1. Canine hypoadrenocorticism: Insights into the Addisonian crisis.
- Author
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Chalifoux NV, Burgess HJ, Feng CX, Kong LR, and Snead ECR
- Subjects
- Dogs, Animals, Dog Diseases diagnosis, Dog Diseases epidemiology, Adrenal Insufficiency diagnosis, Adrenal Insufficiency epidemiology, Adrenal Insufficiency veterinary, Acidosis veterinary
- Abstract
Objective: Primary objectives of this study were to determine presenting complaints, physical examination, clinicopathologic findings, and hospitalization time of dogs with spontaneous hypoadrenocorticism presenting with critical disease; and to compare those end points to dogs with a more stable presentation. Secondary objectives were to evaluate the shock index and to identify precipitating stressors., Animals: Eighty-four dogs at the Western College of Veterinary Medicine between 1998 and 2018 were included., Procedure: Data were retrieved from the medical records., Results: Collapse and depression were more common among critically ill dogs. Hyperlactatemia was rare despite a diagnosis of hypovolemic shock, and a shock index was ineffective in this patient subset. Isosthenuria, total hypocalcemia, and more severe acidosis were more common ( P < 0.05) in critical dogs. Owner separation was the most common precipitating stressor., Conclusion and Clinical Relevance: We concluded that the critical Addisonian dog has unique characteristics that may aid in early disease identification., (Copyright and/or publishing rights held by the Canadian Veterinary Medical Association.)
- Published
- 2023