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Key points

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As a result of reading this chapter you should be able to:

 Appreciate the importance of differentiating regurgitating, reflux and vomiting

 Understand what initiates vomiting and, hence, how different disorders cause vomiting

 Appreciate the importance of determining whether vomiting is due to primary or secondary gastrointestinal disease

 Develop a rational diagnostic approach to the vomiting patient and to appreciate when a diagnostic work‐up vs. symptomatic therapy is appropriate

 Understand the secondary gastrointestinal causes of vomiting and the most appropriate methods of diagnosis

 Review primary gastrointestinal disease processes that cause vomiting

 Understand the causes and consequences of disorders of the oesophagus

 Recognise the patient at risk of reflux and its consequences.

Clinical Reasoning in Veterinary Practice

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