09/12/2026
INTERN CASE NOTES | CASE 01 🩺
You met this patient in a previous post: a 7-year-old MN German Shepherd with progressive weight loss, a ravenous appetite, large-volume stool, severe muscle wasting, and a BCS of 1/9.
So what did I do next?
We pursued a GI-focused diagnostic workup to investigate maldigestion vs. malabsorption, with the results ultimately supporting exocrine pancreatic insufficiency (EPI).
In this post, I’m walking through the key diagnostics, how they helped reach the diagnosis, and the general approach to management.
Clinical pearl: A ravenous appetite doesn’t always mean a patient is receiving adequate nutrition. When weight loss persists despite a good or increased appetite, think beyond simply “not eating enough.”
This case is inspired by a real case seen during internship. No personal/client identifying information is being shared.