When you arrive at the veterinarian’s office, she will start by collecting a history from you as a part of her diagnostic process. She will want to know when you first noticed your dog was losing his fur, if and where he has been scratching or licking excessively, if you have fed him anything new lately, if he has had any changes in his routine or home that could cause stress, or anything else in regards to his daily life that may be helpful to know about his situation. Your veterinarian will collect all this information in order to help her rule out other possible diagnosis that can produce hair loss with similar symptoms.
Your veterinarian will then continue by performing a full physical exam on your dog. While it may be obvious where the fur loss is occurring, she will want to do a full evaluation of his entire body system. She will want to check for other areas of fur loss or skin abnormalities that may be the primary cause of the fur loss. During her examination, she will watch for signs of itching, check for evidence of parasites, look for skin abnormalities, and give him an overall evaluation.
Your veterinarian will come to her diagnosis by ruling out other possible causes of his symptoms. There are similar conditions that can result in fur loss for your dog. Diagnostic tests she may perform include skin scraping, skin cytology, blood work, allergy testing, and a check for parasites. The skin scraping will be done to rule out skin mites. A skin cytology can rule out a bacterial or yeast overgrowth of the skin that can lead to loss of fur.
If your veterinarian suspects environmental allergies, there is a blood serum test that can test what your dog is allergic to. If she suspects a food allergy, she will recommend you do a food trial to either rule this out or confirm it.
If she suspects an endocrine disorder, laboratory work will need to be performed. General blood work will consist of a complete blood count (CBC) and chemistry panel. This will give an overall look at your dog’s internal organ function and blood count. A urinalysis will also be recommended to check the bladder and kidney function. Depending on the lab work results and your dog’s symptoms, your veterinarian will then recommend more detailed diagnostic blood work. There is a test specifically for the thyroid function evaluation she will recommend to rule out a thyroid disorder. If she suspects Cushing’s or Addison’s she will have those tests run as well.