Endocrine diseases Flashcards
What is cushings caused by?
(too much cortisol)
- functional pituitary tumour
-functional adrenal tumour
latrogenic (cause by medication)
what glands are involved wuith cortisol and adrenaline?
-hypothalomus
-pituitary
-adrenal cortex
complications of cushing disease?
-diabetes
-uti
-panceaitis
-systematic hypertension
How is cushing diagnosed
-heamotology (eosinopeania
-urinealysis
-biochemistry
radiology
-ultrosonograophy for adrenal tumour
- acth stimulation test
-lddst
What is a ATCH stimulation test?
-pdh = exagerated responce to atch (cortisiol levels high
-adh - no responce at all
WHat is a low dose dexamethasone supprestion test?
- dexamathine is added and cortisol levels are measured in responce
- pdh- dogs have a high basal level which then dips and regains
adh- dogws have a high basal level that dips less then regains
normal- dogs have no change in cortisol
what is the treatment for cushings?
-pdh
trilosone (pdh) - inhibits cortisol
milotone -chemotherapy
ketoconzole - suppresses steriod genisis
-radiation treatment
bilateral adrenalactomy
-adh
-unilateral adrenalectomy
tilosone/ mitotane at high doses
What is canine hypoadernanocortisium/ addisons?
lack of mineralcorticiod and glucocorticiod
what is addisions caused by?
-destruction of adrenal cortex
-atch deficency
-latrogenic
what clinical signs can be seen in the acute for of addisions diesea
- vomiting
-anorexia
hypovalimia (low extra cellular fluid)
bradycardia (slow heart rate) - vauge signs
how is addisions disease diagnosed
-urinalysis
heamotology 9eosophilia)
biochemistry (prerenal azotaemia- build u of nitrogen)
radiology -miocardia
- ecg - heart
-atch stim test
Ehat is the treatment for addisions disease?
- accute =fluids, glucacorticiod and mineral corticiods suplimentation) (mineral cordicoids are not injectable)/ monitor unine output
- chronic disease = mineralcorticiod tablets, table salt, gluticorticiods initally and at times of stress
ad-lib water
monitor potasium nitrogen and clorine levels within the blood