1: HISTORICAL SIGNS

PART 1
HISTORICAL SIGNS


1.1 General, systemic and metabolic historical signs


1.1.1 Polyuria/polydipsia


Diet


  • Increased salt intake
  • Very-low-protein diet

Drugs/toxins


  • Aminophylline
  • Corticosteroids
  • Delmadinone acetate
  • Diuretics
  • Ethylene glycol
  • Indomethacin

    • Lilies

  • Lithium

    • Melamine

  • NPK fertilisers
  • Paraquat
  • Phenobarbitone
  • Potassium bromide
  • Primidone
  • Proligestone

    • Raisins/grapes

  • Terfenadine
  • Theophylline
  • Vitamin D rodenticides

Electrolyte disorders


  • Hypercalcaemia q.v.
  • Hypernatraemia q.v.

    • Primary
    • Secondary to dehydration, lack of intake, excessive loss of water, severe vomiting/diarrhoea, etc.

  • Hypokalaemia q.v.

Endocrine disease


  • Acromegaly
  • Diabetes mellitus*
  • Diabetes insipidus

    • Central
    • Nephrogenic

  • Hyperadrenocorticism
  • Hyperthyroidism* (C)
  • Hypoadrenocorticism (D)
  • Insulinoma
  • Pheochromocytoma
  • Primary hyperaldosteronism
  • Primary hyperparathyroidism

Hepatobiliary disease, e.g.


  • Hepatic neoplasia* q.v.
  • Hepatitis/cholangiohepatitis* q.v.

Infectious disease, e.g.


  • Toxaemia, e.g.

    • Pyometra*

Miscellaneous


  • Congenital lack of ADH receptors
  • Hypothalamic disease
  • Pericardial effusion
  • Polycythaemia
  • Psychogenic*

Neoplasia*

Physiological


  • Exercise
  • High environmental temperature

Renal disorders


  • Acute kidney injury* q.v.
  • Chronic kidney disease* q.v.
  • Following urethral obstruction*
  • Glomerulonephritis
  • Primary renal glycosuria
  • Pyelonephritis
  • Renal medullary washout

Note: Polyuria and polydipsia are considered together here, since one will lead to the other, with only a few exceptions. These include polydipsia in the face of obstructive lower urinary tract disease or oliguric renal failure and polyuria which is not matched by fluid intake, in which case dehydration will rapidly follow. None of these scenarios are encountered commonly in practice. Polydipsia without polyuria can occur in situations of increased urinary loss of fluid, such as after strenuous exercise.


1.1.2 Weight loss


Decreased nutrient intake


  • Anorexia* q.v.
  • Diet

    • Poor-quality diet
    • Underfeeding

  • Dysphagia q.v.
  • Oral disease, e.g.

    • Dental disease
    • Masticatory myositis
    • Temporomandibular joint disease

  • Regurgitation q.v.

Increased nutrient loss


  • Burns
  • Chronic blood loss

    • Epistaxis q.v.
    • Haematemesis q.v.
    • Haematuria q.v.
    • Melaena q.v.

  • Diabetes mellitus/diabetic ketoacidosis*
  • Effusions q.v.
  • Fanconi syndrome (D)
  • Intestinal parasites*
  • Neoplasia*
  • Protein-losing enteropathy*
  • Protein-losing nephropathy

Increased nutrient use

Endocrine, e.g.


  • Hyperthyroidism* (C)

Neoplasia*

Physiological


  • Cold environment
  • Exercise
  • Fever q.v.
  • Lactation*
  • Pregnancy*

Maldigestion/malabsorption


  • Cardiac failure
  • Exocrine pancreatic insufficiency
  • Hepatic failure/bile salt deficiency q.v.
  • Hypoadrenocorticism (D)
  • Neoplasia*
  • Renal disease* q.v.
  • Small intestinal disease* q.v., e.g.

    • Antibiotic-responsive diarrhoea
    • Inflammatory bowel disease
    • Lymphangiectasia

Regurgitation and vomiting* q.v.

1.1.3 Weight gain



  • Decreased energy utilisation, e.g.

    • Decreased exercise

Fluid accumulation


  • Ascites* q.v.
  • Peripheral oedema q.v.
  • Pleural effusion

Increased body fat

Overeating


  • Boredom
  • Excessive appetite (normal in some breeds)
  • High-calorie diets
  • Overfeeding*

Endocrinopathies


  • Acromegaly
  • Hyperadrenocorticism
  • Hypogonadism
  • Hypothyroidism* (D)
  • Insulinoma

Increased organ size


  • Hepatomegaly* q.v.
  • Renomegaly q.v.
  • Splenomegaly* q.v.
  • Uterine enlargement q.v.

    • Pregnancy*
    • Pyometra*

Neoplasia


  • Large abdominal mass (often associated with poor body condition)*
  • Drugs, e.g.

    • Corticosteroids

1.1.4 Polyphagia


Behavioural/psychological


  • Boredom
  • Normal in some breeds*
  • Psychogenic, e.g. problem with satiety centre

Diet


  • Highly palatable food*
  • Poor-quality food

Drugs, e.g.


