What's the Diagnosis? Please complete ALL sub-questions under each chosen ailment. Y N Cough Yes No Significant weight loss with cough Yes No Trouble breathing (Dyspnea) Yes No Sneezing Yes No Watery nasal discharge (serous) Yes No Snotty nasal discharge (purulent) Yes No No discharge Yes No Vomiting Yes No Wrenching Yes No No Wrenching Yes No Acute duration (<1 week) Yes No Chronic duration (1 week or more) Yes No Recent Exposure to medications, toxins, plants, foreign bodies, garbage, new diet or sick animal Yes No Diarrhea Yes No Mucous and/or blood present in bowel movement Yes No Increased frequency of bowel movements Yes No Decreased appetite Yes No Swollen face below eye(s) Yes No Apparent pain with biting down on food or object Yes No Bad breath and/or blood from mouth Yes No Increased thirst Yes No No change or decreased thirst Yes No Increased Urination Yes No Decreased Urination Yes No Straining to urinate Yes No Recent weight loss Yes No Recent unexplained weight gain Yes No Itchy (pruritic) Yes No Hair loss (alopecia) Yes No Fleas or flea dirt seen Yes No Crusty skin and/or ulcerations Yes No Lame Yes No Sudden onset of lameness Yes No Misshapen limb Yes No Swelling present Yes No No swelling present Yes No Chronic or Progressive lameness Yes No Fever present (over 102 degrees F) - per rectal temperature Yes No Swollen joint(s) Yes No No swollen joints Yes No Red eye Yes No Localized redness Yes No Mass in or around eye Yes No Generalized redness Yes No Redness around eyeball Yes No Eyeball itself is red Yes No Fine brush-like vessels present on eyeball Yes No Thick vessels present on eyeball Yes No Clear cornea Yes No Blue cornea Yes No Black or brown cornea Yes No Eye(s) misdirected Yes No Eye(s) uncontrolled movement Yes No Appears blind Yes No Color change in eye(s) Yes No Behavior disorder Yes No Aggressive Yes No Destructive behavior Yes No Inappropriate bowel movement and/or urination Yes No Laboratory/medical evidence of inflammation (bowel or bladder) Yes No Collapse or Profound Weakness Yes No Abnormal skin and/or sores Yes No NT-pro BNP, X-rays and echocardiogram would help differentiate between heart and respiratory disease. Cough Diagnostic Considerations: Heart disease or mild respiratory dz (probable primary dz) Heart disease/ Cardiovascular disease Degenerative valve disease Myxomatous endocardiosis Cardiomyopathy Heart based tumor Neoplasia Myocarditis Vegetative endocarditis Heartworm disease Ruptured chordae tendonae Toxin Hypokalemia (< 6 mos of age) Heart anomaly Valvular stenosis Non neoplastic compression Congenital great vessel vascular anomaly - rare (Cats) Taurine deficiency (esp w/ home or regional diets) Hyperthyroid Recommended tests: CBC/ Chem screen Radiographs (chest and abdomen) Echocardiogram ECG Heartworm test Free T4 Endoscopy Fecal exam Intradermal skin test Biopsy Culture and sensitivity (bacteria and fungal) ANA (antinuclear antibody test) NT-pro BNP (NT-pro Brain Natriuretic Peptide) NT-pro BNP, X-rays and echocardiogram would help differentiate between heart and respiratory disease. Cough Diagnostic Considerations: Respiratory disease (probable primary dz) Allergies Tracheobronchitis Laryngeal paralysis Neuromuscular disease Redundant soft palate (esp brachiocephalic breeds) Obese Hypothyroidism Pulmonary neoplasia Nasopharyngeal polyps (esp cats) Respiratory infection (viral, bacterial, fungal, Toxoplasmosis, parasitic) (Parasites: eg. Filaroides osleri, Paragonimiasis, Capilliariasis, Aleurostrongylosis (cats).) Heartworm disease Tracheal or main stem bronchial collapse Immune mediated diseases Diaphragmatic paralysis Bronchitis Tracheal or bronchial compression (eg. mediastinal mass, foreign body, hematoma) Diaphragmatic hernia Toxin Chemical irritant Recommended tests: CBC/ Chem screen Radiographs (chest and abdomen) Echocardiogram ECG Heartworm test Free T4 Endoscopy Fecal exam Intradermal skin test Biopsy Culture and sensitivity (bacteria and fungal) ANA (antinuclear antibody test) NT-pro BNP (NT-pro Brain Natriuretic Peptide) NT-pro BNP, X-rays and echocardiogram would help differentiate between heart and respiratory disease. Cough Diagnostic Considerations: Heart disease or mild respiratory dz (probable primary dz) Heart disease/ Cardiovascular disease Degenerative valve disease Myxomatous endocardiosis Cardiomyopathy Heart based tumor Neoplasia Myocarditis Vegetative endocarditis Heartworm disease Ruptured chordae tendonae Toxin Hypokalemia (< 6 mos of age) Heart anomaly Valvular stenosis Non neoplastic compression Congenital great vessel vascular anomaly - rare (Cats) Taurine deficiency (esp w/ home or regional diets) Hyperthyroid Respiratory disease (probable primary dz) Allergies Tracheobronchitis Laryngeal paralysis Neuromuscular disease Redundant soft palate (esp brachiocephalic breeds) Obese Hypothyroidism Pulmonary neoplasia Nasopharyngeal polyps (esp cats) Respiratory infection (viral, bacterial, fungal, Toxoplasmosis, parasitic) (Parasites: eg. Filaroides osleri, Paragonimiasis, Capilliariasis, Aleurostrongylosis (cats).) Heartworm disease Tracheal or main stem bronchial collapse Immune mediated diseases Diaphragmatic paralysis Bronchitis Tracheal or bronchial compression (eg. mediastinal mass, foreign body, hematoma) Diaphragmatic hernia Toxin Chemical irritant Recommended tests: CBC/ Chem screen Radiographs (chest and abdomen) Echocardiogram ECG Heartworm test Free T4 Endoscopy Fecal exam Intradermal skin test Biopsy Culture and sensitivity (bacteria and fungal) ANA (antinuclear antibody test) NT-pro BNP (NT-pro Brain Natriuretic Peptide) Sneeze Diagnostic Considerations: Allergies Irritants Viral Infection Recommended tests: CBC/Chem screen Rhinoscopy Culture and sensitivity (bacteria and fungus) Radiographs Intradermal skin test Sneeze Diagnostic Considerations: Foreign body Fungal infection Bacterial infection Neoplasia Recommended tests: CBC/Chem screen Rhinoscopy Culture and sensitivity (bacteria and fungus) Radiographs Intradermal skin test Sneeze Diagnostic Considerations: Allergies Irritants Viral Infection Foreign body Fungal infection Bacterial infection Neoplasia Recommended tests: CBC/Chem screen Rhinoscopy Culture and sensitivity (bacteria and fungus) Radiographs Intradermal skin test Sneeze Diagnostic Considerations: Allergies Irritants Recommended tests: CBC/Chem screen Rhinoscopy Culture and sensitivity (bacteria and fungus) Radiographs Intradermal skin test Regurgitation/Megaesophagus Diagnostic Considerations: Diet Related Acute gastritis bacterial enterotoxins foreign body toxin medication infection bacterial viral fungal Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Regurgitation/Megaesophagus Diagnostic Considerations: Diet related gastritis Acute gastritis bacterial enterotoxins foreign body toxin medication infection bacterial viral fungal Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Regurgitation/Megaesophagus Diagnostic Considerations: Non GI disorder Acute pancreatitis Acute renal disease Acute hepatic failure Ketoacidotic diabetes mellitus Pyometra Prostatitis Peritonitis Drug induced (e.g. cardiac glycocides, narcotics, antineoplastics) CNS disorders Sepsis Motion sickness Vestibular disease Gastrointestinal Disorder Diet related Sudden diet change Food intolerance Food allergy Dietary indiscretion Acute gastritis/enteritis Bacterial enterotoxins Foreign bodies Trichobezoar (hair ball) Chemical irritants Toxins Medications Virus Bacteria Parasites Gastric/intestinal obstruction Foreign bodies Intestinal volvulus Gastric dilatation Gastric volvulus Intestinal