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260   PART 4   CAT WITH URINARY TRACT SIGNS


          cystic endometrial hyperplasia/pyometra can only be  Ultrasonography readily distinguishes between preg-
          distinguished from a pregnant uterus after approxi-  nancy and pyometra 21 days after last breeding date.
          mately 42 days, when calcification of the fetal skeleton
                                                        Increased white cell count and/or left shift are found
          is visible.
                                                        in some cats.




           RECOMMENDED READING
          Chastin C, Panciera D, Waters C, Savary K, Price G, Vaden S. Hypercalcemia in cats: a retrospective study of 71
            cases (1991–1997). Small Anim Endocrinol 2000; 10(3): 9.
          Feldman EC, Nelson RW. Hypercalcemia and primary hyperparathyroidism. In: Canine and Feline Endocrinology
            and Reproduction, 2nd edition. Philadelphia, Saunders, 1996, pp 455–497.
          Gunn Moore D. Feline Endocrinopathies. In: Advances in feline medicine. Vet Clin North Am Small Anim Pract
            2005; 35(1): 171–210.
          Martin GJ, Rand JS. Current understanding of feline diabetes: Part 2, treatment. J Feline Med Surg 2000; 2: 3–17.
          Midkiff A, Chew D, Randolph J, Center S, DiBartola S. Idiopathic hypercalcemia in cats. J Vet Intern Med 2000;
            14(6): 619–626.
          Nelson WN. Diabetes mellitus. In: Ettinger SJ (ed) Textbook of Veterinary Internal Medicine, 5th edition.
            Philadelphia, Saunders, 2000, pp 1438–1460.
          Norman EJ, Mooney CT. Diagnosis and management of diabetes mellitus in five cats with somatotrophic abnormal-
            ities. J Feline Med Surg 2000; 2(4): 183–190.
          Rand JS, Marshall R. Diabetes mellitus in cats. In: Advances in feline medicine. Vet Clin North Am Small Anim
            Pract 2005; 35(1): 211–224.
          Rand JS, Martin GJ. Management of feline diabetes mellitus. Vet Clin North Am 2001; 31(5): 881–913.
          Reusch CE. Hypoadrenocorticism. In: Ettinger SJ (ed) Textbook of Veterinary Internal Medicine, 5th edition.
            Philadelphia, Saunders, 2000, pp 1488.
          Rijnberk A. Acromegaly. In: Ettinger SJ (ed) Textbook of Veterinary Internal Medicine, 5th edition. Philadelphia,
            Saunders, 2000, pp 1370–1379.
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