  • Benzodiazepines
  • Corticosteroids
  • Mirtazapine
  • Progestagens

Endocrine


  • Acromegaly
  • Diabetes mellitus*
  • Hyperadrenocorticism
  • Hyperthyroidism *(C)
  • Insulinoma

Increased nutrient loss, e.g.


  • Exocrine pancreatic insufficiency
  • Malabsorption

    • Small intestinal disease

Increased nutrient use, e.g.


  • Neoplasia

Malassimilation q.v.

Physiological


  • Cold environment
  • Increased exercise
  • Lactation
  • Pregnancy

1.1.5 Anorexia/inappetence


Anorexia, primary


  • Intracranial disease, e.g.

    • Hypothalamic neoplasia

Anorexia, secondary


  • Anosmia

    • Chronic rhinitis q.v.
    • Nasal neoplasia
    • Other nasal disease
    • Neurological disease

  • Endocrine disease, e.g.

    • Diabetic ketoacidosis
    • Hypoadrenocorticism (D)

  • Fever* q.v.
  • Gastrointestinal disease q.v., e.g.

    • Gastritis
    • Inflammatory bowel disease*

  • Heart disease, e.g.

    • Cardiac failure*

  • Hepatic disease* q.v.
  • Infection*
  • Metabolic abnormalities, e.g.

    • Hypercalcaemia q.v.
    • Hypokalaemia q.v.

  • Pain*
  • Pancreatic disease*, e.g.

    • Pancreatitis

  • Renal disease* q.v.
  • Respiratory disease, e.g.

    • Airway disease* q.v.
    • Diaphragmatic hernia
    • Pleural effusion* q.v.
    • Pneumonia q.v.

Diet


  • Recent dietary changes*
  • Unpalatable diet*

Difficulty with mastication


  • Dental disease*
  • Lingual disease
  • Oral neoplasia*
  • Oral ulceration, e.g.

    • Ingestion of caustic or acidic substances*
    • Renal disease

Difficulty with prehension


  • Blindness q.v.
  • Myopathy, e.g.

    • Masticatory myositis
    • Tetanus

  • Pain on opening jaw, e.g.

    • Mandibular or maxillary fracture
    • Retrobulbar abscess
    • Skull fractures
    • Soft tissue trauma
    • Temporomandibular joint disease

  • Trigeminal nerve disease, e.g.

    • Neoplasia
    • Trigeminal neuritis

Difficulty with swallowing

Pharyngeal disease


  • Foreign body*
  • Neoplasia
  • Neurological disease
  • Ulceration

Oesophageal disease, e.g.


  • Foreign body*
  • Megaoesophagus
  • Neoplasia
  • Stricture
  • Ulceration
  • Vascular ring anomaly

Drugs


  • Acetazolamide
  • Amiodarone
  • Amphotericin B
  • Bethanechol
  • Bromocriptine
  • Butorphanol
  • Cardiac glycosides
  • Chlorambucil
  • Diazoxide
  • Doxorubicin
  • Fentanyl
  • Hydralazine
  • Itraconazole
  • Ketoconazole
  • Melphalan
  • Methimazole
  • Mitotane
  • Nicotinamide
  • Oxytetracycline (C)
  • Penicillamine
  • Theophylline
  • Trimethoprim/sulphonamide (C)

Psychological/behavioural* factors


  • Altered schedule
  • New family members
  • New house
  • New pets

1.1.6 Failure to grow


With good body condition


  • Chondrodystrophy (normal in many breeds)* (D)
  • Endocrine disorders

    • Congenital hyposomatotropism (pituitary dwarfism)
    • Congenital hypothyroidism

With poor body condition


  • Dietary intolerance
  • Exocrine pancreatic insufficiency*
  • Inadequate nutrient intake

    • Anorexia q.v.
    • Poor-quality diet
    • Underfeeding

  • Cardiac disorders, e.g.

    • Congenital
    • Endocarditis

  • Endocrine disease

    • Diabetes insipidus
    • Diabetes mellitus*
    • Hypoadrenocorticism (D)

  • Gastrointestinal disease, e.g.

    • Histoplasmosis
    • Obstruction, e.g.

      • Foreign body*
      • Intussusception*

    • Parasites*

  • Hepatic disorders, e.g.

    • Hepatitis q.v.
    • Portosystemic shunt

  • Inflammatory disease
  • Oesophageal disorders, e.g.

    • Megaoesophagus q.v.
    • Vascular ring anomaly (e.g. persistent right aortic arch)

  • Renal disease

    • Congenital kidney disease
    • Glomerulonephritis
    • Pyelonephritis

1.1.7 Syncope/collapse


Cardiovascular dysfunction


  • Bradyarrhythmias q.v., e.g.

    • High-grade second-degree heart block
    • Sick sinus syndrome (D)
    • Third-degree heart block

  • Myocardial failure
  • Myocardial infarction
  • Cardiac disease

    • Congenital, e.g.

