PAR T GLNLRAL MED|C|NE M Caper b D|seses C1 1he | | meD1|y 1|O |

D|FFERENTIAL D|AGNO5|5
|aQDosI|c ea\u|es O! COmmOD Causes O!
CC||C | D !Oa| s a|e | |sIeO |n 1aU| e b. T U. he
p|| nC|pa| O|!e|enI|a| O| aQDOses !O|
QsIro|DIesI|Da| O|sease O Oa| s w|Ih
aDOOm| Da| pa| n a|e.
DIe||I| s Oue to |CIav| |us |D!eC\|On,
sa|mOne||Os|s |D\es\|Da| c|ost||d|os|s
(Oostt|J/um pet/r/ngens O| Oostt/J/um
J/h/cJe oroIher Causes
U|Ope||\ODeum
|e||IoD |I|s
as\|OOuOOena| u|Ce| O|sease
HUtt1t1OH Io insure adeguaIe calorc
nIake.
CCOH1UH 1H_aCt1OH can be IreaIed
by adminsIraIion oI an enema oI soap
and warm waIer, commercaI enema
preparaLions or aceLyIcysIeine. Soap and
USeBSe
|nes|na| a|es|a
O| hypOgang||OnOs|s
HSI0f
Wh|e p|Ogeny O Ove|O
hO|ses. OOe|v|se spO|aO|c.
NevDO|n Oa|s 4 Oays O|O
Any age Du mO|e
waIer enemas can be adminisIered aI a
raIe oI mIlkg Ihrough a soIt IoIey
caIheIer nserIed nIo Ihe recIum.
PCCty1Cy5tC1HC (8 g m mI oI waIer
wIh g sodium bcarbonaIe) has Ihe
advanIage oI acLuaIIy dssolvg parI oI
Ihe meconium, Ihereby enhancng
passage oIIhemeconium.AhecIed IoaIs
may regure analgesics Io conLrol pam,
inLravenous uds Io correcI or prevenI
dehydraIion, oraI IaaIives such as
mineraI oiI mIvanasogasLrc Iube)
and plasmaIocorrecIIalureoILransIeroI
passive immunLy. Surgical conecIon oI
Ihe mpacLons rareIyreguited.
Surg|ca| treatment
The proporIon oI Ioals surviving varies
wIh Ihe dsease and age oI Ihe Ioal.
YoungerIoals ( monIhsoIage) appear
Io have aworse prognosis aIIer sutgcaI
couecIon oI nIesIinaI lesions Ihan do
olderIoaIs.''Iewer IoaIs havngsurgery
Ior coIic live Io race Ihan do Iheir nomaI
cohorIs, aIIhough ahecIed IoaIs IhaI do
.
race have similar racmg careers. Ioals
wiIh nonsIrangulaIng lesons and
enIerIs are more Iikely Io survive
Ihan IoaIs wIh gasLrc uIcer disease or
sIranguIaIing Iesons. Sucklng IoaIs are
aI greaIesI risk oI developmenI oI posI-
operahveadhesonsandneedIorrepeaIed
ceIoIomy.
P8vNTON
AIIhough noI proven, Ihe suspecIed
associaIonbeLween diarrhea and smalI-
inIesInaIsurgcalIesionsinIoaIssuggesIs
IhaI measures Io reduce Ihe incdence oI
enIerIsinIoaIsmayreduceIhencdence
oI colic. AdeguaIe dewoming programs
IhaI reduce or eliminaIe inIesIaIon wiIh
parasiIes should be mpIemenIed. Care
shouId be Iaken when dewormmg Ioals
wIh heavy inIesIaIions oI
cqN0lNm, as rapid k g oIIhe ascards
LncB 1n0ngS LncB BIh00g JBImenI
|a| | u|e O pass eces.
