medical mystery

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medical mystery

Post by musthavehope » Wed Jul 26, 2017 12:09 pm

My dog is currently admitted at an academic hospital. He is a 2.5 year old French Bulldog.

The story goes...
Previously completely healthy and super energetic dog. Ran up and down our 3 flights of stairs with ease multiple times a day.

3 days ago started not going up the stairs. Seemed like it hurt. We had to pick him up to carry him. When we picked him up he let out a little whimper like something hurts. That night he vomited his dinner quickly after eating.

The next morning when he woke up he had head tremors. Very classic (we are told by academic neuro vet) for idiopathic head tremors. However, he was unwell, so this didn't explain everything. General labs and abdominal xray were normal. They checked a cortisol level and it was <1. They were thinking Addisons. They did an ACTH stim test and it did not confirm Addisons. In other words, the adrenal gland responded appropriately to ACTH and produced cortisol.

Head bobbing slowed down. He had been given dex and IV fluids.

Not going up stairs
Seems to have pain when picked up
Head tremor like idiopathic type but something else is wrong
Low cortisol but negative ACTH stim test.
All other basic labs normal and normal xray of abdomen.

No abdominal u/s done and no bile acids test done yet which someone suggested.
Neuro thought systemic workup should be more thorough before getting a brain MRI.

Any thoughts???

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