intussusception Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Regurgitation/Megaesophagus Diagnostic Considerations: Non GI disorder Chronic pancreatitis Chronic renal disease Hepatic disease Hypoadrenocorticism Hyperthyroidism Heartworm CNS disorder (e.g. inflammatory, neoplastic, lead toxicity) Gastrointestinal disorders Chronic gastritis lymphocytic plasmacytic eosinophilic granulomatous foreign body parasitic gastric reflux Hypertrophic gastropathy Gastrointestinal ulceration Neoplasia Gastric outflow obstruction foreign body neoplasia polyps hypertrophic gastropathy pyloric stenosis external compression granuloma Hiatal hernia Diaphragmatic hernia Chronic colitis Obstipation Partial distal intestinal obstruction Gastric motility disorder Diet related Food intolerance Food allergy Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Vomit Diagnostic Considerations: Diet related gastritis Acute gastritis bacterial enterotoxins foreign body toxin medication infection bacterial viral fungal Non GI disorder Acute pancreatitis Acute renal disease Acute hepatic failure Ketoacidotic diabetes mellitus Pyometra Prostatitis Peritonitis Drug induced (e.g. cardiac glycocides, narcotics, antineoplastics) CNS disorders Sepsis Motion sickness Vestibular disease Gastrointestinal Disorder Diet related Sudden diet change Food intolerance Food allergy Dietary indiscretion Acute gastritis/enteritis Bacterial enterotoxins Foreign bodies Trichobezoar (hair ball) Chemical irritants Toxins Medications Virus Bacteria Parasites Gastric/intestinal obstruction Foreign bodies Intestinal volvulus Gastric dilatation Gastric volvulus Intestinal intussusception Non GI disorder Chronic pancreatitis Chronic renal disease Hepatic disease Hypoadrenocorticism Hyperthyroidism Heartworm CNS disorder (e.g. inflammatory, neoplastic, lead toxicity) Gastrointestinal disorders Chronic gastritis lymphocytic plasmacytic eosinophilic granulomatous foreign body parasitic gastric reflux Hypertrophic gastropathy Gastrointestinal ulceration Neoplasia Gastric outflow obstruction foreign body neoplasia polyps hypertrophic gastropathy pyloric stenosis external compression granuloma Hiatal hernia Diaphragmatic hernia Chronic colitis Obstipation Partial distal intestinal obstruction Gastric motility disorder Diet related Food intolerance Food allergy Regurgitation/Megaesophagus Congenital Idiopathic Acquired myasthenia gravis Central neuropathy (caudal brain stem) eg. distemper, trauma, neoplasia Peripheral neuropathy Immune polyneuritis Polyradiculoneuritis (coonhound paralysis) Bilateral vagal nerve damage Neuromuscular junctionopathies Myasthenia gravis Botulism Tick paralysis Myopathy or myositis Polymyositis (eg. SLE, systemic lupus erythematosis) Muscular dystrophy Hereditary myopathy Familial canine dermatomyositis Glycogen storage disease type II Hypothyroid Hypoadrenocorticism (Addison's disease) Lead toxicity Thallium toxicity Thymoma Pituitary dwarfism Esophagitis Tetanus Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Diarrhea Diagnostic Considerations: Colitis Degenerative disease (eg. villous atrophy) Anatomical disorders Metabolic disorders Dietary indiscretion Food intolerance Neoplasia Inflammatory disease Lymphocytic plasmacytic colitis Eosinophilic colitis Granulomatous colitis Infectious disease Bacterial Viral Fungal Parasitic Whipworm Coccidia Foreign body Toxins Enterotoxins (eg. Clostridium perfringens) Stress colitis Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Folate Cobalamin Endoscopy (with biopsy) Ultrasound (abdomen) Radiography (abdomen) Bile acids Unconjugated bile acids 5 sugar absorption test Diarrhea Diagnostic Considerations: Colitis Degenerative disease (eg. villous atrophy) Anatomical disorders Metabolic disorders Dietary indiscretion Food intolerance Neoplasia Inflammatory disease