Difficult GI Cases

Question 1

how can Ehrlichia, Leishmania and Dirofilaria each be tested for?

Answer 1

• Ehrlichia PCR
• Leishmania ABs
• Dirofilaria Ag

Question 2

What can a feacal sample rule out?

Answer 2

• giardia
• cryto
• endoparasites

Question 3

Is a hyperglobulinaemia of ~ 50% above top level normal considered significant?

Answer 3

YES VERY SIGNIFICANT DO NOT WORRY ABOUT ANYTHING ELSE FOCUS ON THIS NOW!!!

• infection (eg. leish)
• neoplasia

Question 4

What does a monoclonal Ab peak indicate nd how can this be identified?

Answer 4

• peak same width or less than that of albumin
• indicates plasma cell tumour
• Ehrlichia can also cause

Question 5

What are the 2 types of plasmma cell tumour?

Answer 5

• extramedullary plasmacytoma (rare GI form possible)

- multiple myeloma (hyperviscosity of blood, lytic bone leesions)

Question 6

How can etramedullary plasmacytoma be dx?

Answer 6

Histopath on gut biopsy (if GIT form)

Question 7

Pythiosis ad Histoplasmosis FURtHER WORK

Answer 7

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