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Screening and Management Considerations for the Geriatric Dog ...

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Table 1: Estimation of <strong>the</strong> human equivalent age of dogs <strong>and</strong> cats. *<br />

Pet Age<br />

(years)<br />

Human Equivalent Age (years)<br />

Feline<br />

Canine<br />

1-10 Kg 11-25 Kg 26-60Kg >60Kg<br />

3 28 28 29 31 39<br />

4 32 33 34 38 49<br />

5 36 38 39 45 59<br />

6 40 42 44 52 69<br />

7 44 46 49 59 79<br />

8 48 50 54 66 89<br />

9 52 54 59 73 99<br />

10 56 58 64 80<br />

11 60 62 69 87<br />

12 64 66 74 94<br />

13 68 70 79<br />

14 72 74 84<br />

15 76 78 89<br />

16 80 82 94<br />

17 84 86<br />

18 88 90 Adult<br />

19 92 94 Senior<br />

20 96 <strong>Geriatric</strong><br />

* table used with permission from Dr. Wiliam D. Fortney<br />

Table 2: Example of a comprehensive screening panel <strong>for</strong> senior patients.<br />

Diagnostic test<br />

Thorough medical history Medical, surgical, vaccination, dietary,<br />

behavioral <strong>and</strong> travel history.<br />

Complete physical examination<br />

Including fundic exam<br />

Complete blood count<br />

Include differential white blood cell count<br />

Blood pressure<br />

Complete chemistry profile<br />

Including electrolytes<br />

Thyroid evaluation<br />

Complete urinalysis<br />

Urine culture<br />

Obtain sample by cystocentesis<br />

Urine protein:creatinine<br />

If any proteinuria detected on UA<br />

Fecal examination (zinc sulfate flotation)<br />

ECG/ Echocardiogram<br />

Especially if arrhythmia/murmur auscultated<br />

Thoracic <strong>and</strong> abdominal radiographs<br />

Urine cortisol:creatinine ratio<br />

<strong>Dog</strong>s: screening <strong>for</strong> Cushing’s disease.<br />

If laboratory abnormalities are discovered on any patient, fur<strong>the</strong>r testing may be warranted.<br />

Remember that it is always important to consider any laboratory result in context with <strong>the</strong> history<br />

<strong>and</strong> clinical status of <strong>the</strong> animal. The following are recommendations <strong>for</strong> follow-up testing in <strong>the</strong>

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