Lymphocytic plasmacytic colitis Eosinophilic colitis Granulomatous colitis Infectious disease Bacterial Viral Fungal Parasitic Whipworm Coccidia Foreign body Toxins Enterotoxins (eg. Clostridium perfringens) Stress colitis Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Folate Cobalamin Endoscopy (with biopsy) Ultrasound (abdomen) Radiography (abdomen) Bile acids Unconjugated bile acids 5 sugar absorption test Diarrhea Diagnostic Considerations: Colitis Degenerative disease (eg. villous atrophy) Anatomical disorders Metabolic disorders Dietary indiscretion Food intolerance Neoplasia Foreign body Toxins Enterotoxins (eg. Clostridium perfringens) Stress colitis Inflammatory disease Lymphocytic plasmacytic colitis Eosinophilic colitis Granulomatous colitis Infectious disease Bacterial Viral Fungal Parasitic Whipworm Coccidia Enteritis Degenerative disease (eg. villous atrophy) Anatomical disorders Maldigestion/ malabsorption Dietary indiscretion Food intolerance Food allergy Neoplasia Foreign Body Toxin Enterotoxin Inflammatory disease Lymphocytic plasmacytic enteritis Eosinophilic enteritis Granulomatous enteritis Infectious disease Bacterial Viral Fungal Parasitic Roundworm Hookworm Tapeworm Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Folate Cobalamin Endoscopy (with biopsy) Ultrasound (abdomen) Radiography (abdomen) Bile acids Unconjugated bile acids 5 sugar absorption test Anorexia (Decreased eating) Diagnostic Considerations: Diet related gastritis Acute gastritis bacterial enterotoxins foreign body toxin medication infection bacterial viral fungal Recommended tests: Fecal exam CBC/Chem screen Lipase/Amylase Urinalysis Folate Cobalamin Free T4 Ultrasound (abdomen) Endoscopy (with biopsy) ACTH stimulation Dexamethasone suppression test Heartworm test Radiographs (abdomen) Lead test Unconjugated bile acids Abdominal tap (cytology and culture/sensitivity) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Anorexia (Decreased eating) Diagnostic Considerations: Diet related gastritis Acute gastritis bacterial enterotoxins foreign body toxin medication infection bacterial viral fungal Sudden diet change Food intolerance Food allergy Dietary indiscretion Acute gastritis/enteritis Bacterial enterotoxins Foreign bodies Trichobezoar (hair ball) Chemical irritants Toxins Medications Virus Bacteria Parasites Gastric/intestinal obstruction Foreign bodies Intestinal volvulus Gastric dilatation Gastric volvulus Intestinal intussusception Gastrointestinal disorders Chronic gastritis lymphocytic plasmacytic eosinophilic granulomatous foreign body parasitic gastric reflux Hypertrophic gastropathy Gastrointestinal ulceration Neoplasia Gastric outflow obstruction foreign body neoplasia polyps hypertrophic gastropathy pyloric stenosis external compression granuloma Hiatal hernia Diaphragmatic hernia Chronic colitis Obstipation Partial distal intestinal obstruction Gastric motility disorder Non GI disorder Acute pancreatitis Acute renal disease Acute hepatic failure Ketoacidotic diabetes mellitus Pyometra Prostatitis Peritonitis Drug induced (eg. cardiac glycocides, narcotics, antineoplastics) CNS disorders Sepsis Motion sickness Vestibular disease Chronic pancreatitis Chronic renal disease Hepatic disease Hypoadrenocorticism Hyperthyroidism Heartworm Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) With/For Megaesophagus Acetylcholine antiboby titer Distemper titer EMG (electromyogram) Botulism assay Thallium test Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Anorexia (Decreased eating) Diagnostic Considerations: Non GI disorder Acute pancreatitis Acute renal disease Acute hepatic failure Ketoacidotic diabetes mellitus Pyometra Prostatitis Peritonitis Drug induced (eg. cardiac glycocides, narcotics, antineoplastics) CNS disorders Sepsis Motion