      • Aortic stenosis (D)
      • Pulmonic stenosis (D)

    • Hypertrophic obstructive cardiomyopathy
    • Pericardial effusion* (D)
    • Pulmonary hypertension
    • Arterial obstruction, e.g.

      • Neoplasia
      • Thrombosis

  • Shock q.v.
  • Tachyarrhythmias q.v.

    • Supraventricular tachycardia*
    • Ventricular tachycardia*

Drugs


  • Anti-arrhythmics, e.g.

    • Atenolol
    • Digoxin
    • Propranolol
    • Quinidine

  • Sedatives, e.g.

    • Phenothiazines

  • Vasodilators, e.g.

    • ACE inhibitors
    • Hydralazine
    • Nitroglycerine

Hypoxaemic disease


  • Carboxyhaemoglobinaemia
  • Methaemoglobinaemia
  • Pleural/thoracic disorders, e.g.

    • Pleural effusion
    • Pneumothorax
    • Rib fractures

  • Respiratory disease

    • Lower airway, e.g.

      • Pneumonia
      • Small airway disease

    • Upper airway, e.g.

      • Brachycephalic obstructive airway syndrome
      • Laryngeal paralysis
      • Tracheal collapse
      • Tracheal obstruction

    • Ventilation–perfusion mismatch, e.g.

      • Pulmonary thromboembolism (PTE)
      • Lung collapse

  • Right-to-left cardiac shunt, e.g.

    • Reverse-shunting patent ductus arteriosus
    • Severe anaemia

Metabolic/endocrine disorders


  • Diabetic ketoacidosis
  • Hypercalcaemia/hypocalcaemia q.v.
  • Hypernatraemia/hyponatraemia q.v.
  • Hyperthermia/hypothermia q.v.
  • Hypoglycaemia q.v.
  • Hyperkalaemia/hypokalaemia q.v.
  • Severe acidosis q.v.
  • Severe alkalosis q.v.
  • Pheochromocytoma
  • Hypoadrenocorticism
  • Insulinoma

Miscellaneous


  • Carotid sinus stimulation, e.g.

    • Neoplasia
    • Tight collar

  • Hyperventilation
  • Postural hypotension
  • Tussive/cough syncope

Myopathies


  • Corticosteroid myopathy
  • Exertional myopathy
  • Hypocalcaemic myopathy
  • Hypokalaemic myopathy
  • Malignant hyperthermia
  • Mitochondrial myopathy
  • Muscular dystrophy
  • Polymyopathy
  • Polymyositis
  • Protozoal myopathy

Neurological dysfunction


  • Brainstem disease
  • Diffuse cerebral dysfunction, e.g.

    • Encephalopathy
    • Haemorrhage
    • Hydrocephalus
    • Inflammation
    • Oedema
    • Space-occupying lesion
    • Trauma

  • Fibrocartilaginous embolism
  • Glossopharyngeal neuralgia
  • Lower motor neurone disorders

    • Endocrine neuropathies, e.g.

      • Diabetes mellitus*
      • Hyperadrenocorticism
      • Hypothyroidism* (D)

    • Lumbosacral disease
    • Paraneoplastic neuropathies, e.g.

      • Insulinoma

    • Peripheral nerve neoplasia
    • Polyneuropathy, e. g.

      • Polyradiculoneuropathy

  • Micturition-related collapse
  • Narcolepsy/cataplexy
  • Neuromuscular junction disorders

    • Botulism
    • Myasthenia gravis

  • Seizures q.v.
  • Swallowing-related collapse
  • Upper motor neurone disorders

    • Central vestibular disease
    • Cerebellar disease
    • Cerebral disease
    • Peripheral vestibular disease
    • Spinal disease

Skeletal/joint disorders


  • Bilateral cranial cruciate disease
  • Bilateral hip disease
  • Discospondylitis
  • Intervertebral disc disease
  • Multiple myeloma
  • Osteoarthritis
  • Panosteitis
  • Patellar luxation
  • Polyarthritis

1.1.8 Weakness


Cardiovascular diseases


  • Bradyarrhythmias q.v., e.g.

    • High-grade second-degree heart block
    • Sick sinus syndrome (D)
    • Third-degree heart block

  • Congestive heart failure*
  • Hypertension* q.v.
  • Hypotension* q.v.
  • Pericardial effusion* q.v.
  • Tachyarrhythmias q.v., e.g.
  • Ventricular tachycardia*

    • Supraventricular tachycardia

Drugs/toxins


  • Alphachloralose
  • Anticoagulant rodenticides
  • Anticonvulsants
  • Antihistamines
  • Blue-green algae
  • Cannabis
  • Diclofenac sodium
  • Glucocorticoids
  • Hypotensive agents, e.g.

