no edit summary
Line 15: Line 15:  
==Diagnosis==
 
==Diagnosis==
 
===Clinical Signs===
 
===Clinical Signs===
 +
The clinical presentation depends on cause, severity, and site of obstruction.  Upper small intestinal obstruction causes a net fluid secretion whereas lower small intestinal obstruction causes a net fluid resoption.  Antibiotic responsive diarrhoea is more likely in distal small intestinal obstruction.
 +
 
====Simple obstruction====
 
====Simple obstruction====
*Vomiting; the further the obstruction is towards the mouth, the more frequent the vomiting is
+
*Vomiting; the further the obstruction is towards the mouth, the more frequent and the more volume the vomiting is
 
*Moribund or in septic shock; if part of the intestine becomes devitalised, resulting in septic peritonitis
 
*Moribund or in septic shock; if part of the intestine becomes devitalised, resulting in septic peritonitis
 
*Abdominal foreign body, mass or obstructive ileus may be palpable
 
*Abdominal foreign body, mass or obstructive ileus may be palpable
Line 30: Line 32:  
*nausea
 
*nausea
 
*retching
 
*retching
*vomiting
+
*vomiting ± bloody diarrhoea
*abdominal pain
+
*acute abdomen
 +
*abdominal fluid accumulation
 
*depression
 
*depression
*± bloody diarrhoea
+
 
    
===Linear foreign body===
 
===Linear foreign body===
Line 42: Line 45:     
===Laboratory Tests===
 
===Laboratory Tests===
 +
*Mild dehydration to septic shock
 
====Haematology====
 
====Haematology====
       
====Biochemistry====
 
====Biochemistry====
 
+
*Hypochloraemia and hypokalaemia acid-base derangement is common in animals with upeer small intestinal obstruction.
    
====Other Tests====
 
====Other Tests====
Line 53: Line 57:  
===Diagnostic Imaging===
 
===Diagnostic Imaging===
 
====Radiography====
 
====Radiography====
*Plain abdominal radiography may be all that is needed to reveal the cause of the obstruction.
+
*Plain abdominal radiography may be all that is needed to reveal the cause of the obstruction.  Gas and fluid accumulation may be visible due to intestinal dilation.
 
*Contrast radiography may be needed if ileus and obstruction cannot easily be distinguished.
 
*Contrast radiography may be needed if ileus and obstruction cannot easily be distinguished.
  
592

edits