sickness Vestibular disease Gastrointestinal disorder Diet related Sudden diet change Food intolerance Food allergy Dietary indiscretion Acute gastritis/enteritis Bacterial enterotoxins Foreign bodies Trichobezoar (hair ball) Chemical irritants Toxins Medications Virus Bacteria Parasites Gastric/intestinal obstruction Foreign bodies Intestinal volvulus Gastric dilatation Gastric volvulus Intestinal intussusception Recommended tests: Fecal exam CBC/Chem screen Lipase/Amylase Urinalysis Folate Cobalamin Free T4 Ultrasound (abdomen) Endoscopy (with biopsy) ACTH stimulation Dexamethasone suppression test Heartworm test Radiographs (abdomen) Lead test Unconjugated bile acids Abdominal tap (cytology and culture/sensitivity) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Anorexia (Decreased eating) Diagnostic Considerations: Non GI disorder Chronic pancreatitis Chronic renal disease Hepatic disease Hypoadrenocorticism Hyperthyroidism Heartworm CNS disorder (eg. inflammatory, neoplastic, lead toxicity) Gastrointestinal disorders Chronic gastritis lymphocytic plasmacytic eosinophilic granulomatous foreign body parasitic gastric reflux Hypertrophic gastropathy Gastrointestinal ulceration Neoplasia Gastric outflow obstruction foreign body neoplasia polyps hypertrophic gastropathy pyloric stenosis external compression granuloma Hiatal hernia Diaphragmatic hernia Chronic colitis Obstipation Partial distal intestinal obstruction Gastric motility disorder Diet related Food intolerance Food allergy Recommended tests: Fecal exam CBC/Chem screen Lipase/Amylase Urinalysis Folate Cobalamin Free T4 Ultrasound (abdomen) Endoscopy (with biopsy) ACTH stimulation Dexamethasone suppression test Heartworm test Radiographs (abdomen) Lead test Unconjugated bile acids Abdominal tap (cytology and culture/sensitivity) Urine protein/creatinine ratio Bile acids SDMA (symmetric dimethylarginine assay) Cats: Felv/FIV test (Feline leukemia virus/ feline immune deficiency virus) Anorexia (Decreased eating) Diagnostic Considerations: Gastroenteric irritant Enteritis Addison's disease (Hypoadrenocorticism) Renal disease Hepatic disease Infectious diseases Gastroenteritis Recommended tests: Fecal exam CBC/Chem screen Lipase/ Amylase Urinalysis Free T4 Ultrasound(abdomen) Radiographs (abdomen and thoracic) Lead test ACTH stimulation Dexamethasone suppression test Heartworm test Abdominal tap/ cytology Endoscopy (with biopsy) Urine protein/creatinine ratio Bile acids Folate Cobalamin Unconjugated bile acids 5 sugar absorption test Cats: FeLV/FIV tests (feline leukemia virus/feline immunodeficiency virus) Dental Disease Diagnostic Considerations: Tooth root abscess Trauma Neoplasia Recommended tests: Complete oral exam with anesthesia Dental radiographs of trouble spots Radiographs of skull Dental Disease Diagnostic Considerations: Trauma Tooth fracture Temporal mandibular joint lesion Recommended tests: Complete oral exam with anesthesia Dental radiographs of trouble spots Radiographs of skull Dental Disease Diagnostic Considerations: Periodontal disease Abscessed tooth Trauma Recommended tests: Complete oral exam with anesthesia Dental radiographs of trouble spots Radiographs of skull Urination Disorder Diagnostic Considerations: Diabetes mellitus Diabetes insipidus Cushing's disease Renal disease Lower urinary tract inflammation Recommended tests: CBC/Chem screen Urinalysis Ultrasound Cystoscopy Urine protein/creatinine ratio ACTH stimulation test Dexamethasone suppression test Endocrine Disorder Diagnostic Considerations: Cushings disease Renal insufficiency Diabetes mellitus Diabetes insipidus Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Urination Disorder Diagnostic Considerations: Inflammatory disease Sepsis Renal disease Urinary tract blockage Neoplasia Torn bladder Recommended