Consider This Case: An Uncontrolled Diabetic Cat

Ann Della Maggiore, DVM, Diplomate ACVIM University of California—Davis Sugar, a 12-year-old spayed female Maine Coon cat, presented for poorly controlled diabetes and diabetic neuropathy. HISTORY Sugar was diagnosed with diabetes mellitus 2 years prior to presentation. Initially, her diabetes was moderately controlled on 5 to 6 units of recombinant human protamine zinc insulin (PZI) …

Canine Hypoadrenocorticism
Overview, Diagnosis, & Treatment

Maya Lottati DVM, PhD, and David Bruyette, DVM, Diplomate ACVIM (Internal Medicine) Addison’s disease has an overall low disease prevalence, and when combined with vague clinical signs and nonspecific clinicopathologic abnormalities, diagnosis is challenging. The authors identify the function of the adrenal cortex, forms of the disease, diagnostics, acute therapy, and long-term maintenance. Canine hypoadrenocorticism, …


Canine Hyperadrenocorticism: Challenges Establishing The Diagnosis

Ann Della Maggiore, DVM, Diplomate ACVIM, & Richard Nelson, DVM, Diplomate ACVIM University of California–Davis Canine Cushing’s disease, or hyperadrenocorticism, can be challenging to definitively diagnose. Given the complexity of hyperadrenocorticism, the authors provide an in-depth review of the diagnostic process, including an algorithm and case study, to aid the practitioner. Spontaneously occurring canine hyperadrenocorticism …


Estrus in a Spayed Cat

Erin O. Dresner, DVM, MS, and Gary D. Norsworthy, DVM, Diplomate ABVP (Feline) An aging spayed female cat is presented with signs typical of estrus. A history, physical examination, and extensive diagnostics are performed. Can you determine the diagnosis? A 13-year-old, 4.54-kg (10-lb) spayed female domestic medium-hair cat presented with a 1-day history of typical …


Feline Hyperthyroidism: Diagnosis & Therapeutic Modalities

David Bruyette, DVM, Diplomate ACVIM Hyperthyroidism is recognized as the most common endocrinopathy of older cats. Traditional therapeutic measures include thyroidectomy, radioactive iodine therapy, and antithyroid medications. A new therapeutic option—a limited-iodine diet that helps normalize thyroid hormone concentrations and alleviate clinical signs—is now available. Hyperthyroidism is recognized as the most common endocrinopathy of older …

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