Difference between revisions of "Small Animal Abdominal and Metabolic Disorders Q&A 06"
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Revision as of 09:41, 2 September 2011
This 12-year-old, neutered female cat presented with a plantigrade posture and a prolonged history of polyuria/polydipsia.
Question | Answer | Article | |
What is the most likely diagnosis? | Diabetes mellitus. The plantigrade posture where the cat walks with its hocks touching the ground is a not uncommon presenting feature of diabetes mellitus in the cat and presumably results from a peripheral neuropathy. Such a diagnosis is supported by the history of polyuria/polydipsia. |
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How would you confirm the diagnosis? | By demonstrating a fasting hyperglycaemia and glucosuria. Persistence of these findings on serial sampling is important to eliminate other possible causes of glucosuria and hyperglycaemia, particularly stress-induced hyperglycaemia which commonly occurs in cats. If ketones are also present in the urine, a diagnosis of diabetes mellitus is confirmed. Other non-specific but supportive abnormalities include hypercholesterolaemia, increased activities of alanine aminotransferase (ALT) and alkaline phosphatase (ALP), hyperbilirubinaemia and a stress leucogram with a mild nonregenerative anaemia. |
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