tests: CBC/Chem screen Urinalysis Ultrasound Cystoscopy Urine protein/creatinine ratio ACTH stimulation test Dexamethasone suppression test Urination Disorder Diagnostic Considerations: Inflammatory disease Sepsis Renal disease Urinary tract blockage Neoplasia Torn bladder Recommended tests: CBC/Chem screen Urinalysis Ultrasound Cystoscopy Urine protein/creatinine ratio ACTH stimulation test Dexamethasone suppression test Endocrine Disorder Diagnostic Considerations: Cushings disease Renal insufficiency Diabetes mellitus Diabetes insipidus Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Urination Disorder Diagnostic Considerations: Lower urinary tract inflammation Bladder stones Crystalluria Neoplasia Recommended tests: CBC/Chem screen Urinalysis Ultrasound Cystoscopy Urine protein/creatinine ratio ACTH stimulation test Dexamethasone suppression test Endocrine Disorder Diagnostic Considerations: Cushings disease Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Endocrine Disorder Diagnostic Considerations: Cushings disease Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Endocrine Disorder Diagnostic Considerations: Hypothyroidism Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Endocrine Disorder Diagnostic Considerations: Hypothyroidism Overeating Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Endocrine Disorder Diagnostic Considerations: Neoplasia Nutritional deficiency Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Endocrine Disorder Diagnostic Considerations: Hyperthyroid Pancreatic insufficiency Neoplasia Recommended tests: CBC/Chem screen Trichogram Skin scrape Free T4 Urinalysis ACTH stimulation test Dexamethasone suppression test TLI (Trypsin Like Immunoassay) Skin biopsy Skin culture and sensitivity Intradermal skin test Dermatophyte test medium test Skin Lesions Diagnostic Considerations: Endocrine disorder Pattern baldness Mycotic infection Recommended tests: CBC/Chem screen Free T4 Skin scrape DTM (dermatophyte test medium) Trichogram Intradermal skin test Skin biopsy Food trial Culture and sensitivity (bacteria and fungus) ACTH stimulation Dexamethasone suppression test ANA (antinuclear antibody) Skin Lesions Diagnostic Considerations: Flea bite dermatitis Secondary pyoderma Recommended tests: CBC/Chem screen Free T4 Skin scrape DTM (dermatophyte test medium) Trichogram Intradermal skin test Skin biopsy Food trial Culture and sensitivity (bacteria and fungus) ACTH stimulation Dexamethasone suppression test ANA (antinuclear antibody) Skin Lesions Diagnostic Considerations: Flea bite allergy Atopy Food allergy Mycotic infection Pyoderma Parasitic infection (mange) Contact dermatitis Recommended tests: CBC/Chem screen Free T4 Skin scrape DTM (dermatophyte test medium) Trichogram Intradermal skin test Skin biopsy Food trial Culture and sensitivity (bacteria and fungus) ACTH stimulation Dexamethasone suppression test ANA (antinuclear antibody) Skin Lesions Diagnostic Considerations: Immune disorder Nutritional disorder Endocrine disorder Recommended tests: CBC/Chem screen Free T4 Skin scrape DTM (dermatophyte test medium) Trichogram Intradermal skin test Skin biopsy Food trial Culture and sensitivity (bacteria and fungus) ACTH stimulation Dexamethasone suppression test ANA (antinuclear antibody) Lameness Diagnostic Considerations: Fracture Neoplasia Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Non-displaced fracture Neoplasia Metabolic bone disease (especially in young pets) Soft tissue injury Joint lesion Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Fracture Neoplasia Non-displaced fracture Metabolic bone disease (especially in young pets) Soft tissue injury Joint lesion Neurologic lesion Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Metabolic bone disease (especially in young pets) Soft tissue