    • Beta blockers
    • Vasodilators

  • Ibuprofen
  • Insulin overdosage
  • Iron salts
  • Mistletoe
  • Opioids
  • Organophosphates
  • Petroleum distillates
  • Phenoxy acid herbicides
  • Pyrethrin/pyrethroids
  • Rhododendron
  • Salbutamol
  • Sedatives

Endocrine diseases


  • Diabetes mellitus*
  • Hyperadrenocorticism
  • Hyperparathyroidism
  • Hypoadrenocorticism (D)
  • Hypoparathyroidism
  • Hypothyroidism* (D)
  • Insulinoma

Haematological diseases


  • Anaemia* q.v.
  • Hyperviscosity syndrome, e.g. polycythaemia

Inflammatory/Immune-mediated diseases


  • Chronic inflammatory conditions*
  • Immune-mediated haemolytic anaemia* q.v.
  • Immune-mediated polyarthritis

Infectious diseases*


  • Bacterial
  • Viral
  • Fungal
  • Rickettsial
  • Protozoal and other parasitic diseases

Metabolic disease


  • Acid–base disorders

    • Acidosis q.v.
    • Alkalosis q.v.

  • Electrolyte disorders*

    • Hypercalcaemia*/hypocalcaemia q.v.
    • Hyperkalaemia/hypokalaemia* q.v.
    • Hypernatraemia/hyponatraemia q.v.

  • Hepatic failure* q.v.
  • Hyper-/hypoglycaemia q.v.
  • Renal disease* q.v.

Neurological diseases

Intracranial disease, e.g.


  • Cerebrovascular accident

    • Epilepsy* q.v.

  • Infection
  • Inflammation
  • Space-occupying lesions
  • Vestibular disease

Neuromuscular disease, e.g.


  • Botulism
  • Myasthenia gravis
  • Myopathies
  • Tick paralysis

Peripheral polyneuropathies


  • Drugs/toxins, e.g.

    • Cisplatin
    • Lead
    • Vincristine

  • Endocrine disorders, e.g.

    • Diabetes mellitus*
    • Hyperadrenocorticism
    • Hypothyroidism* (D)

  • Polyradiculoneuritis
  • Paraneoplastic disorders

Spinal cord disease q.v., e.g.


  • Fibrocartilaginous embolism
  • Infection
  • Inflammation
  • Intervertebral disc disease* (D)
  • Neoplasia
  • Trauma*

Vestibular disease* q.v.


  • Central vestibular disease
  • Peripheral vestibular disease

Nutritional disorders

Cachexia, e.g.


  • Heart failure*
  • Neoplasia*

Inadequate calorie intake, e.g.


  • Anorexia* q.v.
  • Poor-quality diet

Specific nutrient deficiencies, e.g.


  • Minerals
  • Vitamins

Physiological factors


  • Over-exercise
  • Pain*
  • Stress/anxiety*

Respiratory diseases


  • Airway obstruction, e.g.

    • Feline asthma* (C)
    • Foreign body*
    • Neoplasia *
    • Pleural effusion*
    • Pulmonary hypertension
    • Pulmonary oedema* q.v.
    • Pulmonary thromboembolism

  • Severe pulmonary parenchymal disease

Systemic disorders


  • Dehydration*
  • Fever* q.v.
  • Neoplasia*

1.2 Gastrointestinal/abdominal historical signs


1.2.1 Ptyalism/salivation/hypersalivation


Drugs/toxins


  • Adder bites
  • Alphachloralose
  • Baclofen
  • Batteries
  • Benzodiazepines
  • Bethanechol
  • Blue-green algae
  • Cannabis
  • Carbamate
  • Chocolate/theobromine
  • Cotoneaster
  • Cyanoacrylate adhesives
  • Daffodil
  • Dieffenbachia
  • Dinoprost tromethamine
  • Glyphosphate
  • Horse chestnut
  • Ivermectin
  • Ketamine
  • Laburnum
  • Levamisole (C)
  • Loperamide
  • Metronidazole
  • Mistletoe
  • NPK fertilisers
  • Organophosphates
  • Paracetamol
  • Paraquat
  • Phenoxy acid herbicides
  • Plastic explosives
  • Plants
  • Pyrethrin/pyrethroids
  • Pyridostigmine
  • Rhododendron
  • Rowan
  • Terfenadine
  • Toads
  • Trimethoprim/sulphonamide (C)
  • Xylazine

Nausea/regurgitation/vomiting q.v.*

Neurological disease


  • Cataplexy/narcolepsy
  • Hepatic encephalopathy
  • Intracranial neoplasia
  • Partial seizures

Normal breed variation, e.g.*


  • St Bernard

Oral cavity disease


  • Dental disease*
  • Foreign body*
  • Neoplasia*, e.g. tonsillar
  • Inability to close mouth, e.g.

    • Mandibular trauma*
    • Trigeminal nerve disease, e.g.

      • Idiopathic trigeminal neuritis
      • Infiltrating neoplasia, e.g.
      • Lymphoma
      • Nerve sheath tumours

  • Infection, e.g.

    • Rabies

  • Inflammation, e.g.

    • Faucitis*
    • Lip fold dermatitis
    • Gingivitis*
    • Glossitis*
    • Oesophagitis*
    • Stomatitis*

  • Ulceration*, e.g.

    • Chronic kidney disease*
    • Immune-mediated disease
    • Ingestion of irritant substance

Physiological factors


  • Appetite stimulation*
  • Fear*
  • Stress*

Salivary gland disease q.v.


