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Thread: Littleberry, diagnosis issues

  1. #51
    Join Date
    Apr 2009
    Posts
    20

    Default Re: Littleberry, diagnosis issues

    Just finished "ultrasound" of Adrenal glands and results are:
    Left : length 0.62 c
    width 0.64 c

    Right: length 1.00 c
    width 0.64 c
    The vet said it means that the cause is in the Pituitary but she won't need medication for now, as her symptoms are mild.
    ------------------------------------------------------------------
    LDDS [Dex test] results :

    Cortisol Pre ... 13.2 ug/dl
    Cortisol 2 ....... 3.1 "
    Cortisol 3 ....... 3.6 "

    Interpretation of LDDS:

    Normal: Cortisol level less than 1.4 ug/dl 8 hrs post-dex

    If the 8hr post dex cortisol level is greater than 1.4 ug/dl the following can be used to differentiate pituitary dependent hyperadrenocorticism [PDH] from an adrenal tumor:
    1. Cortisol level less than 1.4 ug/dl 4hrs post-dex is consistent with PDH.
    2 Cortisol level less than half the baseline level at either 4 or 8 hours post-dex is consistent with PDH.

    [if neither of these criteria is met, further testing is needed to differentiate PDH from adrenal tumor Cushings.]
    Note" Aprox. 5% of dogs with PDH have normal results. False positives may occur with stress/nonadrenal illness.
    ----------------------------------------------------------------------
    [to be honest the above is somewhat confusing but the vet said the LLDS is positive for Cushings and then the ultrasound test revealed it is Pituitary caused]
    -------------------------------------------------------

    Squirt's Mom, fingers crossed for Squirt's next test !!

  2. #52
    Join Date
    Mar 2009
    Location
    rural central ARK
    Posts
    14,550

    Default Re: Littleberry, diagnosis issues

    Thanks, sweetie! I have really been trying not to let myself hope the cortisol is still normal, but it's been no use. There is a great well of hope in my soul. Usually I am one to prepare for the very worst, but this time I can't seem to let myself go there. So I really appreciate the good wishes!

    Hugs,
    Leslie and the girls

    PS. Littleberry is a doll! I love the avatar!

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