Canine hypothyroidism: avoiding over diagnosing the condition

In Pract. Mar 2022;44(2):68-75. 22 Refs

Susanna Spence¹

¹ North Downs Specialist Referrals, Bletchingley RH1 4QP, UK.

Author Abstract

Background: Hypothyroidism is one of the most commonly treated endocrine disorders in dogs; however, the diagnosis of this condition can be challenging, potentially leading to misdiagnosis. The clinical signs of hypothyroidism are vague and non-specific, as are the routine haematological and biochemical changes. When assessing the thyroid axis, the classical finding of decreased total thyroxine and increased thyroid-stimulating hormone is highly specific for the diagnosis of hypothyroidism, but has less good sensitivity. Although numerous other tests are available, a basic understanding of thyroid gland physiology and thyroid test methodology is needed to be able to use each test and interpret the results correctly.

Aim of the article: This article discusses how to confidently diagnose the condition, explaining how clinicians need to consider the clinical signs, routine clinicopathological changes and thyroid hormone concentrations together, rather than in isolation.

Article Tools:

Email to me

Archives Highlights:

Aseptic protocol breaches are common among veterinary students scrubbing, gowning, and gloving into surgery.
At least 1 aseptic protocol breach (APB) was noted in 46.3% of the 96 procedures observed. The most common mistakes noted were contact of the sterile towel onto nonsterile surfaces (17.7%), contact of the gown with nonsterile surfaces (17.7%), touching sterile objects with bare hands (12.5%), and improper scrubbing technique (17.4%).

Owner survey suggests cats may be undertreated for pain compared to dogs after an elective ovariohysterectomy or orchiectomy.
Analgesics were prescribed for 19 of 162 (12%) pets: 14 of 88 (16%) dogs and 5 of 74 (6.7%) cats. There was no difference in the prescription of analgesics between dogs and cats after ovariohysterectomy or orchiectomy. 15 of 19 owners reported their compliance in administering analgesics at 78.9%. Owners' subjective assessments showed that 24 of 86 (28%) dogs and 12 of 68 (17%) cats appeared painful at home.

A public health campaign to increase awareness of the risk of dog bites in South Australia.
Over one third (36-37%) of dog owners and 25-29% of non-dog owners had been previously bitten by a dog, although most did not require medical attention. Approximately 70% of dog owners believed it was safe for strangers to approach their dog, 34-37% allowed children or other people to pat their dog without permission, and less than half separated their dog from visitors or delivery people. In contrast, few of the non-dog owners allowed their children to pat a dog without the owner's permission and only 2% allowed them to play with dogs without supervision.

Resolution of egg binding is possible in most client-owned parrots when multiple treatment strategies are considered.
Of the 150 events that had complete follow-up, 109 (72.7%) resulted in a successful outcome. A successful outcome was observed in 44 of 133 events (33.1%) that were initially managed medically without resorting to additional treatment strategies, in 31 events (86.1%) managed with mechanical assistance, in 20 events (60.6%) managed surgically, and in 12 events (85.7%) managed with ovocentesis.

Head tilt in 6 Ankole-Watusi cattle (Bos taurus ankole) with chronic exudative cornual sinusitis.
Clinically, 4 of the 6 cases had concurrent otitis at the time of initial clinical observation. Medical management was the standard across all cases with limited surgical success in 2 cases. Due to intractable and progressive clinical signs despite treatment attempts, euthanasia and postmortem examinations were performed.