  • Salivary gland necrosis/sialadenitis
  • Salivary mucocoele
  • Sialadenosis

1.2.2 Gagging/retching


Congenital disease


  • Achalasia, e.g.

    • Cricopharyngeal achalasia (D)

  • Cleft palate
  • Hydrocephalus

Inflammatory and infectious disease


  • Asthma* (C)
  • Bacterial encephalitis
  • Fungal disease

    • Granuloma complex

  • Idiopathic glossopharyngitis
  • Laryngitis*
  • Nasopharyngeal disease, e.g. polyps (C)
  • Pharyngitis*
  • Rabies
  • Rhinitis*
  • Sialadenitis
  • Viral encephalitis

Neoplasia


  • Central nervous system
  • Epiglottis
  • Inner ear
  • Nasal
  • Pharyngeal
  • Tonsillar

Neurological disease


  • Brainstem disease
  • Cranial nerve defects (V, VII, IX, XII)
  • Encephalitis
  • Laryngeal paralysis*
  • Muscular dystrophy
  • Myasthenia gravis

Nutrition


  • Food texture and size

Respiratory disease (expectoration), e.g.


  • Bronchitis*
  • Haemorrhage
  • Pulmonary oedema*

Systemic disorders


  • Hypocalcaemia
  • Renal disease*

Toxic


  • Botulism
  • Ingestion of irritant chemical
  • Smoke

Trauma


  • Foreign body*
  • Pharyngeal haematoma
  • Styloid apparatus trauma
  • Tracheal rupture

1.2.3 Dysphagia


Infectious/inflammatory disease

Oral disease


  • Dental disease*
  • Osteomyelitis of the jaw
  • Periodontitis*
  • Pharyngitis*
  • Rabies
  • Retrobulbar abscess
  • Severe gingivitis*
  • Salivary gland disease, e.g.

    • Sialadenitis

  • Tooth root abscess*
  • Ulceration, e.g.

    • Ingestion of irritant substance
    • Renal disease*

Neurological/neuromuscular disease


  • Cricopharyngeal achalasia
  • Myasthenia gravis
  • Myopathy, e.g.

    • Masticatory myopathy

  • Trigeminal nerve disease, e.g.

    • Intracranial disease
    • Trigeminal neuritis

Obstruction


  • Foreign body*
  • Granuloma
  • Neoplasia
  • Sialocoele

Temporomandibular joint disease

Trauma*


  • Fracture
  • Haematoma
  • Laceration

1.2.4 Regurgitation


Endocrine disease


  • Hypoadrenocorticism (D)
  • Hypothyroidism* (D)

Gastric disease (can develop regurgitation secondary to outflow obstruction)


  • Gastric dilatation/volvulus* (D)
  • Hiatal hernia

    • Gastro-oeosophageal intussusception

  • Pyloric outflow obstruction, e.g.

    • Foreign body*
    • Neoplasia
    • Pyloric stenosis

Immune-mediated disease


  • Dermatomyositis (D)
  • Polymyositis
  • Systemic lupus erythematosus

Neurological disease

Central nervous system disease, e.g.


  • Brainstem disease
  • Distemper infection (D)
  • Infection
  • Inflammation
  • Intracranial space-occupying lesion
  • Storage diseases
  • Trauma

Neuromuscular junctionopathies, e.g.


  • Anticholinesterase toxicity
  • Botulism
  • Myasthenia gravis
  • Tetanus

Peripheral neuropathies, e.g.


  • Giant cell axonal neuropathy (D)
  • Lead poisoning
  • Polyneuritis
  • Polyradiculoneuritis

    • Idiopathic
    • Tick paralysis

Oesophageal disease


  • Foreign body*
  • Granuloma, e.g. Spirocerca lupi
  • Mediastinal mass (extraluminal obstruction)
  • Megaoesophagus

    • Idiopathic
    • Acquired

  • Neoplasia
  • Oesophageal diverticulum
  • Oesophageal fistula
  • Oesophageal inclusion cysts
  • Oesophagitis*, e.g.

    • Secondary to gastric reflux
    • Severe vomiting

      • Post anaesthesia
      • Idiopathic
      • Ingestion irritants

  • Stricture
  • Vascular ring anomaly, e.g.

