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Hi all..
I have a difficult case here... 10 yr old lab that was just adopted by a client of mine. The first time I saw him he had discharge from both eyes, was always itchy, and she said that he cried sometimes when he got up. His exam didn't reveal anything major, and I felt that since he had a history of allergies fr... | What does he weigh? | I xp'd to clin path, but what's the magnification of the image? |
Hi all..
I have a difficult case here... 10 yr old lab that was just adopted by a client of mine. The first time I saw him he had discharge from both eyes, was always itchy, and she said that he cried sometimes when he got up. His exam didn't reveal anything major, and I felt that since he had a history of allergies fr... | What's rilexene? | Rest of the chemistry results? |
I have a 16 month old female/spayed bloodhound with renal failure that I received as a second opinion case. Emma was seen by her previous veterinarian for urinating in her sleep, a UA was performed and she had USG of 1.002. Bloodwork was performed which revealed the renal failure 2 months ago.
BUN 27
Creatinine 5.7
Ph... | You did not mention how the urine sample was obtained? | Is there proteinuria? |
I have a 16 month old female/spayed bloodhound with renal failure that I received as a second opinion case. Emma was seen by her previous veterinarian for urinating in her sleep, a UA was performed and she had USG of 1.002. Bloodwork was performed which revealed the renal failure 2 months ago.
BUN 27
Creatinine 5.7
Ph... | Was there a colony count? | Can you post a sample of a recent gulcose curve? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Weight? | What is the value at the nadir and when is the nadir? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Has the cat lost weight? | Has her urine been cultured? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Where are you administering the insulin- flank, legs, shoulder blades? | Neck palpated normal? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Are there any bg values lile a curve you can give us? | How much does the dog weigh? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Pre-insulin bgs? | What does the cat eat? |
I am confounded by a 9 year old cat with diabetes diagnosed 6 months ago. He has had extensive workup: no eveidence of infections or concurrent disease except for mild chronic pancreatitis on U/S and a normal insulin-like growth factor test but he shows little response to sc insulin. 2 units regular insulin im will bri... | Have you checked a u/a + usg and a culture? | Is that adequate, or is there a better way to handle this? |
Good Morning,
My patient is my own cat. Help!
Corky is a 7 yr MC DSH, weighing in at 24lbs. Gradually the weight packed on and now I am in panic mode. I have 4 indoor cats in total.
I have always fed free choice dry ( I now know this is bad but my other 3 cats are normal weights).
Corky eats prescription Royal Canin H... | Are the cat boxes on the same level as the food? | Has the owner's alphatrak been checked for accuracy? |
Hi everyone,
I have a 12.5 yr old MN Schnauzer that was recently diagnosed with diabetes I'd like some thoughts on. He has a hepatocellular carcinoma that was diagnosed about a year ago (took him to surgery and removed as much as we could at that time but margins were incomplete) and has been on daily Denamarin. He st... | I'm guessing it's nph? | U100 syringes? |
Hi everyone,
I have a 12.5 yr old MN Schnauzer that was recently diagnosed with diabetes I'd like some thoughts on. He has a hepatocellular carcinoma that was diagnosed about a year ago (took him to surgery and removed as much as we could at that time but margins were incomplete) and has been on daily Denamarin. He st... | How did the rest of the cbc/chem look like when he had bloodwork 3 weeks ago? | Cortrosyn being used? |
My patient is a 2-year-old female spayed Italian Greyhound who weighs 10.1 pounds. She is active and otherwise very healthy. She is fed Taste of the Wild dry and canned several times a day and is allowed to eat as much as she wants. her stools are firm and forend and she defecates once or sometimes twice a day. No othe... | What's on the chem 6, and would you mind posting results? | What is his bcs right now? |
My colleague saw this cat, MN, 7.7 kg, 10 years old last week for not doing well, vomiting and urinating inappropriately . Blood work was done and all was within normal limits except for glucose being at 15.8. He mentioned that the cat was indeed not diabetic. For whatever reason, the cat was placed on metronidazole an... | Is this cat eating normally at present? | Was the insulin determination done on the same sample on which the hypoglycaemia was detected? |
11 yr. fs kitty presented for diarrhea. fecal showed bacteria, but no other parasites. Owner left kitty for the weekend and wanted us to treat for diarrhea. Kitty had been diabetic for 8 mo. owner was using glipizide due to inconvenience of insulin.
