E.P.P.= enteropatie cu pierdere de proteina N.P.P.= nefropatie cu pierdere de proteina

  18. ASCITA

  19. ASCITA

  20. ASCITA

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