    • Persistent right aortic arch

Salivary gland disease


  • Sialadenitis
  • Sialadenosis

1.2.5 Vomiting


ACUTE VOMITING


Dietary


  • Dietary indiscretion*
  • Dietary intolerance*
  • Sudden change in diet*

Drugs/toxins


  • Acetazolamide
  • Adder bite
  • Allopurinol
  • Alpha-2 agonists
  • Aminophylline
  • Amphotericin B
  • Apomorphine
  • Aspirin
  • Atipamezole
  • Atropine
  • Batteries
  • Benzalkonium chloride
  • Bethanechol
  • Blue-green algae
  • Borax
  • Bromocriptine
  • Calcium edetate
  • Carbimazole
  • Carboplatin
  • Cardiac glycosides
  • Cephalexin
  • Chlorambucil
  • Chloramphenicol
  • Chlorphenamine
  • Clomipramine
  • Colchicine
  • Cotoneaster
  • Cyclophosphamide
  • Cyclosporin
  • Cytarabine
  • Daffodil
  • Dichlorophen
  • Diclofenac sodium
  • Dinoprost tromethamine
  • Dopamine
  • Doxorubicin
  • Doxycycline
  • Dieffenbachia
  • Ethylene glycol
  • Erythromycin
  • Glipizide
  • Glucocorticoids
  • Glyphosphate
  • Honeysuckle
  • Horse chestnut
  • Hydralazine
  • Ibuprofen
  • Indomethacin
  • Ipecacuanha
  • Iron/iron salts
  • Ivermectin
  • Ketoconazole
  • Laburnum
  • Lead
  • Levamisole
  • Lignocaine
  • Loperamide
  • Medetomidine
  • Melphalan
  • Metaldehyde
  • Methimazole
  • Metronidazole
  • Mexiletine
  • Misoprostol
  • Mistletoe
  • Mitotane
  • Naproxen
  • Nicotinamide
  • Nitroscanate
  • NPK fertilisers
  • NSAIDs
  • Paracetamol
  • Paraquat
  • Penicillamine
  • Pentoxifylline
  • Petroleum distillates
  • Phenoxy acid herbicides
  • Phenytoin
  • Pimobendan
  • Piperazine
  • Plastic explosives
  • Poinsettia
  • Potassium bromide
  • Procainamide
  • Propantheline bromide
  • Pyracantha
  • Pyrethrin/pyrethroids
  • Pyridostigmine
  • Rhododendron
  • Rowan
  • Salt
  • Selective serotonin reuptake inhibitors
  • Sildenafil
  • Sotalol
  • Strychnine
  • Sulphasalazine
  • Terfenadine
  • Tetracycline
  • Theobromine
  • Theophylline
  • Tricyclic antidepressants
  • Trimethoprim/sulphonamide
  • Ursodeoxycholic acid
  • Vitamin D rodenticides
  • Xylazine
  • Yew
  • Zinc

Endocrine disease, e.g.


  • Diabetic ketoacidosis*
  • Hypoadrenocorticism (D)

Gastrointestinal disease


  • Colitis*
  • Constipation/obstipation* q.v.
  • Foreign body*
  • Gastric dilatation/volvulus*
  • Gastric or duodenal ulceration*
  • Gastritis/enteritis*
  • Haemorrhagic gastroenteritis*
  • Infection, e.g.

    • Bacterial*
    • Parasites*
    • Viral*

  • Inflammatory bowel disease*
  • Intestinal volvulus
  • Intussusception
  • Neoplasia*

Metabolic/systemic disease


  • Hypercalcaemia/hypocalcaemia q.v.
  • Hyperkalaemia/hypokalaemia* q.v.
  • Hyperthermia* q.v.
  • Liver disease* q.v.
  • Pancreatitis*
  • Peritonitis*
  • Prostatitis*
  • Pyometra* (D)
  • Renal disease* q.v.
  • Septicaemia*
  • Urinary obstruction*
  • Vestibular disease*

Miscellaneous conditions


  • Central nervous system disease
  • Diaphragmatic hernia
  • Motion sickness*
  • Psychogenic

CHRONIC VOMITING


Endocrine disease, e.g.


  • Diabetes mellitus*
  • Hyperthyroidism* (C)
  • Hypoadrenocorticism (D)

Gastrointestinal disease


  • Bacterial overgrowth
  • Colitis*
  • Constipation/obstipation* q.v.
  • Enterogastric reflux
  • Gastric motility disorders*
  • Gastric or duodenal ulceration*
  • Gastritis/enteritis*
  • Infection, e.g.

    • Bacterial
    • Fungal
    • Parasites*
    • Viral

  • Inflammatory bowel disease

    • Eosinophilic
    • Lymphocytic
    • Lymphoplasmacytic
    • Mixed

  • Irritable bowel syndrome
  • Neoplasia*

    • Intestinal, e.g. lymphoma and adenocarcinoma
    • Gastrinoma
    • Mast cell tumour

  • Obstruction, e.g.

    • Foreign body*
    • Inflammatory bowel disease (gastritis or enteritis)
    • Intussusception*
    • Neoplasia*
    • Pyloric stenosis
    • Ulceration

Metabolic/systemic disease


  • Heartworm disease
  • Hypercalcaemia/hypocalcaemia q.v.
  • Hyperkalaemia/hypokalaemia q.v.
  • Liver disease* q.v.
  • Pancreatitis*
  • Prostatitis
  • Pyometra* (D)
  • Renal disease* q.v.
  • Septicaemia

Miscellaneous conditions


  • Abdominal neoplasia
  • Diaphragmatic hernia
  • Sialadenitis
  • Hydrocephalus
  • Brain tumour

1.2.6 Diarrhoea


SMALL INTESTINAL DIARRHOEA


Diet

Dietary intolerance, e.g.


