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Content-Location: file:///C:/D96412C5/PartI_Adrenal_gland_disease_files/master02.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
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‹date/time&= #8250;
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------=_NextPart_01C84BC0.470BAA50 Content-Location: file:///C:/D96412C5/PartI_Adrenal_gland_disease_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C84BC0.470BAA50 Content-Location: file:///C:/D96412C5/PartI_Adrenal_gland_disease_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Adrenal gland disease
Diagnosis of adrenal gland <= /span>disease
in the dog
(and cat)
=
Linda E. Luther, DVM
Diploma= te ACVIM (Small Animal Internal Medicine)
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quoted-printable Content-Type: text/html; charset="us-ascii" Adrenal gland disease
Outline
Part I.  Diagnosis of adrenal gland disease in the dog (and cat) Part II.  Adrenal gland ultrasound= :  Technique and images <= /span>Part III.  Ultrasound findings in adrenal gland disease
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Part I.  Diagnosis of adrenal gland disease in the dog (and cat)
Hormones/regu= lation
Hyperadrenoco= rticism
Hypoadrenocor= ticism
Adrenal neopl= asia
Outline
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Structure of the adrenal gland
Medulla
Cort= ex
Zon= a Glomerulosa
Zon= a Fasciculata
Zon= a Reticularis
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ACkAgAAAAAAAAAJohI+pyxcNY3uyVmozw7o7DwIBF1pkeaHdqU5su7ywIs9IbYu4vfN51IONQENN MFE0epJK4/H2ZDZNT2RGuqKisLEq7eL9AsNil7DGJULS6g154/7F5bS3k17H6/eqkf8PGMhXF1j4 VwAAOw== ------=_NextPart_01C84BC0.470BAA50 Content-Location: file:///C:/D96412C5/PartI_Adrenal_gland_disease_files/slide0014.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Adrenal gland disease
Adrenal hormones
Cortex:=
Fight = or flight
Catecholamines (epinephrine, norepinephrine)
Medulla=
Sex ho= rmones
Androgens (testosterone, estrogen)
 Zona reticularis
Many functions
Glucocorticoids (cortisol)<= /span>
 Zona fasciculata
Na/K regulation
Mineralocorticoids (aldosterone)
 Zona glomerulosa
Function
Hormone
Region
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Glucocorticoids
•<= /span>Stabilize cell membranes
Decrease capillary permeability and enhance vasoconstriction
•<= /span>Alter mood and behavior
•<= /span>Stimulate appetite
Increase secretion of gastric acid and trypsin
Increase fa= t and glycogen deposits in hepatocytes
•<= /span>Suppress the immune system
Increase f= at storage, especially in the abdomen
Cause musc= le weakness and atrophy
•<= /span>Cause thinning of skin
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Regulation:  Normal
Hypo= thalamus
Ante= rior pituitary
R and L
adrenal glands
CRH
ACTH
=3D Negative = 3;
feedback
Cortisol
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RByy1DFIJ6zMkUMKMRVToCxQEIIOK3g4AUMNNcSwkix8lEBID56lw0caXXTxDyuQKhYCwn6flLJL coU8AEAuUVayRySDsHDFHXjAwUYeWujApSEUAHABIoEAADs= ------=_NextPart_01C84BC0.470BAA50 Content-Location: file:///C:/D96412C5/PartI_Adrenal_gland_disease_files/slide0004.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Adrenal gland disease
Adrenal gland diseases
Hyperadrenoco= rticism
Pituitary-dep= endent hyperadrenocorticism (HAC)
Adrenal corti= cal tumor
Iatrogenic= 3;
Hypoadrenocor= ticism
Pheochromocyt= oma
Metastatic neoplasia
= 226;
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Hyperadrenocorticism (HAC)
<= span style=3D'font-weight:normal'>“Cushing’s syndrome”
<= span style=3D'font-weight:normal'>Is quite common in dogs (rare in cats)
<= span style=3D'font-weight:normal'>Excessive glucocorticoids (cortisol)
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Hyperadrenocorticism (HAC)
Two natural f= orms, one iatrogenic
Pituitary-dep= endent HAC (PDH) (80-85%)
Adrenal tumor= (AT) (15-20%)
Iatrogenic= 3;
Clinical sign= s of all three forms similar
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PDH
•<= /span>Functional tumor in pituitary gland
Endogenous ACTH levels are inappropriately elevated
•<= /span>Bilateral adrenal gland hyperplasia results
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