An 8-year-old NM Bichon was presented for evaluation of acute vomiting and decreased appetite. Abnormalities on serum biochemistry were hyponatremia and hyperkalemia. ACTH stimulation showed subnormal pre-and post-cortisol. ACTH assay was very low.
Case Study
Addison’s disease in a 8 year old MN Bichon
Sonographic Differential Diagnosis
Flattened isoechoic adrenal glands.
Treatment for Addison’s disease is recommended.
Image Interpretation
The left adrenal gland was uniform and measured 1.0 x 0.18 cm. The right adrenal gland was difficult to visualize, but was flattened and isoechoic measuring 1.1 x 0.2 cm.
DX
Addison's disease
Outcome
None
Clinical Differential Diagnosis
Addison’s disease (secondary)
Sampling
None
Video
Patient Information
Patient Name :
Oreo Bains
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
07_00175
Clinical Signs
- Anorexia
- Vomiting
Images
Blood Chemistry
- Potassium, High
- Sodium, Low
Clinical Signs
- Anorexia
- Vomiting
Special Testing
- Addison's Positive