  • Food hypersensitivity*
  • Food intolerance
  • Gluten-sensitive enteropathy

Overfeeding

Sudden change in diet

Drugs/toxins (see Large intestinal diarrhoea)

Extra-gastrointestinal disease


  • Exocrine pancreatic insufficiency*
  • Hepatic disease* q.v.
  • Hyperthyroidism* (C)
  • Hypoadrenocorticism (D)
  • IgA deficiency
  • Nephrotic syndrome
  • Pancreatic duct obstruction
  • Pancreatitis*
  • Renal disease* q.v.
  • Right-sided congestive heart failure*
  • Systemic lupus erythematosus
  • Uraemia

Idiopathic disease


  • Lymphangiectasia

Infection

Bacterial*, e.g.


  • Campylobacter spp.
  • Clostridium spp.
  • E. coli
  • Salmonella spp.
  • Staphylococcus spp.
  • Small intestinal bacterial overgrowth/antibiotic-responsive diarrhoea

Fungal

Helminths*


  • Hookworm
  • Roundworm
  • Tapeworm
  • Whipworm

Protozoal*, e.g.


  • Cryptosporidiosis

    • Giardia spp.

Rickettsial

Viral*, e.g.


  • Coronavirus
  • Feline leukaemia virus (C)
  • Parvovirus

Inflammatory/immune-mediated disease


  • Basenji enteropathy (D)
  • Duodenal ulceration
  • Haemorrhagic gastroenteritis*
  • Inflammatory bowel disease*

    • Eosinophilic
    • Granulomatous
    • Lymphoplasmacytic

  • Protein-losing enteropathy and nephropathy of the soft-coated wheaten terrier (D)

Motility disorders, e.g.


  • Dysautonomia
  • Enteritis
  • Functional obstruction (ileus)
  • Hypoalbuminaemia
  • Hypokalaemia

Neoplasia*, e.g.


  • Adenocarcinoma
  • Carcinoid tumours
  • Leiomyoma
  • Lymphoma
  • Mast cell tumours
  • Sarcoma

Partial obstruction*


  • Foreign body
  • Intussusception
  • Neoplasia
  • Stricture

LARGE INTESTINAL DIARRHOEA


Diet*


  • Dietary hypersensitivity
  • Dietary indiscretion

Drugs/toxins


  • Acetazolamide
  • Adder bite
  • Allopurinol
  • Aminophylline
  • Amoxicillin
  • Amphotericin B
  • Ampicillin
  • Atenolol
  • Benzalkonium chloride
  • Bethanechol
  • Blue-green algae
  • Borax
  • Calcium edetate
  • Carbamate insecticides
  • Cardiac glycosides
  • Cephalexin
  • Chloramphenicol
  • Chlorphenamine
  • Colchicine
  • Cotoneaster
  • Cyclophosphamide
  • Cyclosporin
  • Cytarabine
  • Daffodil
  • Diazoxide
  • Diclofenac sodium
  • Dieffenbachia
  • Doxycycline
  • Glyphosphate
  • Honeysuckle
  • Horse chestnut
  • Ibuprofen
  • Indomethacin
  • Iron/iron salts
  • Laburnum
  • Lactulose
  • Levamisole
  • Lithium
  • Loperamide
  • Mebendazole
  • Metaldehyde
  • Methiocarb
  • Misoprostol
  • Mistletoe
  • Mitotane
  • Naproxen
  • Nicotinamide
  • NPK fertilisers
  • NSAIDs
  • Organophosphates
  • Oxytetracycline
  • Pamidronate
  • Pancreatic enzyme supplementation
  • Paracetamol
  • Paraquat
  • Pentoxifylline
  • Petroleum distillates
  • Phenoxy acid herbicides
  • Piperazine
  • Poinsettia
  • Procainamide
  • Pyracantha
  • Pyrethrin/pyrethroids
  • Pyridostigmine
  • Quinidine
  • Rhododendron
  • Rowan
  • Salt
  • Selective serotonin reuptake inhibitors
  • Sotalol
  • Theobromine
  • Theophylline
  • Vitamin D rodenticides
  • Yew
  • Zinc sulphate

Extra-intestinal conditions


  • Metastatic neoplasia
  • Neurological disease leading to ulcerative colitis
  • Pancreatitis
  • Toxaemia
  • Uraemia

Idiopathic conditions


  • Fibre-responsive large-bowel diarrhoea
  • Irritable bowel syndrome

Infection

Bacterial*, e.g.


  • Campylobacter spp.
  • Clostridium difficile
  • Clostridium perfringens
  • E. coli
  • Salmonella spp.
  • Yersinia enterocolitica

Fungal, e.g.


  • Histoplasmosis
  • Protothecosis

Parasitic*, e.g.


  • Amoebiasis
  • Ancylostoma spp.
  • Balantidium coli
  • Cryptosporidiosis
  • Giardia spp.
  • Heterobilharzia americana
  • Roundworm
  • Tapeworm
  • Tritrichomonas foetus (C)
  • Uncinaria spp.
  • Whipworm

Protozoal, e.g.


