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VDIC Case Studies


June 10, 2014 | David Bruyette consulting

A 1-year-old MC Labrador Retriever with exocrine pancreatic insufficiency (EPI),

protein losing enteropathy (PLE), and inflammatory bowel disease (IBD).


Referral Information:  A 1-year-old MC black Labradpr Retriever presented to the RDVM for evaluation of severe diarrhea and weight loss of 1 month duration but loose stool had been present for 6-7 months. The current weight was 23 kg with a BCS of 4/9. The pet had been acquired at 9 weeks of age and had not left the Los Angeles area. Routine vaccinations and deworming had been performed. He has been on an adult dry food for 3 months with no dietary changes. Past medical history is unremarkable. Current medications include metronidazole at 250 mg PO BID with little to no change in the character of the stool.


February 10, 2014 | David Bruyette consulting

A 10-year-old MC Cocker Spaniel diagnosed with pituitary

dependent hyperadrenocorticism (PDH).


Referral Information:  A 10-year-old MC Cocker Spaniel presented to the RDVM for evaluation of severe polyuria and polydipsia (pu/pd) of 3 months duration.


Physical Examination:  On physical examination no significant abnormalities were detected with the exception of mild hepatomegaly. The skin and hair coat appeared to be normal.


January 5, 2014 | David Bruyette consulting

A 16-year-old FS domestic short hair cat found to have insulin resistant

diabetes secondary to acromegaly and a pituitary macroadenoma.


Referral Information:  A 16-year-old FS domestic short-hair cat was referred for insulin resistance diabetes. The current weight was 6.5 kgs. The patient was diagnosed with diabetes mellitus 3 months ago and insulin and a dietary change had been instituted. The cat was currently receiving 10 units of glargine (Lantus) insulin twice daily and there had been no improvement in clinical signs and on the most recent blood glucose curve the glucose values were never lower than 400 mg/dl. The patient was receiving no additional medications and had an unremarkable past medical history.

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