injury Neurologic lesion Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Lyme disease Rheumatoid arthritis Septic joint Metabolic bone disease (especially in young pets) Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Multiple myeloma Degenerative disc disease Metabolic bone disease, (especially in young pets) Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Osteoarthosis (mostly limbs) Metabolic bone disease, (especially in young pets) Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Lyme disease Rheumatoid arthritis Septic joint Metabolic bone disease (especially in young pets) Multiple myeloma Degenerative disc disease Osteoarthosis (mostly limbs) Osteoarthrosis (axial skeleton) Hip dysplasia Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Fracture Neoplasia Non-displaced fracture Metabolic bone disease (especially in young pets) Soft tissue injury Joint lesion Neurologic lesion Lyme disease Rheumatoid arthritis Septic joint Multiple myeloma Degenerative disc disease Osteoarthosis (mostly limbs) Osteoarthrosis (axial skeleton) Hip dysplasia Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Lameness Diagnostic Considerations: Osteoarthrosis (axial skeleton) Hip dysplasia Degenerative disc disease Metabolic bone disease (especially in young pets). Recommended tests: CBC/Chem screen Radiographs Creatine kinase Myelogram (if degenerative disc disease or spinal cord lesion suspected) Joint tap (cytology and culture/sensitivity) ANA (antinuclear antibody) EMG (electromyogram) Immunoglobulin gel electrophoresis Lyme titer Toxoplasmosis titer Cryptococcus titer Eye Disorders Diagnostic Considerations: Mass prolapsed nictitans gland neoplasia episcleritis ocular nodular fasciitis Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Hemorrhage Foreign body Mass prolapsed nictitans gland neoplasia episcleritis ocular nodular fasciitis Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Conjunctivitis infectious non-infectious allergic reaction irritant Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Anterior uveitis Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Glaucoma Excitement Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Mass prolapsed nictitans gland neoplasia episcleritis ocular nodular fasciitis Hemorrhage Foreign body Conjunctivitis infectious non-infectious allergic reaction irritant Anterior uveitis Glaucoma Excitement Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Conjunctivitis infectious non-infectious allergic reaction irritant Anterior uveitis Glaucoma Excitement Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Anterior uveitis Glaucoma Excitement Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Glaucoma Excitement Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Edema trauma glaucoma Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Chronic irritant (non-penetrating) eyelash/cilia eyelid tumor chemical insult Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Trauma Neoplasia Cardiovascular lesion Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Brain lesion Vestibular lesion 8th cranial nerve lesion middle ear infection/inflammation Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Corneal trauma Diabetes mellitus Eye trauma Bleeding disorder Immune reaction Glaucoma Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Eye Disorders Diagnostic Considerations: Glaucoma Retinal degeneration Retinal atrophy (young) Head trauma Hypoglycemia (insulinoma) Neoplasia Seizure Recommended tests: Ocular exam (include fundus with mydriatic agent) (sedation if necessary) Cranial nerve exam Fluoroscein stain Tonometry Conjunctival cytology Ultrasound Skull radiographs CBC/Chem screen Free T4 ANA (antinuclear antibody) Clotting panel CT scan (if necessary, expensive and done at specialty centers) Behavior