Term
| In the pharynx, the bolus is propelled to the _________. |
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Definition
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Term
| What are 5 questions to ask a patient who comes in saying "my pet is vomting" |
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Definition
| Is there drooling or repeated swalowing? Retching? What does vomitus look like? Is it assoc with eating? Other problems? |
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Term
| 5 differentials for dysphagia? |
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Definition
| FB; Periodontal; Oral ulcers; Eosinophilic plaques; Neoplasia |
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Term
| Best diagnostic tool for dysphagia |
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Definition
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Term
| regurg is a clinical sign of ______ disease |
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Definition
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Term
| mucopurulent nasal dishcarge is very indicative of _______ disease (oral cavity/pharyngeal/esophageal) |
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Definition
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Term
| three differential categories for pharyngeal disease |
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Definition
| motility disorder; obstrictive; Inflammatory |
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Term
| most common cause of acquired megaesophagus |
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Definition
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Term
| Congenital megaesophagus is commonly a problem with ____ |
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Definition
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Term
| what kind of fluoroscopy is done with suspected esophageal disease? |
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Definition
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Term
| Prognosis for idiopathic megaesophagus |
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Definition
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Term
| Immune mediated diseases are one potential cause of acquired megaesophagus. What kind of disease is usually the cause? |
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Definition
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Term
| what endocrine disease can commonly cause megaesophagus ( there's more than one true answer but i used the word common) |
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Definition
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Term
| should you use pro- motility drugs for megaesophagus? |
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Definition
| No - no effect or make things worse |
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Term
| Three things that can be included in a symptomatic therapy plan for idiopathic megaesophagus |
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Definition
| Upright feeding; Meatballs; gastric feeding tube |
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Term
| Reason most animals die from megaesophagus |
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Definition
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Term
| does esophagitis cause the stricture or stricture cause the esophagitis? |
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Definition
| esophagitis cause stricture |
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Term
| in cats you should try to give them water with their meds b/c of risk of _______ and subsequent _______. |
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Definition
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Term
| Name one congenital vascular ring anomaly |
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Definition
| persistent right aortic arch |
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Term
| With an esophageal FB, prgnosis is good if fremoved by _____hours |
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Definition
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Term
| What kind of esophageal cancer i bad? |
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Definition
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Term
| how do you treat esophagitis |
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Definition
| identical to gastric ulcers- omeprazole, sucralfate, metoclopramide, analgesics |
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Term
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Definition
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Term
| beyond min database whtas another dx test you should do on a vomiting case? |
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Definition
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Term
| what dx test is good to help dx IBD, cancer, fungal infection, ulcers, and FB for a vomiting case? |
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Definition
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Term
| whats a differential group list for primary GI causes of acute vomiting ( O TININI) |
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Definition
| obst; Toxic; idiopathic; neoplasia; infectious; nutritional; inflammatory; |
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Term
| two viral causes of acute vomiting |
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Definition
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Term
| for acute vomiting dx it can get expensive but ideally you want to rule out these four causes: |
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Definition
| FB; Parasites; Metabolic; Viral |
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Term
| two metabolic causes of vomiting ina middle aged patient |
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Definition
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Term
| hows the prognosis for dysphagia? |
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Definition
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Term
| how's the prog for esophageal foreign body? |
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Definition
| good- if removed within 24hrs |
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Term
| Three moan places for an esophageal foreign body to lodge |
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Definition
| thoracic inlet, hilus, base of heart |
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Term
| usually only need _______ to dx myasthenia gravis |
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Definition
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Term
| breed disposition for idiopathic myasthenia gravis |
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Definition
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Term
| if a patient is vomiting a lot, why don't you go ahead and also treat it for _________. |
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Definition
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Term
| Most common way to dx esophagitis |
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Definition
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Term
| should you give antibiotics to an esophagitis patient? |
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Definition
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Term
| which esophagitis med doesnt taste good and may be hard to give to cats? |
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Definition
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Term
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Definition
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Term
| Should you use a pro-motility drug like metaclopramide for esophagitis? |
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Definition
| yes- good for nausea and help tighten sphincter |
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Term
| Metaclopramide should definitely be given for this esophageal disease_________, but definitely not this one_________. |
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Definition
| esophagitis; megaesophagus |
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Term
| You want to treat esophagitis for ________weeks, but it should start working in ____days unless there is something else wrong. |
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Definition
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Term
| esophageal stricture can be a consequence of _________. |
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Definition
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Term
| don't give pills dry because you might end up with an esophageal stricture. Especially this antibiotic________, and especially in this species__________. |
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Definition
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Term
| An endoscopic balloon dilation is used to tx _________ with what goal in mind? |
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Definition
| esophageal stricture; breakdown stricture to dilate esophagus so when returns, won't make esophagus too narrow |
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Term
| Need to be aware of this rare cause of esophageal disease, especially in juveniles |
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Definition
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Term
| Two main differentials for regurg in an adult dog |
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Definition
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Term
| two causes of esophagitis |
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Definition
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Term
| What should be part of your PE in a vomiting/diarrhea dog |
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Definition
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Term
| should you do a fecal on a vomiting dog? |
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Definition
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Term
| what mineral, if elevated, can directly cause vomiting? |
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Definition
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Term
| who's more likely to vomit because of intestinal disease- dogs or cats? |
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Definition
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Term
Which of the following is a low value dx test for acute vomiting?
