final abnormality associations

Question 1

dog with increased appetite and losing weight

Answer 1

hyperthyroidism, diabetes mellitus, cushing if potbelly and not actually fat

Question 2

what causes an increase in ALP from what we learned about

Answer 2

cushings, feline hyperthyroidism

Question 3

hypercalcemia can be seen in

Answer 3

vit d toxicosis, addisons, acute kidney injury, malignant cancers, hyperparathyroidism.

Question 4

pu/pd what causes it

Answer 4

DM, cushings, feline hyperthyroidism

Question 5

how do we determine pre and post renal proteinuria

Answer 5

hemolysis and fever are signs of prerenal
junk in the sediment is a post renal sign

Question 6

main causes of hypercalcemia and what should you test after

Answer 6

cancer (rectal, imaging) , CKD(kidney values), addisons (ACTH stim) hyperparathyroidism - (check phosphorus, PTH test), vitamin D tox (look for hyperphosphatemia)

Question 7

if there is a concurrent azotemia with a hypercalcemia, what are your top differentials

Answer 7

CKD, AKI, vitamin D tox, addisons

Question 8

test for addisons

Answer 8

baseline cortisol to rule out. ACTH stim to diag

Question 9

which cushing test is the test of choice in cats

Answer 9

LDDST

Question 10

for cushings what tests do you run in what order

Answer 10

ACTH first then LDDST if ACTH is not clear

Question 11

if you know there is an adrenal tumor, which test do you use for cushings

Answer 11

LDDST

Question 12

treatments for cushings

Answer 12

trilostane and mitotane

Question 13

what is the most common endocrinopathy of cats

Answer 13

hyperthyroidism

Question 14

cushings is most commonly a (pituitary/adrenal) issue

Answer 14

pituitary-ACTH dependent

Question 15

hyperthyroidism is usually a (pituitary/thyroid) issue

Answer 15

thyroid with adenomatous hyperplasia

Question 16

what do you do if your cat has a thyroid slip increased appetite and decreased weight loss but the f/tT4 comes back normal.

Answer 16

repeat in one month. may be early in the disease

Question 17

what are you monitoring for while treating hyperthroidism

Answer 17

T4 levels in range, renal function for CKD, blood pressure.

Question 18

middle aged dog, weak, 7/9 BCS, can’t run as long as it used to. DDX

Answer 18

Hypothyroidism (T4), addisons, maybe cushings (ACTH)

Question 19

addisons is primarily a (pituitary/adrenal) issue

Answer 19

adrenal. can be typical or atypical