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Chronic diarrhoea

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Abstract

PLEASE NOTE THAT A MORE RECENT EDITION OF THIS TITLE IS AVAILABLE IN THE LIBRARY

Diarrhoea is the most common clinical manifestation of intestinal disease. The investigation of chronic diarrhoea should always start with history-taking and a physical examination. This will ensure that systemic causes of chronic diarrhoea are not missed and, where primary disease is present, indicate whether small or large intestinal disease exists. This chapter explains clinical features and diagnosis, for example Baseline laboratory test; Diagnostic imaging; Specialized GI function tests, Endoscopic examination and intestinal biopsy; and Exploratory coeliotomy.

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Figures

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9.1 A simplified concept of the pathophysiology of diarrhoea. Osmotic causes and altered intestinal permeability are most clinically prevalent in dogs and cats.
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9.3 Diagnostic approach to chronic small and large bowel diarrhoea. ELISA = enzyme-linked immunosorbent assay; EPI = exocrine pancreatic insufficiency; FeLV = feline leukaemia virus; FIV = feline immunodeficiency virus; IBD = inflammatory bowel disease; TLI = trypsin-like immunoreactivity.

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