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Diagnostic approach to the patient with diarrhoea Small bowel diarrhoea Acute vs. chronic

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It is important to ascertain the duration the diarrhoea has been present. Acute diarrhoea that is not severe, fulminating and potentially life threatening does not usually require extensive diagnostic investigation and will usually respond to non‐specific therapy. Fulminating acute diarrhoea, for example, viral and acute haemorrhagic diarrhoea syndrome (AHDS), may not require extensive diagnostic testing but will require intense supportive therapy and should not be treated on an outpatient basis if at all possible. In contrast, chronic diarrhoea persisting for weeks to months indicates that a structured approach to therapeutic trial and investigation is required.

Clinical Reasoning in Veterinary Practice

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