Help with a case

Re: Help with a case

Noweia — Mon, 26 Apr 2010 08:59:44 GMT

I'm not very good at ultrasound but I did a quick scan yesterday. Bladder small, which surprised me. Kidneys ok, could not find adrenals Liver large (which we knew from x-rays in the past), couldn't find prostate but he has a history of prostatitis and that's why he was treated last week with Tardak, Norbet and TMS.

Re: Help with a case

Colin Cameron — Mon, 26 Apr 2010 00:23:39 GMT

have you managed to scan the abdomen yet.

Re: Help with a case

Noweia — Sun, 25 Apr 2010 08:55:35 GMT

Calcium is included in the biochem panels we do - it was up once several years ago, but then back to normal when rechecked a month later. Phos is also on the panels and this has always been normal.

Re: Help with a case

Michael Woodhouse — Sat, 24 Apr 2010 23:29:33 GMT

[quote user="Laura Henderson"]e was given Norbet and TMS last week for interdigital cysts - the owners feel it is the TMS and not the Norbet that have caused the worsening of clinical signs. [/quote]

How does she come to this conclusion?

From the Tardak data sheet:

"Transient side-effects of increased appetite, polydipsia and polyuria have occasionally been seen following administration of Tardak."

"Tardak should be used with great care when animals are under treatment with other steroids."

My guess would be that the combination of the steroid and the Tardak could be responsible for the signs. I did see a dog recently presented similar that had a prostatic tumour (but not raised calcium!). Picked up on rads.

Re: Help with a case

Colin Cameron — Sat, 24 Apr 2010 23:04:19 GMT

Further thought....... any sign of perianal adenoma / adenocarcinoma.

Re: Help with a case

Colin Cameron — Sat, 24 Apr 2010 23:02:05 GMT

did you measure the calcium levels? I would also scan abdomen especially liver , bladder, prostate and kidneys. What about hypothyroidism?