So it was with Molly Fisher, a toy poodle, who was booked
into see my colleague Ingrid, who specialises in dermatology.
Molly's problem was a condition known as Cushing's syndrome:
a disease which, through the overproduction of cortisone,
causes baldness and a pot belly amongst other symptoms.
Once Ingrid had discussed the problem and it's treatment
medication was prescribed. Unfortunately, very soon after
Molly developed a severe left hindlimb lameness. I was then
asked to use my specialist knowledge to confirm that Molly
had indeed ruptured her cruciate ligament.
It is often the case as in human medicine that one patient
may have several clinicians and surgeons. When a patient
such as Molly has more than one problem it becomes very
important to prioritise each condition. In this case, since
Cushing's syndrome delays wound healing and predisposes
the patient to secondary infection it is very important
to treat this primary condition first before considering
any surgery of the affected limb.
This ensures as far as possible that we are not undertaking
any unnecessary risks when considering the benefits of joint
repair. So until Molly starts to grow more hair and loses
that "pot belly" I shall keep sharpening my scalpel.............and
review my own symptoms to see whether I might have "a
touch of Cushing's" myself!!
Dunne BVMS, Cert SAO, MRCVS
to "Interesting Cases"
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