CPD Circle

Cracking the Cushing’s Conundrum

Thank you to Emily Casey BVM&S MRCVS for this excellent free webinar on Cushing’s. Register with Dechra to access this free CPD webinar on Cushing’s in dogs. It’s worth it! Contents:

  • What is canine hyperadrenocorticism?
    • Pituitary-dependent HAC vs Adrenal-dependent HAC
  • Clinical presentation
  • Diagnosis
  • Communicating Cushing’s – When to talk about Cushing’s – How to talk about Cushing’s – Set expectations
  • Clinical Signs
    • Polydipsia (>100 ml/kg/day) 
    • Polyuria (>50 ml/kg/day)
    • Polyphagia
    • Abdominal distension (‘pot belly’)
    • Panting
    • Poor exercise tolerance
    • Alopecia
  • Practical presentation
  • Routine bloods and urinalysis
  • Diagnostic tests – Sensitivity vs. Specificity – Low-dose dexamethasone suppression test (LDDST) – ACTH stimulation test (ACTHST) – Urinary cortisol : creatinine ratio (UCCR)
  • Cushing’s Decision App
  • Treatment – Vetoryl (trilostane) – How to treat
  • Complications Of Untreated HAC
  • Communicating benefits