• Card 18 / 34: 11 yr old FS DLH cat presenting for weight loss with great appetite and PU/PD. This cat is FeLV and FIV neg. On PE, she has a BCS of 3/9 and an unkept hair coat. She also has a slightly elevated temp of 102.8F. A fundo scope exam did show petechiations both eyes. A biochem panel shows serum glucose elevated at 280( normal is 140) but the urinalysis was neg for glucose. Also on the BioChem are elevated ALT 270 (normal 140) ; ALP 90 (normal 80) ; and CK 480 (normal 355). Radiographs did not have any significant findings. What is the most logical explanation for the petechiations ?
    A) Hyperthyroidism can cause immunosuppression leading to opportunistic infections. The hemorrhages could be caused by secondary infections from Toxoplasma gondii or Cryptococcus neoformans
    B) Hyperthyroidism causes platelet dysfunction and hemorrhages in retinas.
    C) Hyperthyroidism causes hyper tension which can cause retinal hemorrhage.

    Answer:
    C) Hyperthyroidism causes hyper tension which can cause retinal hemorrhage.

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Explanation:

some of the most common abnormalities associated with hyperthyroidism is elevated liver enzymes, possibly due to liver hypoxia. No workup of liver is necessary.

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Dr Dowers Endocrinology

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