Her blood glucose was 487 and owner could not bring meds back. Kitty w... | Hopefully the cat has recovered neurologically---is she blind? | Was the fluid submitted for culture? |
11 yr. fs kitty presented for diarrhea. fecal showed bacteria, but no other parasites. Owner left kitty for the weekend and wanted us to treat for diarrhea. Kitty had been diabetic for 8 mo. owner was using glipizide due to inconvenience of insulin.
Her blood glucose was 487 and owner could not bring meds back. Kitty w... | At the same time, she should be on the canned only version of a high protein/low carb diet....what diet has she been on? | The owner moves the insulin around on his body each time? |
nah is a 12 year old MN DSH that I diagnosed with DM on November 20/12. He is being well-regulated on 1.5 units of Lantus bid (most recent 12-hour curve a few days ago showed a relatively flat line that hovered between 4 and 6 mmol/L). The owners report that the cat seems to be feeling great, and that his thirst has re... | Are these cans 5.5 oz? | What did the adrenals look like on the ultrasound? |
Hi
A quick question - how high is too high on insulin dosage? I mean, at what point of units/kg do you say, we need to back off and reassess the situation?
The reason being - I have a 28 kg FN Husky who is a very very nervous dog which does need blood glucose curves done. She is currently on 19 units of Caninsulin per... | Have you rechecked a fructosamine regularly? | Yo-yo-ing on it's glucose? |
Hi
A quick question - how high is too high on insulin dosage? I mean, at what point of units/kg do you say, we need to back off and reassess the situation?
The reason being - I have a 28 kg FN Husky who is a very very nervous dog which does need blood glucose curves done. She is currently on 19 units of Caninsulin per... | How does that look? | Bg at this time? |
Hi
A quick question - how high is too high on insulin dosage? I mean, at what point of units/kg do you say, we need to back off and reassess the situation?
The reason being - I have a 28 kg FN Husky who is a very very nervous dog which does need blood glucose curves done. She is currently on 19 units of Caninsulin per... | How is she doing clinically? | Have we done a glucose curve on the cat in between uti/hypoglycemia episodes to ascertain whether or not the cat needs a lower dose all the time? |
Vito is a 13 yr old MN DSH. Diagnosed with diabetes 12/2007, has been a challenge to regulate, but clinically has been doing well on Glargine 2-U BID.
Saw Vito 12/31 for routine biannual senior exam and labs. Appetite is good, water intake & urination seem pretty good to owner (not laying by water dish, not urinating ... | Was the calcium fasting? | Is he getting enough calories? |
What to do for diabetic cat with a chronic 4+ Actinomyces in one ear. has been tx'd unsuccessfully for long time to no response. Cytology shows 4+ cocci and diplococci. 6 weeks of Baytril otic and oral clavamox has not helped.
Is there any homemade preps that I could whip up that would be stable and overcome this thin... | I wonder if the actinomyces overgrew? | May need peg tube? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | Any chance of posting the full labs, as attachments? | Should we keep him for the day and run glucose levels every hour or two? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | What paw? | Is it a large reputable company, or a smaller less experienced one? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | Can you further characterise the "not walking"? | Is it possible if it is neoplasia that it could be causing balance problems? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | Was it related to the paw or unrelated? | I bet that the free t4 is more expensive than the tt4, am i right? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | Was the cat diagnosed with diabetes at this visit? | What are the electrolytes in this kitty and are there ketones on the urinalysis? |
Boots is a 9 yr old DSH MN cat 8.31kg
presented on 1/3/12 for something wrong with the paw and not really walking.
resp -16, temp 104.8, hr- purring
p wouldn't eat the day before and wouldn't move. o thinks pet might have fallen
pe- gingivitis, dental calc and obese- all other wnl
ran cbc/chem
cbc
lym 0.56 10 *9/L (... | If so, any chance there was a urinalysis done? | What is her long term prognosis? |
Female spayed cat 7 y/o. Two days ago presented for lethargy reluctant to move- sitting on the same spot , not urinating but no straining , staring, was still eating. temp normal , normal exam except a large bladder.
Did a cysto and the cat started to salivate, wail , and then passed a large amount of urine. ( I have s... | What size needle are your using for cysto? | What do you think? |
Female spayed cat 7 y/o. Two days ago presented for lethargy reluctant to move- sitting on the same spot , not urinating but no straining , staring, was still eating. temp normal , normal exam except a large bladder.