ADOOm|na| O|sens|On pa| n
Seve|e pa| n. NasOgas||c
NOne spec||c NOne
Sutg| ca|. |Ov su|v|va| |ae Sma||-|nes|na|
vO|vu|us cOmmOn a 3 mOnhs.
AD|upOnse aDOOm|na| pa| n.
D|a||hea
|e|ux. ADOOm|na| O| sens|On.
U||asOnOg|aphy - O|senOeO,
aOn|c |nes|ne. HaO|Og|aphy -
gas anO |u|O O|sens|On O
|nc|easeO p|Oe| n anO
|eukOcyes | n aDOOm|na|
|u| O
Sma||-| nes|na|
|nussuscep|On
Asca||O | mpac|On
MecOn|um |mpac|On
|a|ge-cO|On O|s|On
|a|gecO|On
| mpac|On
Sma| |-cO|On
|mpac|On
Any age, Du usua||y
3 veeks. D|a||hea
MO|e han 3 mOnhs O age.
Hecen h|sO|y ( 3 O) O
anhe|m|n|c aOm|n|s|a|On
NevDO|n. NO passage O
mecOn| um. MO|e cOmmOn
| n ma|es
SpO|aO|c
SpO|aO|c. |OO| O|e, ea|ng
sanO-pO||ueO eeO
COmmOn | n M| n|au|c hO|ses
Gas|OOuOOena| u|ce| COmmOn | n Oa|s v|h
Ohe| O|sease O| s|ess
sma|| DOve|
Seve|e pa|n, aD|up Onse.
NasOgas||c |e|ux.
U||asOnOg|aphy -
|nussuscep|On. HaO|Og|aphy -
gas anO |u|O O|sens|On O
sma| | DOve|
| nc|easeO p|O\e|n anO
|eukOcyes | n aDOOm| na|
|u|O
Seve|e pa| n. NasOgas||c |e|ux. NOne spec||c
U||asOnOg|aphy - O|senOeO,
aOn|c DOve|, asca||Os
M||O pa|n |n||a| |y, DecOm|ng mO|e NOne spec|lc
seve|e. ADOOm|na| O|sens|On.
Ul|asOnOg|aphy - O|senOeO
|a|ge cO|On, may see | mpac|On.
HaO|Og|aphy - cOn|as may
Ou||ne | mpac|On
Seve|e pa|n anO aDOOm| na| NOne spec||c
O|sens|On. U||asOnOg|aphy -
gas OisenOeO cO|On.
HaO|Og|aphy - gas
O|senOeO cO|On
M||O O mOOe|ae pa|n | n||a| |y. NOne spec||c
H|Og|ess|ve aDOOm|na| O|sens|On.
U||asOnOg|aphy - O|senOeO cO|On
v|h | mpaceO mae||a|
MOOe|ae O ma|keO pa| n. NOne spec||c
|ack O eces. ADOOm|na|
O|sens|On. U||asOnOg|aphy -
gas O|senOeO cO|On.
HaO|Og|aphy - |mpac|On O
sma| | cO|On
Usua||y c| | n|ca||y | nappa|en.
CO||c, |nappeence, eeh
g||nO|ng, excess|ve sa||va|On,
O| a||hea. Gas|OscOpy O|agnOs|c
NOne O|agnOs|c
Su|geQ. 40% su|v|va| |ae
MeO| ca| he|apy. |uD||cans
anO ana|gesics. Su|ge|y
Wa|m sOapy enemas
Acey|cyse|ne. M|ne|a| O||
O|a| |y. Su|geQ O| |e|acO|y
cases
Su|ge|y. Z0% |ecOve|y |ae
MeO| ca| |eamen O
| uD||cans, eca| sOene|s
anO ana|ges|cs. Su|ge|y
MeOica| as aDOve. Su|ge|y
Anac|Os anO an|u|ce|
cOmpOunOs (1aD|e b. l l ) .
Ha|e|y su|ge|y O cO||ec
gas||c Ou|Ov ODs|uc|On