Endocrinology Case 8

Expanded Case Evaluation
Assessment & Follow-up Plans

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A. Expanded Database - Diagnostic Test Results

1 Test / Procedure: Pelvic Radiographs
          Results:

Moderate bilateral osteoarthritis. Moderate to severe hip dysplasia.

Review indications & protocol in notes.

What is your assessment?

2 Test / Procedure: Thoracic Radiographs
          Results:

Enlarged pulmonary arteries, blunting of pulmonary arteries, torturous vessels.

Review indications & protocol in notes.

What is your assessment?

3 Test / Procedure: Occult Heartworm Test
          Results:

Positive

Review indications & protocol in notes.

What is your assessment?

4 Test / Procedure: Palpation
          Results:

Rectal: negative. Thyroid: negative

Review indications & protocol in notes.

What is your assessment?

5 Test / Procedure: FNA: Lymph nodes
          Results:

Negative

Review indications & protocol in notes.

What is your assessment?

6 Test / Procedure: PTH Assay
          Results:

High normal range for laboratory

Review indications & protocol in notes.

What is your assessment?

7 Test / Procedure: Thyroid ultrasonography
          Results:

Possible small mass detected.

Review indications & protocol in notes.

What is your assessment?

8 Test / Procedure: Thyroid exploration
          Results:

Small parathyroid mass found and surgically removed.

Review indications & protocol in notes.

What is your assessment?

9 Test / Procedure: Histopathology
          Results:

Parathyroid adenoma

Review indications & protocol in notes.

What is your assessment?

B. Final Diagnosis

C. Therapeutic Plan

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