Did a cysto and the cat started to salivate, wail , and then passed a large amount of urine. ( I have s... | How did you diagnosis this? | Apart from the acth stim test results what other signs of cushing's does he have? |
Female spayed cat 7 y/o. Two days ago presented for lethargy reluctant to move- sitting on the same spot , not urinating but no straining , staring, was still eating. temp normal , normal exam except a large bladder.
Did a cysto and the cat started to salivate, wail , and then passed a large amount of urine. ( I have s... | Was it confirmed with a culture? | Steroids will increase the platelets and can also cause the drop in pcv as they result in iron retention by the marrow, the neutrophilia and monocytosis can also be induced by steroids, was the dog on any along with the hydrocodone for the allergic bronchitis? |
Female spayed cat 7 y/o. Two days ago presented for lethargy reluctant to move- sitting on the same spot , not urinating but no straining , staring, was still eating. temp normal , normal exam except a large bladder.
Did a cysto and the cat started to salivate, wail , and then passed a large amount of urine. ( I have s... | Can you attach the complete lab results (blood and urine) as a pdf? | How many calories does she currently get per day? |
Greetings.
"Nosey" is an 8 y/o F(S) DSH who was previously diagnosed with DM. Was regulated with insulin glargine and fed Royal Canin C/C. Has been in remission for 6+ months and weight is very good now (no longer obese). Recently has developed diarrhea of unknown cause - duration 1 month...still on C/C and has never ... | Do you have urinalysis results? | How was your patient on recheck tonight? |
"Willa" is a 16 yo FS DSH who presented for lethargy and poor appetite. She had a loose stool that had a grey color with a hint of mixed-in blood. She started with vomiting the next day. PE was, except for the stool, fairly unremarkable, so she was treated with Cerenia, SQ fluids, famotidine, amoxi, Forti-Flora, and pr... | What do you make of the whole scenario ie us and blood tests and is there any additional treatment or dietary changes i should make? | What does he weigh? |
Oscar is a 7 year old, MN, overweight orange tabby with a history of severe gingivostomatitis and diabetes. The diabetes is well controlled on diet (DM) and Lantus insulin. We are trying to get the stomatitis in remission with full mouth extractions AND we have just started oral cyclosporin. Here is the recent history:... | The sense i get is that they are nearly always associated with anesthesia though, and it makes me wonder if some animals under anesthesia shut down capillary beds? | I'm sorry but i'm confused on this statement....i'm assuming the "i" is you and you wanted to stop it but the owner elected to keep up with administering trilostane? |
Oscar is a 7 year old, MN, overweight orange tabby with a history of severe gingivostomatitis and diabetes. The diabetes is well controlled on diet (DM) and Lantus insulin. We are trying to get the stomatitis in remission with full mouth extractions AND we have just started oral cyclosporin. Here is the recent history:... | Diabetics definitely have microvascular disease so perhaps that contributed? | What should he weigh? |
Hello,
I have a 5 year old, MN overweight cat who I just diagnosed with diabetes 2 weeks ago (BG 486, 3+ glucosuria, PU/PD). He came in 2 days ago for consult to start insulin. Since diagnosis, the owner had switched cat to canned food only and said he was drinking and urinating less. He had also lost 1 lb in about 1 1... | Is ultrasound not possible? | How much should he weigh? |
I have a client who has 2 cats. 1 is on KD (does not like well) for recently diagnosed urate stones in the bladder. the other cat I just diagnosed with Diabetes and have started on DM. Is there are diet that you could recommend for both cats with their conditions. It is difficult for the owners to feed different foods ... | Are the clients feeding dry or canned diets? | How long is the owner's 'pen needle"? |
Princess is a 12 yr FS Tortoise Maine coon, first diagnost Diabetic DKA, renal insufficiency with secondary hypokaliema in 12/24/12. Start Glargine 1 U BID, a week later went to 2U BID, and was controled well. last recheck BG shot up to 600+ and having trouble bringing BG under 400 with 3U of Glargine, DM diet, oral K+... | At what intervals was the insulin increased and by how much? | Owners ok at drawing up and administering the insulin - might have them demo how they are doing? |
Princess is a 12 yr FS Tortoise Maine coon, first diagnost Diabetic DKA, renal insufficiency with secondary hypokaliema in 12/24/12. Start Glargine 1 U BID, a week later went to 2U BID, and was controled well. last recheck BG shot up to 600+ and having trouble bringing BG under 400 with 3U of Glargine, DM diet, oral K+... | Given the hypokalemia and the renal insufficiency, in this patient hypertensive? | Did you change the cat's diet? |
Hello,
I inherited a Diabetic/hypothyroid/cushinoid sweet poodle mix from another clinic. Unfortunately, she has been on an alternate lysodren dose schedule and I do not know how to help her except to start from scratch.
