Endocrinopathies

Question 1

obesity is a PF for?

Answer 1

endocrine disorders

Question 2

EMS?

Answer 2

Equine metabolic syndrome
increased adiposity
hyperinsulinemia (PF for laminitis)
insulin resistance

presenting complaint is usually laminits

Question 3

EMS signalment?

Answer 3

6-20yo
common in ponies, Arabians, QH
“Easy Keepers!”

Question 4

EMS can cause?

Answer 4

increased adiposity
hyperinsulinemia, laminitis!
insulin resistance
dyslipidemia - high/low lipids
High/low blood adipcytokines
     cytokines secreted by adipose tissue
systemic inflammation
seasonal arterial hypertension
     less common

Question 5

Signs of obesity

Answer 5

high BCS 8-9
cresty neck
regional adiposity
males: preputial adipose tissue
     blocks lymph return > edema
females: mammary gland adipose tissue
mild laminitis - growth rings

Question 6

EMS PF’s

Answer 6

obesity
genetics
* require fewer calories to maintain wt

Question 7

Insulin dysregulation?

Answer 7

Refers to hyperinsulinemia and insulin resistance

Question 8

EMS vs DM?

Answer 8

DM

• high glucose
• inadequate inslin rspons, “hypoinsulinemia”
• less common

EMS

• NORMAL glucose
• hyperinsulinemia
• insulin resistance