disorder Diagnostic Considerations: Brain lesion Neoplasia Metabolic disorder Training Response to abuse SEEK A BOARD CERTIFIED BEHAVIORIST! Recommended tests: CBC/Chem screen Skull radiographs Fecal exam Urinalysis Food trials Behavioral training with restraint collar (eg. Halti, Promise, etc.) Desensitization training with anti-anxiety medication (eg. Clomipramine, Buspirone, Diazepam, Fluoxetine) Cats: Phermone trials Daily change of litter boxes and one box per cat plus one Behavior disorder Diagnostic Considerations: Separation anxiety Juvenile behavior Recommended tests: CBC/Chem screen Skull radiographs Fecal exam Urinalysis Food trials Behavioral training with restraint collar (eg. Halti, Promise, etc.) Desensitization training with anti-anxiety medication (eg. Clomipramine, Buspirone, Diazepam, Fluoxetine) Cats: Phermone trials Daily change of litter boxes and one box per cat plus one Behavior disorder Diagnostic Considerations: Behavior new environment new pet/human contact separation anxiety dirty litter box not getting out enough Recommended tests: CBC/Chem screen Skull radiographs Fecal exam Urinalysis Food trials Behavioral training with restraint collar (eg. Halti, Promise, etc.) Desensitization training with anti-anxiety medication (eg. Clomipramine, Buspirone, Diazepam, Fluoxetine) Cats: Phermone trials Daily change of litter boxes and one box per cat plus one Behavior disorder Diagnostic Considerations: Enteritis parasites infectious disorder food intolerance stress Cystitis Recommended tests: CBC/Chem screen Skull radiographs Fecal exam Urinalysis Food trials Behavioral training with restraint collar (eg. Halti, Promise, etc.) Desensitization training with anti-anxiety medication (eg. Clomipramine, Buspirone, Diazepam, Fluoxetine) Cats: Phermone trials Daily change of litter boxes and one box per cat plus one Behavior disorder Diagnostic Considerations: Enteritis parasites infectious disorder food intolerance stress Cystitis Diagnostic Considerations: Behavior new environment new pet/human contact separation anxiety dirty litter box not getting out enough Recommended tests: CBC/Chem screen Skull radiographs Fecal exam Urinalysis Food trials Behavioral training with restraint collar (eg. Halti, Promise, etc.) Desensitization training with anti-anxiety medication (eg. Clomipramine, Buspirone, Diazepam, Fluoxetine) Cats: Phermone trials Daily change of litter boxes and one box per cat plus one Collapse or Profound Weakness Diagnostic Considerations: Anemia AIHA (autoimmune hemolytic anemia) Neoplasia thrombocytopenia Botulism Tick paralysis Idiopathic polyradiculoneuritis (Coonhound paralysis) Cardiovascular disease Hypothyroidism Neuropathy Toxin Warfarin (coumarin) poisoning DIC (disseminated intravascular coagulation) Generalized or multifocal myelopathy Seizure Trauma Recommended tests: CBC/Chem screen Clotting panel PT (prothrombin time) APTT (activated partial thromboplastin time) D-dimers PIVKA (proteins induced by vitamin K antagonism/absence) Ultrasound Radiography Echocardiography ECG (electrocardiogram) EMG (electromyogram) Free T4 MRI (if necessary with suspected brain lesion, expensive and done at specialty centers) Collapse or Profound Weakness Diagnostic Considerations: Flea bite allergy Atopy Food allergy Mycotic infection Pyoderma Parasitic infection (mange) Contact dermatitis Demodectic mange Trauma Recommended tests: CBC/Chem screen Free T4 Skin scrape DTM (dermatophyte test medium) Trichogram Intradermal skin test Skin biopsy Food trial Culture and sensitivity (bacteria and fungus) ACTH stimulation Dexamethasone suppression test ANA (antinuclear antibody) NOTE: Incomplete questionnaires restrict "What's the Diagnosis" from generating more specific considerations! 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