feline endocrine Flashcards
(20 cards)
insulin resistance, stridor, heart failure, pu/pd, siffness, lameness weight gain/loss
acromegaly
what causes acromegaly
GH secreting tumor in pituitary
what do we test
IGF1 levels
what are the three treatment options for acromegaly
surgical removal- hypophysectomy
radiation
medical management
survival for acromegaly
4-60 months depending on treatment
what is a big deal about acromegaly
uncontrolled diabetes
what is a more common cause of hyperaldosteronism in cats
tumor of adrenal gland
hypertension, cervical ventroflexion, collapse, CKD-like, dysphagia
hyperaldosteronism
how to diagnose hyperaldosteronism
increased aldosterone levels, enlarged adrenal
treatment plan for hyperaldosteronism
unilateral adrenalectomy
IV KCl
hypertension treatment
why do we use spironolactone in the treatment of hyperaldosteronism
it antagonizes ADH in kidney for hypertension treatment
medical management of hyperaldosteronism plan
spironolactone
amylodipine
K supplementation
what chem finds support hyperaldosterone
hypokalemia, azotemia, hypertension
if your patient has refractory hypertension and hypokalemia, what should be on your list
hyperaldosteronism
prognosis of hyperaldosteronism with surgery
45 months with adenoma
test of choice for feline cushings
LDDST
thin skin, pu/pd, polyphagia
cushings
80% of cushinoid cats are
diabetic. if treating DM and insulin resistant, consider cushings
drug to treat feline cushings
trilostane
what type of adenomas are common in feline cushings? how common?
macroadenomas. 50%