International Shiloh Shepherd Registry, Inc. Health Survey — 2000 Sponsored by the Shiloh Shepherd Dog Club of America, Inc. For meaningful statistics, we need to know the exact number of dogs you own. Both healthy dogs and those with a genetic disease need to be reported. I have ____ dogs ____ males, _____ females, and _____ puppies (under 1 year of age). My dogs turned 1 year of age as follows: Males Females Between _______ _______ 91-93 (A) _______ _______ 94-96 (B) _______ _______ 97-99 (C) All data on co-owned dogs should be submitted by the owner (person the dog lives with) to prevent duplication. Of the total, how many are neutered ______ or spayed ______. Please note the age groups above and answer all the questions below appropriately listing the # of each sex and age group. Example: Group Females Group Males 1A, 1B 2 1A, 4B,1C 6 If you have 2 females, one born in 1991 and the other in 1993, they would have turned 1 year of age in 1991 (Group A) and in 1994 (Group B). For multiple dogs, please assign a number so that we can properly document the disease among other possible siblings or relatives. Example: If you have four males in Group B and all were monorchid, under that disease you would fill out your form as follows:
Reproductive Diseases P
Group Females Group Males
An absence of one or more testicles (Monorchidism or Crypotorhid- _______ _______ chism)
____B__ 1-2-3-4
Please contact the people listed on the Instruction sheet should you have further questions on how to fill out this survey! ***Please be sure to fill in only the blanks that apply to your dog (s)!!*** (P) —in front of a genetic disease indicates either a puppy disease or one that is usually diagnosed under 1 year of age. (A) — in front of a genetic diseases listed applies to adults (over 1 year of age) only.
Behavioral Problems
Group Females Group Males
Nervous (un socialized or shy??)
_______ _______
_______ ______
Sharp—Shy (non—approachable)
_______ _______
_______ ______
Shy (overly cautious)
_______ _______
_______ ______
Spook—Coward (extremely fearful)
_______ _______
_______ ______
Unstable (psycho/fear biter)
_______ _______
_______ ______
Aggressive (out of control)
_______ _______
_______ ______
Dull-Sluggish (semi-retarded / non—attentive)
_______ _______
_______ ______
Gunshy—(Extreme noise sensitivity)
_______ _______
_______ ______
Hard (over protective and hard headed)
_______ _______
_______ ______
Medium—Hard (protective but independent)
_______ _______
_______ ______
Medium (protective but stable)
_______ _______
_______ ______
Medium—Soft (will bark but easily trained)
_______ _______
_______ ______
Soft Submissive (social marshmallow)
_______ _______
_______ ______
My Dogs Actual Temperament would be described as
Temperament Characteristics
Group Females Group
Males
Aloof (totally loyal—devoted to family only, yet very approachable)
_______ _______
_______ ______
Problem Solver (displays super human characteristics)
_______ _______
_______ ______
Intelligent (very easy to train, quick learner, willing worker)
_______ _______
_______ ______
Confident (willing to investigate anything without hesitating)
_______ _______
_______ ______
Blood and Lymph System
Group Females Group Males
P
Excessive Bleeding — may die (Hemophilia A)
_______ _______
_______ ______
P
Failure of blood to clot — may die (Hemophilia B)
_______ _______
_______ ______
A
Stillborn pups (Pelger — Huet Anomaly)
_______ _______
_______ ______
A
Prolonged bleeding — may be mild or severe– may cause death
_______ _______
_______ ______
Cancer
Group Females Group Males
Type of Cancer (list): _________________________________________ _______ _______
Digestive System
_______ ______
Group Females Group Males
P
