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When is a fuller work‐up rather than symptomatic therapy indicated?

Оглавление

In general practice, we obviously do not investigate every vomiting patient presented to us. Symptomatic treatment is quite appropriate if you have made an assessment that the patient is vomiting, not regurgitating and probably has primary GI disease of a transient nature such as dietary indiscretion or food intolerance. A fuller work‐up involving clinical pathology (either for diagnostic information or to assess the systemic effects of vomiting) +/− imaging is indicated if:

 The patient is regurgitating

 There has been no response to symptomatic therapy

 Vomiting is persistent and severe

 Other systemic signs are present indicating secondary GI disease, such as PU/PD and icterus

 There is inappetance and/or depression that commenced well before the onset of vomiting

 The patient is severely depressed

 There is a palpable abnormality in the abdomen.

Clinical Reasoning in Veterinary Practice

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