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Created page with "[[|centre|500px]] <br /> '''This 15-year-old red-eared slider turtle had been raised since it was a hatchling on a diet of peeled shrimp and iceberg lettuce. At the time that i..."
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'''This 15-year-old red-eared slider turtle had been raised since it was a hatchling on a diet of peeled shrimp and iceberg lettuce. At the time that it was presented for examination, it was not using its hindlimbs; rather, when it was picked up and held vertically, they dangled loosely. The turtle’s shell was flat, deformed and markedly soft to the touch.'''

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<FlashCard questions="3">
|q1=What is your tentative diagnosis?
|a1=
Chronic metabolic bone disease and secondary nutritional hyperparathyroidism due to a calcium-poor, phosphorus-rich diet.
|l1=
|q2=What would you do to confirm your diagnosis?
|a2=
Radiographs revealed a deformed and poorly mineralised skeleton; blood calcium on the day of presentation was 4.6mg/dl.
|l2=
|q3=How would you treat it?
|a3=
Calcium gluconate (2.5mg/kg intracoelomically every 48 hours for one week).

The diet should be changed immediately to include whole fish, freshly caught earthworms, calcium-rich collard leaves, and algae.

Exposure to natural unfiltered sunlight or ultraviolet irradiation; oral vitamin D3 at a dosage of 1–4 IU/kg twice weekly.
|l3=
</FlashCard>

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