seenAllsonya
sonya 时间:2021-01-11 阅读:(
)
DorsalalopeciainamalecrossbreddogAuthor:EwanFergusonEditor:DavidLloydEuropeanSocietyofVeterinaryDermatologyDorsalalopeciainamalecrossbreddogWeight25kgDorsalalopeciaandmildpruritusof9monthsdurationMildpapularrashondorsumandventrum.
Comedonesondorsumandventrum.
Ventralcoatthinbutskin"normal"Historyandpresentingclinicalsigns-1HistoryDorsalalopeciainamalecrossbreddogWeight25kgDorsalalopeciaandmildpruritusof9monthsdurationMildpapularrashondorsumandventrum.
Comedonesondorsumandventrum.
Ventralcoatthinbutskin"normal"ClicktorevealthetextonthisscreenClicktheforwardarrowtojumptothenextscreenCoathasbecomelongerandfinerintextureinrecentmonthsPolyuriaandpolydipsia(3litresperday)reportedGoodappetite.
PoorexercisetoleranceNoprevioushistoryofdermatologicaldisease2catsinthehouse,bothhealthyDiagnosedbythereferringveterinarianasfleaallergydermatitisHistoryandpresentingclinicalsigns-2HistoryCoathasbecomelongerandfinerintextureinrecentmonthsPolyuriaandpolydipsia(3litresperday)reportedGoodappetite.
PoorexercisetoleranceNoprevioushistoryofdermatologicaldisease2catsinthehouse,bothhealthyDiagnosedbythereferringveterinarianasfleaallergydermatitisInitialtherapy-1EctoparasitecontrolDogandbothcatssprayedfortnightlywithdichlorvos+fenitrothionHomeenvironmenttreatedevery2to3monthswithpermethrin+methoprenesprayNoimprovementEctoparasitecontrolDogandbothcatssprayedfortnightlywithdichlorvos+fenitrothionHomeenvironmenttreatedevery2to3monthswithpermethrin+methoprenesprayNoimprovementHistoryInitialtherapy-2Pruritusnowreportedtobecontrolledwith10mgprednisoloneorallyoncedaily,overthelast4monthsNohairre-growthseenAlltherapystopped2weeksbeforereferralappointmentHistoryPruritusnowreportedtobecontrolledwith10mgprednisoloneorallyoncedaily,overthelast4monthsNohairre-growthseenAlltherapystopped2weeksbeforereferralappointmentTheventralabdominalskinClinicalfindingsonreferral-1Afewscatteredpapules,epidermalcollarettes&crustsondorsum&ventrumSignsAfewscatteredpapules,epidermalcollarettes&crustsondorsum&ventrumAlopecia&hyperpigmentationindorsallumbarregionClinicalfindingsonreferral-2NovisualevidenceofectoparasitismPendulousabdomen&ventralliverlobespalpablyenlargedTestesnormalonpalpationSignsNovisualevidenceofectoparasitismPendulousabdomen&ventralliverlobespalpablyenlargedTestesnormalonpalpationHowwouldyouapproachthiscaseWhatarethenextstepsyouwouldtakeMakealistofyourprincipledifferentialdiagnosesListanysamplesyouwouldcollectListanytestsyouwouldperformtoassistinmakingadefinitivediagnosisWhatarethenextstepsyouwouldtakeMakealistofyourprincipledifferentialdiagnosesListanysamplesyouwouldcollectListanytestsyouwouldperformtoassistinmakingadefinitivediagnosisApproachCaseinvestigationPrincipledifferentialdiagnosesAllergy(fleas,atopy,food),HormonalimbalanceincludingiatrogenicCushingssyndrome,ectoparasiticinfestation,dermatophytosisSecondarypyoderma,MalasseziadermatitisSamplesCoatbrushings,deepandsuperficialskinscrapings,tapestrippings,andhairplucks-searchforfleadirt,ectoparasites,dermatophytes,yeastsBiochemistryandhaematologypanels,urinalysisApproachPrincipledifferentialdiagnosesAllergy(fleas,atopy,food),HormonalimbalanceincludingiatrogenicCushingssyndrome,ectoparasiticinfestation,dermatophytosisSecondarypyoderma,MalasseziadermatitisSamplesCoatbrushings,deepandsuperficialskinscrapings,tapestrippings,andhairplucks-searchforfleadirt,ectoparasites,dermatophytes,yeastsBiochemistryandhaematologypanels,urinalysisPreliminaryresultsSkinscrapings,tapestrips,hairplucksandcoatbrushings-noevidenceofectoparasitesorfungiFastedbloodsampleBiochemistry:Alkalinephosphatase-1850iu/l;Alanineaminotransferase-170iu/l;Glucose-8.
4mmol/l;Cholesterol-9.
1mmol/lHaematology:Mildmatureneutrophilia&eosinopeniaUrianalysis:Specificgravity-1.
005;NoglycosuriaTestsSkinscrapings,tapestrips,hairplucksandcoatbrushings-noevidenceofectoparasitesorfungiFastedbloodsampleBiochemistry:Alkalinephosphatase-1850iu/l;Alanineaminotransferase-170iu/l;Glucose-8.
4mmol/l;Cholesterol-9.
1mmol/lHaematology:Mildmatureneutrophilia&eosinopeniaUrianalysis:Specificgravity-1.
