Veterinary Clinical Medicine-I (General and Systemic)

DIAGNOSIS

Differential diagnosis

• Gastric dilation without torsion—due to overdistension, usually from ingesting excessive quantities of food
• Intestinal volvulus
• sSplenic torsion
• Abdominal effusion or
• Haemorrhage
• Non-GDV conditions 

Laboratory findings

• Expect hemogram abnormalities consistent with acute inflammation and hemoconcentration/shock
• Electrolyte abnormalities and acid–base alterations are common.
• high urine specific gravity

Imaging

• Abdominal radiography—a “double bubble” compartmentalized stomach is considered pathognomonic.
• Dorsoventral view—the pylorus may be shifted toward, or located in, the left cranial abdomen.

Diagnostic procedures

• Abdominocentesis and cytology may help determine if perforation has occurred.