Endocrine Emergencies - Case Discussions

Which of the following presentations of dog presenting with diabetic ketosis (ketones confirmed on urinalysis) is most appropriate to hospitalise for intensive fluid and insulin therapy?

Which of the following statements about hyperkalaemia is most accurate?

Which of the following insulins can be safely administered intramuscularly or intravenously as an emergency replacement for regular insulin?

Which of the following clinical signs is almost pathognomonic for hypertension in cats?

An 11-year-old terrier is under treatment for hyperadrenocorticism with trilostane. He has been well controlled for at least a year but today he presents with diarrhoea, vomiting, and collapse. Which of the following diagnostics is most appropriate to do immediately in the emergency setting to help guide therapy for this dog?

A 13-year-old DSH cat is diagnosed with hyperthyroidism and has a systolic blood pressure of 200mmHg. Which of the following statements is most accurate regarding the initial medical management (first week) of this patient?

Which of the following electrolytes is most likely to require careful monitoring during the first 24hrs of hospitalisation for treatment of diabetic ketoacidosis?

Dogs presenting in hypoadrenocorticism crisis require glucocorticoid therapy to improve cardiovascular tone and gastrointestinal permeability. Which of the following steroids is most appropriate to accomplish this acutely while not interfering with any potential diagnostics?

During the first 12 hours after initiating IV fluid therapy and insulin for a dog in diabetic ketoacidosis, you notice pigmenturia and her PCV decreases from 33 to 18%. Which of the following ions may be to blame and may require supplementation?

Which of the following can be used to decrease potassium rapidly in a patient in Addisonian Crisis with a serum potassium of 8mmol/l and electrocardiograph changes (diminished P-waves, wide QRS complex)?