China-3-small intestinal disease-90 minutes-2017

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1、Diarrhea腹泻AtAcuteChronic慢性急性Large小Small肠bowelbowelDiarrhea腹泻AtAcuteChronic慢性急性Large小Small大肠肠bowelbowelDISTINGUISHLARGEBOWELFROMSMALLBOWELDISEASESMALLBOWELDISEASE区分大肠疾病与小肠疾病LargebowelSmallbowel大肠小肠Weightloss体体下重下降降Veryrare十分罕见Yes常见Polyphagia多食症No无Maybe可能Vomiting

2、呕吐Infrequent不常见Sometimes有时Freshblood鲜血Sometimes有时No无Melena黑粪症No无Rare少见Fecalmucus粪便粘液Sometimes有时No无Tenesmus里急后重Sometimes有时Infrequent不常见DISTINGUISHLARGEBOWELFROMSMALLBOWELDISEASESMALLBOWELDISEASE区分大肠疾病与小肠疾病LargebowelSmallbowel大肠小肠Weightloss体体下重下降降Veryrare十分罕见Yes常

3、见Polyphagia多食症No无Maybe可能Vomiting呕吐Infrequent不常见Sometimes有时Freshblood鲜血Sometimes有时No无Melena黑粪症No无Rare少见Fecalmucus粪便粘液Sometimes有时No无Tenesmus里急后重Sometimes有时Infrequent不常见DISTINGUISHLARGEBOWELFROMSMALLBOWELDISEASESMALLBOWELDISEASE区分大肠疾病与小肠疾病SEVERESmallbowelLARGEBOWE

4、LLARGEBOWEL严重大肠疾病小肠疾病Weightloss体重下降YES常见Yes常见PlhiPolyphagia多食症No无MbMaybe可能Vomiting呕吐Infrequent不常见Sometimes有时Freshblood鲜血YES常见No无Melena黑粪症No无Rare少见Fecalmucus粪便粘液YES常见No无THENEXTTWODOGSTHENEXTTWODOGSHAVETHESAMEDISEASE–WHATISIT?WHATISIT?接下来两只犬患有同样的疾病-是什么？MSU#85-093

5、5Sig:4yrFGermanShepherd信息：4岁母德国牧羊犬CC:Diarrhea/weightloss–4months主诉：腹泻/体重下降-4个月HPI:Stoolssoft,nomucusorblood现病史：软便，无粘膜或血液Haslost5kg体重已经下降5kgMetronidazolenothelpful甲硝唑无效Oraltyyplosinhelpedforfewmonths口服泰乐菌素起效约数月PE:DogisthinDogisthin体格检查：患犬消瘦MSU#85-0935CBC/profile

6、/urinalysis/fecals:Normal全血细胞计数/生化/尿检/粪便：正常Fatabsorptiontestsnormal脂肪吸收测试正常Intestinalhistopathology:Intestinalhistopathology:肠道组织细胞学：Chronicmildeosinophilicenttitieritiswithithillvillusatrophy,moderateplasmacytosis,mildtomarkedlactealdilation–“IBD”慢性轻度嗜酸性肠炎伴有肠绒

7、毛萎缩，中度浆细胞增多症，中度至显著的乳胀-“IBD”TAMU#121585Sig:2yrF(s)Collie信息：2岁母（绝育）柯利CC:Vomitingfoodd&bil&bilesince4monthsold主诉：从4月龄开始呕吐食物和胆汁HPI:LoudborborygmusespaftervomitingLoudborborygmus,espaftervomiting现病史：肠鸣音较大尤其是在呕吐后Repeatedvomitingcauseshematemesis多次呕吐引起出血Conditionfluct

8、uates,notsureifpriortxhelped情况波动，不确定之前的治疗是否有效Endoscopicbiopsies7monthsago:OK7个月前内窥镜活检：正常Nowvomitsatleasteverythirdday现在至少三天出现次呕吐PE:Thin体格检查：消瘦TAMU#121585CBC,U/A,Abdominalrad