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Help with deciphering results
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Hi,
How do I decipher my EMS Calculator results? Also, how do you determine if your horse is PPID if the blood results fall within the normal range, but she is experiencing many symptoms of PPID? Examples: loss of muscle, tendon/ligament compromise, potbelly, etc. All info is in my case study. Thank you! -- Jen S. NY 2019 https://ecir.groups.io/g/CaseHistory/files/Jen%20and%20Deva
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Sherry Morse
Hi Jen, Your CH is from March of 2020. Could you please make sure you've uploaded the current form. As far as the question on PPID you can run a TRH stim test for an early PPID horse but as we're heading into the seasonal rise you would need to do that soon. Another option is to test her during the rise (September>October) and see what her ACTH level is at that point. Or you could decide to treat based on symptoms starting now (as we are heading into the rise), see how she does on the medication.
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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Hi Sherry,
Thanks, sorry I thought my updated PDF loaded. Where would I go in the group to find out the dosing info on Pergolide, as I'll need info to discuss with my vet getting it compounded for her. Thank you so much! Jen -- Jen S. NY 2019 https://ecir.groups.io/g/CaseHistory/files/Jen%20and%20Deva
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Sherry Morse
Hi Jen, The main thing is that if you're going to use compounded you need to have your vet write the prescription as ""x mg of pergolide, as pergolide mesylate" (see message https://ecir.groups.io/g/main/message/264406 for more info)
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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Hi Jen,
There are details on what the calculator values mean near the bottom of this webpage: https://www.ecirhorse.org/DDT+E-diagnosis.php Your case history appears to be missing the actual Sept 2020 bloodwork results, although you include calculator values for them? As you'll see, Deva has EMS (IR), which is no surprise given her body condition and breed. Her 2020 calculator results also suggest that her EMS isn't being well controlled. Elevated insulin can be related to PPID. I don't see any results for a PPID test either. If you want to try pergolide to see if that alleviates her symptoms your vet will determine a starting dose, but 1mg is a standard starting dose for a full-size horse. Usually we suggest starting with 1/4 pill (mg) for the first 3-4 days, then increasing by 1/4 every few days until the full dose is reached. This helps alleviate the early side effects that some horses get when starting pergolide. -- Kirsten and Shaku (IR + PPID) - 2019 Kitimat, BC, Canada ECIR Group Moderator Shaku's Photo Album |
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