"Rosie" is a 9 year old poodle mix 14#. Diagnosed last year with Cushings. I am not sure how long ... | How does the owner think the dog is related to the pu/pd? | Did you also get thyroid autoantibodies? |
Hello!
Any tips on treatment of decubital tarso-metatarsal decubital ulcers in cats? I've seen #2 ~14y/o cats in the past week with round, ulcerated, bleeding ulcers of the caudal/plantar proximal region of the metatarsals (pressure points of the hocks)....both cats are not plantigrade, but crouch to eat and rest/slee... | I wonder if she could protect the area by using baby socks? | Did her adrenal gland width get recorded on the ultrasound? |
Hello!
Any tips on treatment of decubital tarso-metatarsal decubital ulcers in cats? I've seen #2 ~14y/o cats in the past week with round, ulcerated, bleeding ulcers of the caudal/plantar proximal region of the metatarsals (pressure points of the hocks)....both cats are not plantigrade, but crouch to eat and rest/slee... | I also wonder if some of the topical remedies like silver sulfadiazine with insulin added or even medi-honey would help? | What sort of body condition and muscle condition is he in? |
Presented with an 8 year old M/N Min Pin weighing 7.2 kg who has been lethargic, anorexic and PU/PD for the last 2 days. On questioning owners say he has vomited once or twice in this time frame. Sudden onset of signs. Clinical impression is depressed (owners say usually have to muzzle and restrain to examine but not t... | Tbili not that bad by my references...how about yours? | Is it 7% carbs on an me (or 'energy' or 'calorie%') basis? |
Presented with an 8 year old M/N Min Pin weighing 7.2 kg who has been lethargic, anorexic and PU/PD for the last 2 days. On questioning owners say he has vomited once or twice in this time frame. Sudden onset of signs. Clinical impression is depressed (owners say usually have to muzzle and restrain to examine but not t... | Calcium not bad...i think that's normal for you too correct, same for phosphorus? | Using cortrosyn? |
Hi there,
My patient is a 14 year old FS Yorkie who presented today w/PU/PD, hepatomegaly, pendulous abdomen, panting, weight gain, and increased liver enzymes (ALP 545, ALT 250, GGT 11) as well as hypercholesterolemia and thrombocytopenia. She has a hx cataract sx about 6 months ago and has been on pred acetate 1% to... | Question is: what are going to do if the tests come up positive for hac? | What diet exactly .....getting any dog treats? |
Hi there,
My patient is a 14 year old FS Yorkie who presented today w/PU/PD, hepatomegaly, pendulous abdomen, panting, weight gain, and increased liver enzymes (ALP 545, ALT 250, GGT 11) as well as hypercholesterolemia and thrombocytopenia. She has a hx cataract sx about 6 months ago and has been on pred acetate 1% to... | Does the dog have a history suggestive of hac? | Is there a history of gi-associated clinical signs in this big boy? |
"Gus" is an 11 yr old MN cat I first met in 2007. Weighed 21 lb. 4 oz. then, got has high as 23 lb. 4 oz. in 5-10 despite being on a weight-loss diet. Has been treated for constipation long-term with psyllium and for arthritis pain with buprenorphine. He was treated for pancreatitis in 12-11. Was presented yesterday fo... | What diet is he on for weight loss? | A few questions: was this kitty obese at the diagnosis of his iddm? |
8 yr old FS Brittney Spaniel. Hx of inappropriate urination since Oct. 2011. Starting with hx of urinating in her bed since being spayed at 6 mos of age. Has always had high urine pH (7.5-8.5). Low sp. gr. but not isosthenuric. (1.012-1.018). Was put on Royal Canin S/O diet and proin which seemed to help but owner stop... | Do you have specifically first morning usgs? | Does this have any efficay in cats? |
8 yr old FS Brittney Spaniel. Hx of inappropriate urination since Oct. 2011. Starting with hx of urinating in her bed since being spayed at 6 mos of age. Has always had high urine pH (7.5-8.5). Low sp. gr. but not isosthenuric. (1.012-1.018). Was put on Royal Canin S/O diet and proin which seemed to help but owner stop... | This is for incontinence...i thought she didn't have signs of this any more? | By "urinations returned to what had been normal" do you mean well concentrated, or do you mean extremely dilute? |
Hi!
