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Equine Internal Medicine Q&A 04 (view source)
Revision as of 17:40, 5 June 2011
, 17:40, 5 June 2011no edit summary
*Pituitary adenoma (hirsutism)
*Pituitary adenoma (hirsutism)
*Chronic obstructive pulmonary disease (COPD)
*Chronic obstructive pulmonary disease (COPD)
|l1=
|l1=Pituitary Neoplasia
|q2=What further diagnostic tests should be performed to help confirm your diagnosis?
|q2=What further diagnostic tests should be performed to help confirm your diagnosis?
|a2=The age of the horse, clinical signs and hyperglycaemia in combination are virtually diagnostic of pituitary adenoma. <br><br>
|a2=The age of the horse, clinical signs and hyperglycaemia in combination are virtually diagnostic of pituitary adenoma. <br><br>
There are many other tests that could be performed but none appear to be as sensitive and specific as the TRF response or ACTH measurement or as easy as the plasma insulin (a single sample is all that is required). <br><br>
There are many other tests that could be performed but none appear to be as sensitive and specific as the TRF response or ACTH measurement or as easy as the plasma insulin (a single sample is all that is required). <br><br>
A tracheal wash or bronchoalveolar lavage would be indicated to help confirm the diagnosis of COPD.
A tracheal wash or bronchoalveolar lavage would be indicated to help confirm the diagnosis of COPD.
|l2=
|l2=Pituitary Gland - Anatomy & Physiology
|q3=How might the elevation in liver enzymes be related to one of the physically apparent disorders?
|q3=How might the elevation in liver enzymes be related to one of the physically apparent disorders?
|a3=
|a3=
*A liver biopsy might also be indicated since the cause of the elevated liver enzyme activity is not proven.<br><br>
*A liver biopsy might also be indicated since the cause of the elevated liver enzyme activity is not proven.<br><br>
In this case the microscopic diagnosis was hepatic lipidosis. This is likely to be related to the pituitary adenoma and the resulting increase in lipolysis.
In this case the microscopic diagnosis was hepatic lipidosis. This is likely to be related to the pituitary adenoma and the resulting increase in lipolysis.
|l3=
|l3=Hepatic Lipidosis
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