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Exceptions to the ‘rules’

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The exception to these generalisations about the features of secondary GI disease is pancreatitis in dogs. Canine pancreatitis behaves similarly to a primary GI disease in that it causes acute‐onset vomiting in an initially often otherwise well dog and often subsequent to an episode of dietary indiscretion. The vomiting often occurs immediately after eating, and decreased appetite and depression may not precede the onset of vomiting.

Pancreatitis in cats, however, usually behaves similarly to a secondary GI disease. Cats with hyperthyroidism may also vomit intermittently over a prolonged period and seem otherwise well (although, of course, they may also have other clinical signs suggestive of hyperthyroidism).

Clinical Reasoning in Veterinary Practice

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