ACTH Stim
surgery
food trial
endoscopy
digital rectal |
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Definition
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Term
| Three main differential categories for acute vomiting |
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Definition
| foreign body, metabolic disease, parasites |
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Term
| Three main components of acute vomiting therapy |
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Definition
| rehydration, anti emetics, gastroprotectants |
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Term
| You are more worried about hydration status with acute or chronic vomiting? |
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Definition
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Term
| what is the most common manifestation of gastric ulcers? |
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Definition
|
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Term
| what is the least common etiology of gastric ulcers? |
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Definition
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Term
| Are you more concerned with a tense abdomen in an adult or young animal? |
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Definition
| young- they have softer abdomens to tense ones are more of a concern |
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Term
| Most common cause of gastric ulcers in dogs and cats |
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Definition
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Term
| patient has gastric ulcers and eosinophilia- what not so common neoplasia might be occurring? |
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Definition
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Term
| Common presentation of cat with pancreatitis |
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Definition
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Term
| _____ should be considered in any sick old cat |
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Definition
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Term
| breed risk for acute pancreatitis |
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Definition
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Term
| two drugs that put you at risk for pancreatitis |
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Definition
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Term
| risk factors for pancreatitis in cats |
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Definition
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Term
| Common presentation of dog with pancreatitis |
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Definition
| anorexia and vomiting plus other things |
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Term
| which aged dog most commonly gets pancreatitis? (young, middle, old) |
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Definition
|
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Term
| what particular chem abnormialty can you see with pancreatitis? |
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Definition
|
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Term
| does ultrasound help to dx pancreatits? |
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Definition
| in serve disease only- 70% |
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Term
| what do you address first in an acute pancreatitis case? How do you treat it? |
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Definition
| vascular perfusion; FLUIDS!!! |
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Term
| You suspect EPI, - what blood chem test do you ask for? What other dx might help, what common dx is NOT done? |
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Definition
| TLI; min database; imaging prob wont help |
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Term
| short differential list for polyphagia with weight loss... what if dogs also has really stinky greasy poo? |
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Definition
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Term
| you should empirically add_______ to EPI treatment even if you don't test for levels. |
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Definition
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Term
| If an EPI dog not responding to enzyme replacement, consider these other four complicating factors/other dx: |
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Definition
| cobalamin levels, dysbiosis, IBD, parasites |
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Term
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Definition
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Term
| species more commonly getting EPI |
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Definition
|
|
Term
| chronic pancreatitis can be associated with developing these two pancreas dysfunctions: |
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Definition
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Term
| bedlington terrier walks in with non specific signs you think: |
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Definition
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Term
| what are the signs of liver disease even though not specific to liver disease |
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Definition
| depression weight loss vomiting |
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Term
| why might an animal be PUPD with hepatic encephalopathy? |
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Definition
|
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Term
| what's a common manifestation of hepatic encephalopathy in cats? |
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Definition
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Term
| how severe does liver disease have to be to get GI signs secondarily? |
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Definition
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|
Term
| if you see bladder stones in a young dog or cat think: |
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Definition
|
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Term
| though not specific to liver disease, if you see a (hyper/hypo)echoic liver you should suspect it- |
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Definition
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Term
| to definitively dx almost any liver disease, you need a |
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Definition
|
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Term
| name some common causes of hepatotox |
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Definition
| xylitol, carprofen, acetominophen, phenobarb, sulfas, aflatoxin... |
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Term
| two types of chronic liver failure |
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Definition
| copper assoc and idiopathic |
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Term
| ok so you have copper levels at 1500 for a patient what dx test will distinguish a primary copper disorder from secondary accum? |
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Definition
| biopsy with special stain |
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|
Term
| where does copper accumulate if it's a secondary accumulation? |
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Definition
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Term
|
Definition
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Term
|
Definition
|
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Term
| cats are more likely to _______than dogs with IBD |
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Definition
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Term
|
Definition
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Term
| when trying to dx diarrhea, what dx value might lead you to continue with aggressive diagnostics over starting with a food trial... |
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Definition
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|
Term
| when doing an intestinal biopsy do you make a pie slice or a thicker rectangle |
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Definition
| thicker rectangle to make sure you get good (sub) mucosa |
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|
Term
| If a patient truly has IBD they will need this treatment: |
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Definition
|
|
Term
| what do you give cats with lymphocytic IBD alongside pred? |
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Definition
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Term
| Sulfasalazine is made of a sulfa drug and aspirin derivative used to tx:_______ watch for this side effect b/c of sulfa: |
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Definition
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