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Small Animal Abdominal and Metabolic Disorders Q&A 17 (view source)
Revision as of 15:05, 27 October 2011
, 15:05, 27 October 2011no edit summary
{{Manson
|book = Small Animal Abdominal and Metabolic Disorders Q&A}}
[[File:SmAn Ab and Met 17a.jpg|centre|500px]]
[[File:SmAn Ab and Met 17a.jpg|centre|500px]]
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Primary hypothyroidism due to lymphocytic thyroiditis or follicular atrophy is the most likely cause in an adult dog.
Primary hypothyroidism due to lymphocytic thyroiditis or follicular atrophy is the most likely cause in an adult dog.
|l1=
|l1=Hypothyroidism
|q2=Is there an age or breed predisposition for this condition?
|q2=Is there an age or breed predisposition for this condition?
|a2=
|a2=
There appears to be a predisposition for middle-aged to older large breeds, particularly neutered females.
There appears to be a predisposition for middle-aged to older large breeds, particularly neutered females.
|l2=
|l2=Hypothyroidism#Signalment
|q3=How would you confirm a diagnosis?
|q3=How would you confirm a diagnosis?
|a3=
|a3=
In primary hypothyroidism, circulating TSH concentrations are high in the face of a low total T4 concentration.
In primary hypothyroidism, circulating TSH concentrations are high in the face of a low total T4 concentration.
|l3=
|l3=Hypothyroidism#Diagnosis
|q4=What is the recommended treatment?
|q4=What is the recommended treatment?
|a4=
|a4=
Sodium levothyroxine normalizes both circulating T4 and T3 concentrations. The initial dose is 20–22 mg/kg p/o q12–24h with further dose adjustments based on clinical response and post-pill testing.
Sodium levothyroxine normalizes both circulating T4 and T3 concentrations. The initial dose is 20–22 mg/kg p/o q12–24h with further dose adjustments based on clinical response and post-pill testing.
|l4=
|l4=Hypothyroidism#Treatment
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