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"Shakespeare", a 16 year old domestic short hair cat is brought to the practice for examination.
<b>"Shakespeare", a 16 year old domestic short hair cat is brought to the practice for examination.
The owner is concerned that Shakespeare has lost weight over the past few weeks. Shakespeare has always been a fussy eater, but recently the owner has noticed that he is asking for food constantly. He has also started to raid the kitchen bin.
The owner is concerned that Shakespeare has lost weight over the past few weeks. Shakespeare has always been a fussy eater, but recently the owner has noticed that he is asking for food constantly. He has also started to raid the kitchen bin.
*The heart rate is 244, with a grade 2/6 murmur
*The heart rate is 244, with a grade 2/6 murmur
*Shakespeare's temperature is 38.4°C
*Shakespeare's temperature is 38.4°C
</b>
<FlashCard questions="8">
<FlashCard questions="8">
|a4=Shakespeare's history and clinical exam is typical of a cat with hyperthyroidism. Most hyperthyroid cats will have a palpatable goitre. The location of the thyroid gland is variable. Therefore, make sure to slide your fingers alongside the entire trachea, or you may miss it. Shakespeare did have a palpatable goitre.
|a4=Shakespeare's history and clinical exam is typical of a cat with hyperthyroidism. Most hyperthyroid cats will have a palpatable goitre. The location of the thyroid gland is variable. Therefore, make sure to slide your fingers alongside the entire trachea, or you may miss it. Shakespeare did have a palpatable goitre.
|l4=Hyperthyroidism
|l4=Hyperthyroidism
|q5=What would you do now?
|a5=A blood sample was taken from Shakespeare. The results are shown below:
'''Biochemistry'''
:Total Protein: 68g/L (54.0 - 80.0)
:Albumin: 33g/L (25.0 - 42.0)
:Globulin: 35g/L (25.0 - 45.0)
:A:G ratio: 0.9 (0.6 - 1.5)
:Sodium: 157mmol/L (125.0 - 160.0)
:Potassium 4.7mmol/L (3.6 - 6.0)
:Total Calcium: 2.38mmol/L (2.0 - 3.0)
:Urea: 10.9mmol/L (4.0 - 12.0)
:Creatinine: 100umol/L (80 - 180)
:ALP: 162U/L (0.1 - 60.0) HIGH
:ALT: 521U/L (5.0 - 60.0) HIGH
:Total bilirubin: 5.8umol/L (0.1 - 10.0)
:Glucose: 4.7mmol/L (3.5 - 6.6)
'''Haematology'''
:RBC: 9.22x10^12/L (5.5 - 10.0)
:Hb: 13.3g/dL (9.0 - 17.0)
:HCT: 45.2% (27.0 - 50.0)
:MCV: 49.0fl (40.0 - 55.0)
:MCH: 14.5pg (13.0 - 21.0)
:MCHC: 29.5g/dL (29.0 - 36.5)
:Plt: 797x10^9/L (170 - 650) HIGH
:WBCs: 12.10x10^9/L (4.0 - 15.0)
:Neutrophils: 7.99x10^9/L 66% (2.5 - 12.5)
:Lymphocytes: 2.30x10^9/L 19% (1.2 - 7.0)
:Monocytes: 0.12x10^9/L 1% (0.0 - 0.8)
:Eosinophils: 1.57x10^9/L 13% (0.0 - 1.5) HIGH
:Basophils: 0.12x10^9/L 1% (0.0 - 0.2)
'''Endocrinology'''
:Total T4: 304.1nmol/L (15.0-50.0) HIGH
Courtesy of C. Antonczyk
Courtesy of C. Antonczyk
[[Category:Lost]]
[[Category:Lost]]