Case 9 Endocrinology Part 2

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A. Expanded Database - Diagnostic Test Results

1 Test / Procedure: Occult Heartworm Test
Results:

Negative

Review indications & protocol in notes.

What is your assessment?

2 Test / Procedure: Controlled Fast: Blood Glucose Assay
Results:

Blood sugar decreased to 50 mg/dl and fast was stopped. Serum saved for insulin assay.

Review indications & protocol in notes.

What is your assessment?

3 Test / Procedure: Insulin:Glucose Pairs
Results:

Glucose 50 mg/dl; Insulin 28 microunits/ml (5-20 microunits/ml)

Review indications & protocol in notes.

What is your assessment?

4 Test / Procedure: ACTH Stimualation Test
Results:

Baseline cortisol: 2.7 mcg/ml; Post ACTH cortisol: 15.0 mcg/ml (normal values: baseline: 1-5 mcg/ml and post ACTH: 10-40 mcg/ml)

Review indications & protocol in notes.

What is your assessment?

5 Test / Procedure: Cystocentesis UA
Results:

Sp. Gr.: 1.025, protein plus 3; WBC's: 0-2; RBC's: 1-2; bacteria: negative.

Review indications & protocol in notes.

What is your assessment?

6 Test / Procedure: Thoracic Radiographs
Results:

Normal

Review indications & protocol in notes.

What is your assessment?

7 Test / Procedure: Fecal Flotation
Results:

negative

Review indications & protocol in notes.

What is your assessment?

B. Final Diagnosis

C. Therapeutic Plan

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