  • Toxoplasmosis

Viral*


  • Coronavirus
  • Feline immunodeficiency virus (C)
  • Feline infectious peritonitis (C)
  • Feline leukaemia virus (C)
  • Parvovirus

Inflammatory/Immune-mediated disease


  • Histiocytic ulcerative colitis or granulomatous colitis of boxers (and other breeds) (D)
  • Inflammatory bowel disease*

Neoplasia*

Benign, e.g.


  • Adenomatous polyps
  • Leiomyoma

Malignant, e.g.


  • Adenocarcinoma
  • Lymphoma

Obstruction


  • Caecal inversion
  • Foreign body*
  • Intussusception*
  • Neoplasia
  • Stricture

Miscellaneous


  • Secondary to chronic small intestinal disease
  • Stress

Note: Perirectal diseases, e.g. anal sac disease, anal furunculosis, perineal hernia, rectal prolapse and perianal adenoma, may cause signs mimicking large-bowel disease (tenesmus, haematochezia, mucoid stool).


1.2.7 Melaena


Extra-gastrointestinal disease


  • Hypoadrenocorticism (D)
  • Liver disease* q.v.
  • Mastocytosis
  • Pancreatitis*
  • Septicaemia*
  • Shock* q.v.
  • Systemic hypertension* q.v.
  • Uraemia* q.v.
  • Vasculitis, e.g.

    • Rocky Mountain spotted fever

Coagulopathy q.v., e.g.


  • Anticoagulant toxicity* q.v.
  • Congenital clotting factor deficiency q.v.
  • Disseminated intravascular coagulation
  • Thrombocytopenia q.v.
  • Thrombocytopathia
  • von Willebrand’s disease (D)

Gastrointestinal disease


  • Enteritis*
  • Gastritis*
  • Oesophagitis
  • Parasites*

Gastrointestinal ulceration*


  • Gastrinoma
  • Helicobacter infection
  • Inflammatory gastroenteric disease*
  • Neurological disease
  • Post foreign body*
  • Stress
  • Uraemia* q.v.
  • Drugs, e.g.

    • Glucocorticoids*
    • NSAIDs*

Ischaemia, e.g.


  • Mesenteric avulsion
  • Mesenteric thrombosis/infarction
  • Mesenteric volvulus
  • Post gastric dilatation/volvulus* (D)

Neoplasia*, e.g.


  • Adenocarcinoma
  • Leiomyoma
  • Leiomyosarcoma
  • Lymphoma

Ingestion of blood

Nasal disease (see also Epistaxis), e.g.


  • Coagulopathy* q.v.
  • Neoplasia*
  • Trauma*

Oropharyngeal haemorrhage


  • Coagulopathy* q.v.
  • Neoplasia*
  • Trauma*

Respiratory disease (see also Haemoptysis), e.g.


  • Coagulopathy* q.v.
  • Exercise-induced pulmonary haemorrhage
  • Parasites, e.g. Angiostrongylus vasorum
  • Neoplasia*
  • Ruptured aneurysm
  • Trauma*

1.2.8 Haematemesis


Extra-gastrointestinal disease


  • Hypoadrenocorticism (D)
  • Liver disease* q.v.
  • Mastocytosis
  • Pancreatic disease
  • Septicaemia*
  • Shock*
  • Systemic hypertension* q.v.
  • Uraemia* q.v.

Coagulopathies q.v., e.g.


  • Anticoagulant toxicity*
  • Congenital clotting factor deficiency
  • Disseminated intravascular coagulation
  • Thrombocytopenia
  • Thrombocytopathia
  • von Willebrand’s disease(D)

Toxins, e.g.


  • Calcipotriol
  • Paraquat

Vasculitis, e.g.


  • Rocky Mountain spotted fever

Gastrointestinal disease


  • Gastritis*
  • Haemorrhagic gastroenteritis
  • Oesophagitis

Gastrointestinal ulceration*


  • Drugs, e.g.

    • NSAIDs
    • Glucocorticoids*

  • Gastrinoma
  • Helicobacter infection*
  • Inflammatory gastroenteric disease*
  • Neurological disease
  • Post foreign body*
  • Stress
  • Systemic mastocytosis
  • Uraemia*

Ischaemia, e.g.


  • Post gastric dilatation/volvulus* (D)

Neoplasia*, e.g.


  • Adenocarcinoma
  • Lymphoma

Ingestion of blood

Nasal disease (see also Epistaxis), e.g.


  • Coagulopathy* q.v.
  • Infection, e.g. fungal
  • Neoplasia*
  • Trauma*

Oropharyngeal haemorrhage


  • Coagulopathy* q.v.
  • Neoplasia*
  • Trauma*

Respiratory disease (see also Haemoptysis), e.g.


  • Coagulopathy* q.v.
  • Exercise-induced pulmonary haemorrhage
  • Parasites
  • Neoplasia*
  • Ruptured aneurysm
  • Trauma*

1.2.9 Haematochezia


Drugs


  • Glucocorticoids

Extra-gastrointestinal disease

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Sep 3, 2017 | Posted by in SMALL ANIMAL | Comments Off on 1: HISTORICAL SIGNS

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