I would appreciate your help in a diabetic case..."Beany" is a 6 year old MN Yorkie (5.3 kg) who was first diagnosed last September. He did have ketonuria but was not sick ie. not lethargic, anorexia and no vomiting...the owner had only noticed PU/PD and weight loss, otherwise was doing well. His fructosamine at t... | Why is the dog getting fed in the middle of the day? | Why is there hypercalcemia? |
Hi!
I would appreciate your help in a diabetic case..."Beany" is a 6 year old MN Yorkie (5.3 kg) who was first diagnosed last September. He did have ketonuria but was not sick ie. not lethargic, anorexia and no vomiting...the owner had only noticed PU/PD and weight loss, otherwise was doing well. His fructosamine at t... | Could the 2 pm feeding without insulin be the plem? | Repeat? |
Have a patient I would like some advice on please.
S/F DSH 17 year old kitty. First saw 12/11/2009. At that time had been on 2 units PZI q12h for a few years as well as meloxicam every 48 hours and cosequin bid. Cat weighed around 15 pounds and owner was giving between 5-10 pound dose meloxicam.
Not a particularly nic... | From what i can tell, was the free t4 you did the first one that was done since the cat was diagnosed? | The owner moves the injections around on her body every day? |
So, I have a client who is consulting with this guy online, and, I just thought I would put it out there, cause, it kind of feels wrong.
I look up his website. He is on online homeopathic vet. I look over the website, and at first, I thought, hey, advice is advice, no big deal. However, he states on the website that h... | This looks like www.homevet.com, correct? | We are using the right codes with the alphatrak and the measuring sticks? |
Hi,
Indi is an 11yo MN DSH. He presented to us recently for PU/PD (owner measured about 100ml-230ml/kg/day but could be more as has many water bowls around the house) of several months duration. She also reports he is polyphagic and will eat anything!, his latest conquest was a family size frozen apple pie left on the... | Does this cat have loss of adipose or muscle mass over the dorsal spinous processes? | Was this patient brought into the home as a ten? |
Hi,
Indi is an 11yo MN DSH. He presented to us recently for PU/PD (owner measured about 100ml-230ml/kg/day but could be more as has many water bowls around the house) of several months duration. She also reports he is polyphagic and will eat anything!, his latest conquest was a family size frozen apple pie left on the... | Is there a history of gi-related disease? | Does it get tested occasionally against the results you get from your chem analyzer? |
Hello,
I have a glucose curve I would love some feedback on. This dog is 10 yrs old and was diagnosed in August and started having episodes of collapse around 2-3pm or later in the evening which would resolve with feeding so we did a curve. The dog seemed to be under-regulated on 8 Units Humulin N and was having episod... | It looks like she was fed at the clinic? | It's not fair to the cat to be sent home if it isn't going to be managed well, isn't it nicer for the cat to be euthanased? |
Hello,
I have a glucose curve I would love some feedback on. This dog is 10 yrs old and was diagnosed in August and started having episodes of collapse around 2-3pm or later in the evening which would resolve with feeding so we did a curve. The dog seemed to be under-regulated on 8 Units Humulin N and was having episod... | How does that time that the food/insulin was given that day compare to the normal time she gets food/insulin? | Have you previously measured the dog's liver enzymes and found the alt to be lower? |
Hello,
I have a glucose curve I would love some feedback on. This dog is 10 yrs old and was diagnosed in August and started having episodes of collapse around 2-3pm or later in the evening which would resolve with feeding so we did a curve. The dog seemed to be under-regulated on 8 Units Humulin N and was having episod... | Did she eat normally? | Could this be my problem? |
Hello,
I have a glucose curve I would love some feedback on. This dog is 10 yrs old and was diagnosed in August and started having episodes of collapse around 2-3pm or later in the evening which would resolve with feeding so we did a curve. The dog seemed to be under-regulated on 8 Units Humulin N and was having episod... | We need to decrease the insulin dose a bit...what exactly did the curve look like at 8 units bid and how long ago was it done? | What made you think to look for a problem? |
Hello,
I have a glucose curve I would love some feedback on. This dog is 10 yrs old and was diagnosed in August and started having episodes of collapse around 2-3pm or later in the evening which would resolve with feeding so we did a curve. The dog seemed to be under-regulated on 8 Units Humulin N and was having episod... | Is this a spayed female? | Is the cat ketotic? |
This diabetic dog is making us a little crazy. He does not seem to respond as expected. Any help would be appreciated. I have summarized the history since the diagnosis. I know it is a bit long, but I always find that leaving information out does not get me where I want to be.
