Diagnosis and treatment of hoarseness.
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A female dog (Collie dog, eight years of age, non-spayed) was referred to the University Clinic for Companion Animals with signs and symptoms suggesting endogenous progesterone-induced acromegaly and cystic endometrial hyperplasia. The dog had glucose intolerance, but the growth hormone concentration in plasma was within the reference range. The latter was probably due to the decline of progesterone at the end of the luteal phase, resulting in an abrogation of the process of progesterone-induced growth hormone hypersecretion. After ovariohysterectomy the glucose-tolerance normalized.
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The care of the human voice has challenged medical practitioners for centuries. Over the last 25 years we have seen significant advancements in the diagnosis and treatment of vocal disorders. This article is an overview of the more common voice disorders encountered in clinical practice and the diagnostic and management alternatives currently available. A thorough understanding of these conditions can lead to a prompt diagnosis and improved clinical outcomes in all patients, especially professional voice users. The insights presented are compiled through the eyes of a clinician and the heart of a performer.
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