approach to eq d+

What are the key history questions to differentiate acute from chronic diarrhoea?

Ask how long the diarrhoea has been occurring, the patient's general well-being, signs of colic, weight loss, the characteristics of the diarrhoea, frequency, and other clinical signs.

What does ventral oedema suggest in a clinical exam?

It suggests chronic diarrhoea due to loss of albumin and decreased oncotic pressure.

What is the first step in managing a suspected salmonella case?

Isolate the patient as salmonella can spread rapidly.

What type of fluid therapy is recommended for acute diarrhoea cases?

IVFT with Hartmann’s solution if the patient is not drinking.

What are the key anti-inflammatory and analgesic treatments for abdominal pain in diarrhoea cases?

Flunixin is the best choice for abdominal pain, potentially combined with xylazine.

When should anti-microbials be used in diarrhoea cases?

If the patient is neutropenic or shows signs of sepsis.

What are the dietary recommendations for managing acute diarrhoea?

Ideally feed complete pellets and avoid grain/hay to reduce bulk in the gastrointestinal tract.

What should be considered when diagnosing chronic diarrhoea?

Investigate potential underlying causes like NSAID use, dietary changes, inflammatory bowel disease, and specific infections.

What are the common causes of acute diarrhoea in adults?

Salmonella, Clostridium difficile, antimicrobial use, right dorsal colitis, grain overload, cyathostomiasis, coronavirus, and dietary issues.

What differentiates chronic diarrhoea causes from acute diarrhoea causes?

Chronic causes often include conditions like IBD, chronic infections, and dietary imbalances that persist over time.

What is equine proliferative enteropathy caused by?

It is caused by Lawsonia intracellularis, specifically in young horses.

What is a key complication to be aware of in diarrhoea cases?

The risk of systemic inflammatory response syndrome (SIRS) or sepsis.

How does right dorsal colitis occur?

It occurs due to NSAID use, affecting the colon.

What is the risk factor for developing sand enteropathy?

Pasture on sandy soil and feeding on the ground can lead to the accumulation of sand in the large intestine.

What are potential secondary complications arising from diarrhoea?

Risk of laminitis and secondary infections, which can deteriorate rapidly.