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'''This rabbit presents to you with soft faecal material caked around its perineum. The owner reports that it has diarrhoea.'''

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<FlashCard questions="2">
|q1=How can you determine if this is indeed true diarrhoea?
|a1=
True diarrhoea needs to be distinguished from uneaten caecotrophs or abnormally soft caecotrophs that adhere to the perineum. <br><br>
Relevant questioning during history taking can generally distinguish between the two situations.
*If there is true diarrhoea, no normal faecal pellets are passed.
*If this is caecotroph material, normal hard faecal pellets will still be passed or may be stuck amongst the caked material. <br><br>
*Rabbits with true diarrhoea are generally systemically unwell and deteriorating, dehydrated and in abdominal pain.
*Caecotrophs have a characteristic strong ‘vinegary’ odour due to the volatile fatty acids present, and are coated in mucus.
|l1=
|q2=If you determine that true diarrhoea is not present, what can cause this presentation?
|a2=
Caecotrophs may remain uneaten or be abnormally soft for many reasons:
*Vertebral pain or restriction of movement (e.g. spondylosis, spondylitis) so that the
rabbit cannot bend to reach the anus to eat its caecotrophs.
*Obesity – the rabbit cannot physically reach its anus to eat the caecotrophs.
*Dental or other oral pain.
*Low-fibre, high-carbohydrate diets.
*High-protein diets - may affect palatability of caecotrophs.
*Overfeeding leading to no calorific need for caecotroph ingestion.
*Lack of space and exercise.
|l2=
</FlashCard>

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