Rocky is a MN, 12yr old (1Nov2002) coon ... | Do you know what exactly is the problem the owner is having with collecting the samples? | Whatever happened to making an attempt to close the barn door *before* the horse gets out? |
I have a 16 year old MN cat with a very long history -
Simon first came to our clinic in 2009 with a history of being a cat that had always vomited occasionally with some constipation problems in the past.
On Dec 22, 2010 he came in not eating, vomiting and blood work was done. Bloods were normal expect an elevated fp... | Has the cobalamin been checked on this kitty recently? | Absolutely sure she's spayed? |
Hi there
I have a 6 year old BSH neutred male cat , long term diabetic , stable for last 2 years on Insuline Lente bid .Recently presented in hypoglyceamic coma and seizuring after maldosing of insulin with cat sitter.The cat has no ketones in urine, all bloods were completely normal with exception of glucose.Electroly... | Are the patient's pupils mydriatic or miotic? | Have you done chest radiographs? |
Hi there
I have a 6 year old BSH neutred male cat , long term diabetic , stable for last 2 years on Insuline Lente bid .Recently presented in hypoglyceamic coma and seizuring after maldosing of insulin with cat sitter.The cat has no ketones in urine, all bloods were completely normal with exception of glucose.Electroly... | What is the current potassium value for this patient? | Should i try to repair this if i anesthetize him again for biopsy? |
Well, I feel like I'm getting a crash course in schnauzers and diabetes :(. Treating a 4.5 yo MN miniature schnauzer, 7.5kg. Diagnosed with diabetes about two months ago, and having some trouble getting his insulin dose worked out (now my recent vin searches are suggesting I should have anticipated this going in!). Sta... | What brand do these owners have? | Is there other evidence of chronic primary renal failure like anemia? |
Well, I feel like I'm getting a crash course in schnauzers and diabetes :(. Treating a 4.5 yo MN miniature schnauzer, 7.5kg. Diagnosed with diabetes about two months ago, and having some trouble getting his insulin dose worked out (now my recent vin searches are suggesting I should have anticipated this going in!). Sta... | What was the number for the cholesterol level? | Did she have any labwork before the metacam? |
Well, I feel like I'm getting a crash course in schnauzers and diabetes :(. Treating a 4.5 yo MN miniature schnauzer, 7.5kg. Diagnosed with diabetes about two months ago, and having some trouble getting his insulin dose worked out (now my recent vin searches are suggesting I should have anticipated this going in!). Sta... | Was it run after a 12 hour fast? | What's the blood pressure? |
Help! I have a new patient here and need help in terms of where to start with treating this cat. This cat is a female spayed, 12-year-old DSH. She presented to my associate 1/8/13 for constipation. The cat was depressed, dehydrated and very constipated. The cat has been diabetic for about 5 years per owner, and owner s... | What brand is this owner using? | Diabetic cats can be fed throughout the day, but the total amount should be measured and reasonable for a cat this size (well, not this size if 'biggie boy' is obese)...what does he weigh? |
My own dog, a 7 y.o, FS, Lhaso-Poo weighing 9 Kg recently went diabetic on me. Previous to diagnosing DM, I had been feeding her ROyal Canin Low Fat for 4 months as she had persistent hyperlipidemia, hypercholesteremia and hypertriglyceridemia with no improvement. Her most recent bloodwork (Dec 15, 2012) which revealed... | Were these fasting triglyceride and cholesterol levels? | Would these clients be willing to learn how to do at-home curves? |
My own dog, a 7 y.o, FS, Lhaso-Poo weighing 9 Kg recently went diabetic on me. Previous to diagnosing DM, I had been feeding her ROyal Canin Low Fat for 4 months as she had persistent hyperlipidemia, hypercholesteremia and hypertriglyceridemia with no improvement. Her most recent bloodwork (Dec 15, 2012) which revealed... | Bg values go up to 33 or higher prior to injection can i see some actual curves? | Any agglutination? |
