Sonopath Forum

Cushings testing warranted?

– 12 year old Miniature Schnauzer

– Labs done because dog has increased it’s water consumption noticabley. ALP 433 U/L, ALT 227 U/L, Glucose 198 but nomral Fructosamine, USG 1.024

– Ultrasound revealed liver nodules (FNA’s – vacuolar hepatopathy), one lymph node enlarged near kidney (FNA – mild lymphoid hyperplasia), and adrenals measuring: R = 2.65 x .55 and .61cm, L = 1.92 x 0.65 and 0.52 cm

Question: Is it indicated to test for Cushings with adrenals this size and these labs?

Thanks

– 12 year old Miniature Schnauzer

– Labs done because dog has increased it’s water consumption noticabley. ALP 433 U/L, ALT 227 U/L, Glucose 198 but nomral Fructosamine, USG 1.024

Question: Is it indicated to test for Cushings with adrenals this size and these labs?

Thanks

Comments

January 5, 2016 at 12:42 pm -

A small % of PDH dogs will

A small % of PDH dogs will have normal adrenals on US… around 10% or less last I checked. If USG is dropping < 1.020 then I would do an ACTH stim and BP or run a full adrenal panel U of Tennessee but this test still has some controversy with it but if the patient looks endocrine and the tests support it then treatment would be warranted. Perceivable PUPD is usually < 1.020 so be sure there isnt pollakiuria instead caused by a uti or similar… salty diet maybe..?

leonaclown

January 5, 2016 at 12:47 pm -

Thanks Eric!

Thanks Eric!

rlobetti

January 7, 2016 at 7:00 am -

Is the patient polyphagic

Is the patient polyphagic and/or polyuric as well? With the age should also consider early kidney disease.

leonaclown

January 7, 2016 at 4:00 pm -

Not polyuric or -phagic. He
Not polyuric or -phagic. He lost another pet to chronic kidney disease recently, so we’ll stay on this one close. Thanks