Endocrinology Cases

Question 1

Case 1
Kiril = 9y/o MN daschund
- lethargy, exercise intolerance + intermittent muscle tremors, Polyphagia + excessive drinking + bilateral alopecia
* Temp = 38.6oC, panting, 120BPM, QAR
* Haematology = high PCV, RBCs, + reticulocyte count, low haemoglobin + MCHC
* Biochem = low TP, Ca2+ + phosphate
- High ALT, cholestrol, glucose, alkaline phosphate

Ddx?

Answer 1

• Cushings
• Addisons
• Hypocalcaemia
• CKD
• Change in diet
• Diabetes mellitus / insipidus
• Neoplasia
• Hypoparathyroidism
• Toxins
• Iatrogenic
• Acromegaly

Question 2

How would you treat cushings?

Answer 2

• Trilostane daily

Question 3

Case 2
Jess = 10y/o golden retriever
* PUPD 3 wks, urinalysis = 1.008USG
* high ALP, ALT, Ca2+ + cholestrol
* Mass near the thyroid gland

Answer 3

• Hyperparathyroidism - parathyroid neoplasm

Question 4

What is normal glucose conc in dogs?

Answer 4

• Between 4.4-6.6mmol/L

Question 5

What can you get high eosinophil count with?

Answer 5

Addisons

Question 6

Ddx for hyperkalaemia?

Answer 6

• hypoadrenocorticism
• renal failure
• bladder rupture
• metabolic acidosis