My own dog, a 7 y.o, FS, Lhaso-Poo weighing 9 Kg recently went diabetic on me. Previous to diagnosing DM, I had been feeding her ROyal Canin Low Fat for 4 months as she had persistent hyperlipidemia, hypercholesteremia and hypertriglyceridemia with no improvement. Her most recent bloodwork (Dec 15, 2012) which revealed... | She's had a urine culture to rule out uti or just looking at the urine sediment? | Some owners aren't reconstituting it well, so are injecting mostly diluent when the bottle is new, then it keeps getting more and more potent as you get deeper into the bottle...could this be happening? |
I have a client who is, shall we say, challenging. Her dog has significant cardiomegaly and a persistent cough. No free pleural fluid on rads. The patient is a very well controlled Addisonian as well. I dispensed benazapril and lasix to start while trying to convince her to see a cardiologist. Instead, she has consulte... | However, the question is - does this dog have chf? | Canned or dry? |
I have a client with a 10 yr old FS Sheltie that I just diagnosed with PDH. She is having overt signs - with PUPD, recurrent pyoderma. Normally I would not even consider using Anipryl any more, but the client has some mental impairments - has trouble understanding things and some trouble following directions. Most simp... | Is this an owner that will comply with coming in? | Where is this owner getting the samples? |
I have a client with a 10 yr old FS Sheltie that I just diagnosed with PDH. She is having overt signs - with PUPD, recurrent pyoderma. Normally I would not even consider using Anipryl any more, but the client has some mental impairments - has trouble understanding things and some trouble following directions. Most simp... | She may not know why she's there, but will be there? | What's her recent fasting triglyceride level? |
Hi everyone! I have a "problem child" I could use some advice on. Precious is a 10 yo, FS DSH weighing 16.4#, diabetic since March 2012, curtly on 1 unit of glargine BID. She has a few issues, one being her ravenous appetite. I would love for her to lose weight, she probably should be more like a 12# cat, but her insat... | Is she well controlled? | What is happening with the blood glucose since you started the regular insulin? |
Hi everyone! I have a "problem child" I could use some advice on. Precious is a 10 yo, FS DSH weighing 16.4#, diabetic since March 2012, curtly on 1 unit of glargine BID. She has a few issues, one being her ravenous appetite. I would love for her to lose weight, she probably should be more like a 12# cat, but her insat... | Did you mean a cortisol/creatinine ratio? | What should he weigh? |
Hi everyone! I have a "problem child" I could use some advice on. Precious is a 10 yo, FS DSH weighing 16.4#, diabetic since March 2012, curtly on 1 unit of glargine BID. She has a few issues, one being her ravenous appetite. I would love for her to lose weight, she probably should be more like a 12# cat, but her insat... | Have you checked a tt4 lately? | Has this patient lost weight during the time you have been seeing him? |
Hello and thanks for being there --
I am in need of help on this case, as you will see when you read about Bruce. I am currently debating which if any tests to run or if I should just refer him on to referral care for further work up. Please let me know what you think.
Bruce is 6 year old 12# Brussels/Bichon mix who ... | Has his insulin dose been adjusted with his curved being high? | I would be concerned about arf, is she producing urine - did you recheck the bun/cr? |
I have an obese diabetic cat that is now in remission. He has been on Purina DM for a while and is no longer diabetic but definitely on a positive weight gain trend. Has anybody use the new formulation of the RC diabetic diet and had them lose weight?
/p DVM | Canned dm? | Can you remove the affected tissue w/o removing the toe? |
I have an obese diabetic cat that is now in remission. He has been on Purina DM for a while and is no longer diabetic but definitely on a positive weight gain trend. Has anybody use the new formulation of the RC diabetic diet and had them lose weight?
