Difference between revisions of "Feline Medicine Q&A 05"
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{{Template:Manson Sparkes}} | {{Template:Manson Sparkes}} | ||
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#Creatinine levels are normal but this may be because of reduced muscle mass since the cat is very thin. | #Creatinine levels are normal but this may be because of reduced muscle mass since the cat is very thin. | ||
#The reduced USG suggests intrinsic renal disease rather than a prerenal problem, although polydipsia associated with hyperthyroidism could also account for this value. | #The reduced USG suggests intrinsic renal disease rather than a prerenal problem, although polydipsia associated with hyperthyroidism could also account for this value. | ||
| − | |l1= | + | |l1=Hyperthyroidism |
|q2=What are the treatment options for this cat? | |q2=What are the treatment options for this cat? | ||
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*medical management (e.g. carbimazole or methimazole), and | *medical management (e.g. carbimazole or methimazole), and | ||
*radioactive iodine. | *radioactive iodine. | ||
| − | |l2= | + | |l2=Hyperthyroidism#Treatment |
|q3=Which of these options should be recommended to the owner and why? | |q3=Which of these options should be recommended to the owner and why? | ||
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The safest treatment option is, therefore, one of the medical agents, since these are reversible. The cat should be started on a low dose of carbimazole or methimazole and monitored closely (clinically and biochemically). <br><br> | The safest treatment option is, therefore, one of the medical agents, since these are reversible. The cat should be started on a low dose of carbimazole or methimazole and monitored closely (clinically and biochemically). <br><br> | ||
Should any worsening of the azotaemia be seen, treatment can be reduced or stopped. If the cat remains stable, treatments such as thyroidectomy can be considered. | Should any worsening of the azotaemia be seen, treatment can be reduced or stopped. If the cat remains stable, treatments such as thyroidectomy can be considered. | ||
| − | |l3= | + | |l3=Chronic Renal Failure |
</FlashCard> | </FlashCard> | ||
Latest revision as of 08:03, 1 October 2011
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This question was provided by Manson Publishing as part of the OVAL Project. See more Feline Medicine questions |
A 16-year-old neutered male DSH cat is presented with a 6-month history of severe weight loss. On clinical examination, the cat is noted to be extremely thin, weighing only 2.7 kg, and has bilateral thyroid nodules palpable in the neck. Examine the laboratory results which were obtained using blood collected after an 8- hour fast.
| Question | Answer | Article | |
| What is the assessment of these results? | Several abnormalities are present.
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Link to Article | |
| What are the treatment options for this cat? | The treatment options available for this patient include
|
Link to Article | |
| Which of these options should be recommended to the owner and why? | There is a concern that this cat has renal failure which is being masked to an extent by its poor muscle mass and concurrent thyroid disease. |
Link to Article | |
