11 A foreign body in the small intestine of a dog Initial presentation Vomiting and poor appetite Signalment: 5-year-old male English springer spaniel, body weight 19.9 kg Case history The dog had been healthy until 2 weeks prior to admission. He was de-wormed regularly with fenbendazole and vaccinated yearly. Two weeks prior to admission he had started vomiting and had a progressive decrease in appetite. He was now vomiting 2 to 3 times per day and the vomitus included food and bile but no blood. The dog’s stools had been normal. The owner estimated that the dog had lost about 1 to 2 kg over this time period. The dog’s water intake and urine output had not changed, but his exercise tolerance had decreased. His usual diet was a mixture of dry and canned dog food and recently the owners had been hand feeding him with chicken and ham to encourage food intake. He was normally fed twice a day. Physical examination The dog was dull but responsive. His body condition score was 4/9. There was evidence of recent weight loss, with signs of muscle and fat loss over the lumbar and flank areas. Mucous membranes were pink but slightly tacky; capillary refill time was less than 2 seconds. Peripheral lymph nodes felt normal. Thoracic auscultation revealed normal heart and lung sounds, with a heart rate of 140 beats per minute and a respiratory rate of 24 breaths per minute. There was no evidence of pain on abdominal palpation and the only abnormality found was increased gas in the small intestines. Rectal temperature was 39.1° C. His prior treatment included clavulanate-potentiated amoxicillin, ranitidine and sucralfate (doses unknown), with no improvement in clinical signs. He was on no other medications or supplements. Problem list and discussion of problems • Vomiting • Tacky mucous membrane • Poor appetite • Weight loss • Increased intestinal gas • Raised body temperature Differential diagnosis Vomiting is the primary complaint and the other problems were thought to be related to the vomiting. The differential diagnoses for the vomiting in this dog include: • Disorders of the stomach • foreign body • gastritis • ulceration • chronic partial dilation-volvulus • neoplasia • Disorders of the small intestine • foreign body • inflammatory bowel disease • neoplasia • parasites • intussusception (unlikely) • Disorders of the large intestine • colitis • obstipation • Systemic disorders • pancreatopathy • hypoadrenocorticism • diabetes mellitus Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Oesophageal stricture in a cat Vomiting Ingestion of glue by a dog Pancreatitis in a cat Stay updated, free articles. Join our Telegram channel Join Tags: Solutions Veternary Practice Small Animal Gastroentrology Sep 22, 2016 | Posted by admin in SMALL ANIMAL | Comments Off on A foreign body in the small intestine of a dog Full access? Get Clinical Tree
11 A foreign body in the small intestine of a dog Initial presentation Vomiting and poor appetite Signalment: 5-year-old male English springer spaniel, body weight 19.9 kg Case history The dog had been healthy until 2 weeks prior to admission. He was de-wormed regularly with fenbendazole and vaccinated yearly. Two weeks prior to admission he had started vomiting and had a progressive decrease in appetite. He was now vomiting 2 to 3 times per day and the vomitus included food and bile but no blood. The dog’s stools had been normal. The owner estimated that the dog had lost about 1 to 2 kg over this time period. The dog’s water intake and urine output had not changed, but his exercise tolerance had decreased. His usual diet was a mixture of dry and canned dog food and recently the owners had been hand feeding him with chicken and ham to encourage food intake. He was normally fed twice a day. Physical examination The dog was dull but responsive. His body condition score was 4/9. There was evidence of recent weight loss, with signs of muscle and fat loss over the lumbar and flank areas. Mucous membranes were pink but slightly tacky; capillary refill time was less than 2 seconds. Peripheral lymph nodes felt normal. Thoracic auscultation revealed normal heart and lung sounds, with a heart rate of 140 beats per minute and a respiratory rate of 24 breaths per minute. There was no evidence of pain on abdominal palpation and the only abnormality found was increased gas in the small intestines. Rectal temperature was 39.1° C. His prior treatment included clavulanate-potentiated amoxicillin, ranitidine and sucralfate (doses unknown), with no improvement in clinical signs. He was on no other medications or supplements. Problem list and discussion of problems • Vomiting • Tacky mucous membrane • Poor appetite • Weight loss • Increased intestinal gas • Raised body temperature Differential diagnosis Vomiting is the primary complaint and the other problems were thought to be related to the vomiting. The differential diagnoses for the vomiting in this dog include: • Disorders of the stomach • foreign body • gastritis • ulceration • chronic partial dilation-volvulus • neoplasia • Disorders of the small intestine • foreign body • inflammatory bowel disease • neoplasia • parasites • intussusception (unlikely) • Disorders of the large intestine • colitis • obstipation • Systemic disorders • pancreatopathy • hypoadrenocorticism • diabetes mellitus Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Oesophageal stricture in a cat Vomiting Ingestion of glue by a dog Pancreatitis in a cat Stay updated, free articles. Join our Telegram channel Join Tags: Solutions Veternary Practice Small Animal Gastroentrology Sep 22, 2016 | Posted by admin in SMALL ANIMAL | Comments Off on A foreign body in the small intestine of a dog Full access? Get Clinical Tree