/p DVM | Can you not just reduce the volume fed? | Any other suggestions? |
Pharmacy boards urge veterinars to file complaints
By ☼ | Really? | Do you have chest rads? |
Pharmacy boards urge veterinars to file complaints
By ☼ | Do you derive this knowledge from human medicine? | What's the phosphorus level? |
"Charcoal" is a 9yr old MN DSH that was presented to our hospital for a COHAT and tooth extractions due to resorptive lesions. He had otherwise been well at home with no symptoms of pu/pd, v/d, constipation or weight loss. He lives in a multi-cat household and is strictly indoor. The diet in the household consists of a... | How was his phosphorous level, by the way? | How many calories are in a cup of w/d? |
"Charcoal" is a 9yr old MN DSH that was presented to our hospital for a COHAT and tooth extractions due to resorptive lesions. He had otherwise been well at home with no symptoms of pu/pd, v/d, constipation or weight loss. He lives in a multi-cat household and is strictly indoor. The diet in the household consists of a... | Is he eating canned or dry c/d and w/d? | Does abby receive any medications, including phenobarbital or glucocorticoids? |
Hi. I am interested to hear thoughts on whether offering an abdominal u/s as either part of a senior profile package or as a free standing senior service makes sense? My thought is to offer this service at a reduced fee. Basically scing the abdomen to look for masses, especially spleen/liver/adrenals/bladder. I am awar... | Another question is - where do you draw the line? | Did you get a cytology on the transudate? |
Hi. I am interested to hear thoughts on whether offering an abdominal u/s as either part of a senior profile package or as a free standing senior service makes sense? My thought is to offer this service at a reduced fee. Basically scing the abdomen to look for masses, especially spleen/liver/adrenals/bladder. I am awar... | Why not radiographs on every patient? | Also, could you give the owner link to owners of insulin treated pets? |
Hi. I am interested to hear thoughts on whether offering an abdominal u/s as either part of a senior profile package or as a free standing senior service makes sense? My thought is to offer this service at a reduced fee. Basically scing the abdomen to look for masses, especially spleen/liver/adrenals/bladder. I am awar... | Why not a ct scan, or an mri? | Usually need furosemide to contol this? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | It sounds like the curve was done in the hospital, not at home, right? | Would this suffice to screen/diagnose/grade kidney problems? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Is the owner feeding the same amount of food? | I'm a little confused about when he normally gets the am and pm food/insulin? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Measuring it? | Is the cat on good flea control? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Is it a reasonable amount for a dog this size? | What drugs are you most comfortable with?in other wors, what drugs were you thinking of using? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Can the owner accurately draw up and then inject the insulin? | Could you post the pre and post-lasix thoracic radiographs? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Is the owner neither over-shaking nor under-shaking the insulin? | Vetsulin should be vigorously shaken the first time the bottle is opened, then shaken enough each time it's used so that it looks continuously milky...is this being done? |
Roxy is a 9 year old FS Rottweiler (92lbs) that I daignosed several weeks ago with diabetes and started on 20 units of Novalin N bid. Injections are given at 6am and she is feed Blue Buffalo reduced calorie. Clinically she is doing well....especially the PU/PD is normal per owner. The first curve looked pretty good to ... | Absolutely sure she's spayed? | Is she on the canned version of a high protein/low carb diet? |
My patient is a ten year old Labrador Retriever who recently developed symptoms of PU/PD and is urinating in the garage at night. Senior profile blood work was unremarkable except elevations in Alk Phos and GGT. The owner and I discussed the possibility of Cushing's disease and decided to run a Urine Cortisol Creatinin... | Is this a spayed female? | How much should she weigh? |
Hi there. I have been treating a 12 year old neutered male Beagle cross for diabetes and cushings disease. He weighs 30kg and we started him on 12 units NPH insulin BID and Vetoryl 60mg SID Dec. 8th. His glucose last week was 13.9 mml/L (only one done on this day), and his ACTH stim done yesterday 4-6 hours after morni... | Can you tell us more about the details of how the cushing's was diagnosed? | You mean conn's syndrome? |
Hi there. I have been treating a 12 year old neutered male Beagle cross for diabetes and cushings disease. He weighs 30kg and we started him on 12 units NPH insulin BID and Vetoryl 60mg SID Dec. 8th. His glucose last week was 13.9 mml/L (only one done on this day), and his ACTH stim done yesterday 4-6 hours after morni... | It sounds like it was diagnosed at the sametime as the insulin was started? | Why don't you feel she is a good candate for sx biopsy? |
Hi there. I have been treating a 12 year old neutered male Beagle cross for diabetes and cushings disease. He weighs 30kg and we started him on 12 units NPH insulin BID and Vetoryl 60mg SID Dec. 8th. His glucose last week was 13.9 mml/L (only one done on this day), and his ACTH stim done yesterday 4-6 hours after morni... | Is this the first acth stim that was done after the vetoryl was started? | Noooo snacks during the day? |
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