005;NoglycosuriaWhatnowWhatarethenextstepsyouwouldtakeWhatarenowyourprincipledifferentialdiagnosesArethereanyothersamplesyouwouldcollectListanytestsyouwouldperformtoassistinmakingadefinitivediagnosisTestsWhatarethenextstepsyouwouldtakeWhatarenowyourprincipledifferentialdiagnosesArethereanyothersamplesyouwouldcollectListanytestsyouwouldperformtoassistinmakingadefinitivediagnosisFurthertestsPrincipaldifferentialdiagnosisHormonalimbalanceparticularlynaturalandiatrogenicCushingssyndromeSecondaryfolliculitisTestsACTHresponsetesttoprovideevidenceofpossibleCushingssyndromeandtoidentifyiatrogenicdiseaseTestsPrincipaldifferentialdiagnosisHormonalimbalanceparticularlynaturalandiatrogenicCushingssyndromeSecondaryfolliculitisTestsACTHresponsetesttoprovideevidenceofpossibleCushingssyndromeandtoidentifyiatrogenicdiseaseResults-1WhatisthesignificanceofthistestTestsWhatisthesignificanceofthistestResults-2TestsResults-3WhatdotheseteststellusTestsWhatdotheseteststellusFurthertestsRadiographyMasssuspectedintheleftadrenalregionUltrasonographyHypoechoicfociintheliversuggestiveofmetastasesTestsRadiographyMasssuspectedintheleftadrenalregionUltrasonographyHypoechoicfociintheliversuggestiveofmetastasesWhatisyourdiagnosisWhatisyourprinciplediagnosisListanyadditionalproblemswhichyouthinkmayneedtreatmentArethereanyotherpossibilitieswhichshouldbeconsideredatthisstageWhatisyourprinciplediagnosisListanyadditionalproblemswhichyouthinkmayneedtreatmentArethereanyotherpossibilitieswhichshouldbeconsideredatthisstageTestsDiagnosisHyperadrenocorticismresultingfromadrenalneoplasiaLikelymetastasisTestsHyperadrenocorticismresultingfromadrenalneoplasiaLikelymetastasisHowwouldyoudealwiththiscaseWhatisyourprognosisHowwillyouadvisetheownerWhattreatmentwouldyouconsiderTreatmentWhatisyourprognosisHowwillyouadvisetheownerWhattreatmentwouldyouconsiderPrognosisPrognosisisguardedSurgeryisnotindicatedinviewoflikelymetastasisMedicalmanagementwithLysodrenrecommendedbutresultsnotpredictableTreatmentPrognosisisguardedSurgeryisnotindicatedinviewoflikelymetastasisMedicalmanagementwithLysodrenrecommendedbutresultsnotpredictableConclusionTheownerrequestedeuthanasia.
Atpost-mortemexaminationanadrenalneoplasmandmultifocalmetastasesweredemonstrated.
Theadrenaltumourcanbeseeninthecentreofthephotograph,thekidneyisontheleftsdeTreatmentTheadrenaltumourcanbeseeninthecentreofthephotograph,thekidneyisontheleftsdeReviewIfyouwouldliketoreviewthiscase,pleaseusethenavigationbuttonsbelowClicktherightmousebuttontonavigateorpress"menu"returntothemainmenuNotesIfyouwouldliketoreviewthiscase,pleaseusethenavigationbuttonsbelowClicktherightmousebuttontonavigateorpress"menu"returntothemainmenu
如果我们熟悉RAKsmart商家促销活动的应该是清楚的,每个月的活动看似基本上一致。但是有一些新品或者每个月还是有一些各自的特点的。比如七月份爆款I3-2120仅30美金、V4新品上市,活动期间5折、洛杉矶+硅谷+香港+日本站群恢复销售、G口不限流量服务器比六月份折扣力度更低。RAKsmart 商家这个月依旧还是以独立服务器和站群服务器为主。当然也包括有部分的低至1.99美元的VPS主机。第一、I...
RAKsmart 商家从原本只有专注于独立服务器后看到产品线比较单薄,后来陆续有增加站群服务器、高防服务器、VPS主机,以及现在也有在新增云服务器、裸机云服务器等等。机房也有增加到拥有洛杉矶、圣何塞、日本、韩国、中国香港等多个机房。在年前也有介绍到RAKsmart商家有提供年付129元的云服务器套餐,年后我们看到居然再次刷新年付云服务器低价格。我们看到云服务器低至年79元,如果有需要便宜云服务器的...
华纳云(HNCloud Limited)是一家专业的全球数据中心基础服务提供商,总部在香港,隶属于香港联合通讯国际有限公司,拥有香港政府颁发的商业登记证明,保证用户的安全性和合规性。 华纳云是APNIC 和 ARIN 会员单位。主要提供香港和美国机房的VPS云服务器和独立服务器。商家支持支付宝、网银、Paypal付款。华纳云主要面向国内用户群,所以线路质量还是不错的,客户使用体验总体反响还是比较好...
sonya为你推荐
域名代理域名在万网买好还是在它的代理商那里买租服务器租服务器是什么意思?网络服务器租用租网络服务器在哪些平台比较合适?apache虚拟主机Apache跟虚拟主机有什么关系?新加坡虚拟主机香港云主机和虚拟主机相比较那个好?域名解析域名解析是什么意思为什么要域名解析?免费域名怎么申请免费个人域名?申请域名如何申请自己的域名?备案域名域名一共有几种?哪些域名需要备案?域名抢注怎么抢注域名?
视频存储服务器 isatap 免备案cdn parseerror 最好看的qq空间 网通ip 服务器维护方案 双线主机 lol台服官网 ca187 drupal安装 申请免费空间和域名 网站加速软件 西安主机 万网空间 云服务是什么意思 腾讯服务器 美国主机 phpwind论坛 免费网站加速 更多