Case 9

Oct 18, 2011
By dvm360.com staff

Signalment
Tupper is an 8-year-old castrated male bulldog.

History
Tupper has had intermittent diarrhea for about 10 months. He eats a high-quality commercial dry dog food that the owners buy at a specialty pet store. His appetite is good except when the bouts of diarrhea occur, and then he does not eat for a few days and acts somewhat lethargic. Another veterinarian has treated Tupper for diarrhea with metronidazole in the past. He seemed to respond, but the diarrhea always eventually recurred.

The owner also reports that Tupper has a history of skin allergies and periodically receives prednisone (5 mg/day) for a few days at a time. He has not received the prednisone for over a month. Tupper lives with a Bengal cat that is in good health. Tupper does not have access to toxins or plants in the yard, and no recent environmental changes, travel, or other medical problems have occurred. Tupper is current on vaccinations and receives a monthly heartworm preventive.

QUESTION 1
For each of the following signs, choose if it is more often associated with large or small bowel diarrhea.

a) Tenesmus

Large bowel diarrhea

Small bowel diarrhea

b) Hematochezia

Large bowel diarrhea

Small bowel diarrhea

c) Vomiting

Large bowel diarrhea

Small bowel diarrhea

d) Weight loss

Large bowel diarrhea

Small bowel diarrhea

e) Urgency

Large bowel diarrhea

Small bowel diarrhea

f) Increased volume

Large bowel diarrhea

Small bowel diarrhea

g) Increased frequency

Large bowel diarrhea

Small bowel diarrhea



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