@DocPriyamMD In veterinary medicine if a dog had blood glucose that high, I would be questioning the diagnosis of DKA and would be thinking about Hyperglycemic Hyperosmotic Syndrome
@docakx If this was a dog, it would be laryngeal paralysis which is a part of a neurologic disorder known as Geriatric Onset Laryngeal Paralysis Polyneuropathy (GOLPP)
@IhabFathiSulima We don’t see that clinical sign in vet med for hypocalcemia. Although hypocalcemia can happen for a variety of reasons, the most common presentation I see on emergency is post-partum hypocalcemia These patients are coming in with severe muscle tremor/hyperthermia
@PharmWise Also seen a PAPP toxicosis. Para-aminopropiophenone is a toxin used to bait wildlife in the Australian Outback. Causes methemoglobinemia. Considered “safer” than 1080 since it has an antidote
@PharmWise A. In veterinary medicine paracetamol toxicosis is a main differential, especially in cats which lack glucoronidation pathways in the liver, causing all paracetamol to go through the p450 pathway, depleting glutathione quickly. <5 mg/kg is toxic
@TheKoshurDoc It is not often that enteral feeding is not contraindicated, but if it was, then probably would do TPN, but the vast majority of the time it would be enteral feeding. Plus if you are doing TPN, there is a good chance it would be a $15000-25000 case. Most people cannot afford