Large dogs with this problem tend to suffer from a number
of concurrent problems - all related to poor skeletal alignment.
So, what happens in that situation, the body's pancreas which produces insulin, doesn't produce enough insulin where there may be
other concurrent problems that the body doesn't react to the insulin appropriately resulting in a very high blood sugar.
Subtle weight loss can indicate continuing deterioration of renal function or the presence of a
new concurrent problem in older cats, such as hyperthyroidism or IBD.
It may also help to
identify concurrent problems such as bladder stones, changes in appearance of the liver or metastasis from an adrenal tumor.
That being said, there may be particular situations in which one may be better suited to
correct concurrent problems (i.e. luxating patella, femoral bow, etc).
Hematologic findings are nonspecific and variable depending on the severity and progression of FIP and
other concurrent problems.
It is not uncommon for kids with good verbal facilities and higher IQs to be diagnosed later than others, and it is not unusual for
the concurrent problems with anxiety and ADHD to be the first focus for these kids.
There are a number of tests recommended to ensure that there are
no concurrent problems.
A CBC (complete blood cell count) will let us know if the immune system is responding to the invader, how well it is responding and if we have
a concurrent problem, like Tick Fever or anemia to contend with.
Often, once
these concurrent problems are resolved the protozoal infections become more manageable and the chameleon is better able to withstand treatment.
Other laboratory tests may also be abnormal — for example liver enzymes are commonly increased with hyperthyroidism, and both blood and urine tests are usually advised to help rule out
concurrent problems (such as kidney disease).
You and your veterinarian need to discuss what you want done if
these concurrent problems are discovered during surgery and how they might affect the outcome and cost of the procedure.
Your veterinarian will also rule out
concurrent problems that falsely lower a dog's thyroxine level.
[jounal] Ellickson, P. / 1997 / Profiles of violent youth: Substance use and other
concurrent problems / American Journal of Public Health 87 (6): 985 ~ 991