Vomiting, weight loss, respiratory infections (Esophageal Hypomobility) _______ _______
_______ ______
P
Vomiting and Reflux (Megaesophagus— Esophageal Achalasia)
_______ _______
_______ ______
P
Intermittent diarrhea (small Intestinal Bacterial Overgrowth Syndrome)
_______ _______
_______ ______
A
Inflammation of intestinal tract (Basenji Enteropathy — Enteritis)
_______ _______
_______ ______
A
Chronic Diarrhea (Canine Sprue)
_______ _______
_______ ______
A
Bloat and Torsion (Gastric Dilatation — Volvulus)
_______ _______
_______ ______
A
Weight loss, vomiting, bowel inflammation (Idiopathic Canine Colitis)
_______ _______
_______ ______
A
Infection, sores, lick/scoot (Perianal Fistula Anal Furunculosis)
_______ _______
_______ ______
A
Swelling of the ventral cervical region (Sialoceles — Ranula)
_______ _______
_______ ______
Eyes
Group Females Group Males
P
Retinal detachment & blindness (Collie eye Anomaly)
_______ _______
_______ ______
P
Small patch of skin on the cornia (Dermoid)
_______ _______
_______ ______
P
Abnormal location of eyelashes causing irritation (Distichiasis)
_______ _______
_______ ______
P
Turning out of the eyelids causing eyeball exposure (Ectropion)
_______ _______
_______ ______
P
Turning in of the eyelids causing lashes to rub eyeball (Entropion)
_______ _______
_______ ______
P
Tears spill on face (Imperforate Lacrimal Punctum (Epiphora)
_______ _______
_______ ______
P
Inadequate tear production (Keratoconjunctivitis Sicca KCS)
_______ _______
_______ ______
P
Dislocation of the lens from its normal site (Lens Luxation)
_______ _______
_______ ______
P
Abnormal eyeballs — an anomaly in development (Microphthalmia)
_______ _______
_______ ______
P
Vision impairment or blindness (Optic Nerve Hypolasia)
_______ _______
_______ ______
P
Growth over the cornea (Pannus Superficial Stromal Keratitis)
_______ _______
_______ ______
P
Abnormal folds in Retina (Retinal Dysplasia)
_______ _______
_______ ______
Eyes (conitinued)
Group Females Group Males
A
Lens Opacity (Cataracts)
_______ _______
_______ ______
A
Corneal opacity interfering with vision (Corneal Dystrophy)
_______ _______
_______ ______
A
Increased pressure in globe, pain and often blindness (Glaucoma)
_______ _______
_______ ______
A
Degeneration of the vision cells (Progressive Retinal Atrophy PRA)
_______ _______
_______ ______
A
Pigment loss around eyes, nose, etc. (Uveodermatologic Syndrome)
_______ _______
_______ ______
P
Eversion of 3rd eyelid (Eversion of the Nictating membrane)
_______ _______
_______ ______
Excessively large fissures (Macroblepharon Fissure, Dimaond Eye)
_______ _______
_______ ______
P
Vision interference (Persistent Hyperplastic Primary Viterous PHPV)
_______ _______
_______ ______
P
Impaired vision or blindness (Persistent Pupillary Membranes PPM)
_______ _______
_______ ______
P
Detached Retina (Geographic detachment—resulting blindness)
_______ _______
_______ ______
Pigment loss around eyes, nose, etc. (Uveodermatologic Syndrome)
Hearing and Balance
Group Females Group Males
Deafness
_______ _______
_______ ______
Head tilt, loss of balance, circling (Vestibular Disease)
_______ _______
_______ ______
Heart and Vascular System
Group Females Group Males
P
Sudden death — few if any symptoms (Inherited Ventricular Tachy- _______ _______ cardia)
_______ ______
P
Improper valve movement (Mital Valve defect MVD mitral stenosis)
_______ _______
_______ ______
P
Blockage of the esophagus, vomiting (Vascular Ring Anomaly)
_______ _______
_______ ______
P
Murmurs, lethargy, etc. (Tricuspid Valve Dysplasia)
_______ _______
_______ ______
P
Murmurs, enlarged right side of heart (Pulmonic Stenosis)
_______ _______
_______ ______
P
Murmurs, weakness, sudden death (Subaortic Stenosis)
_______ _______
_______ ______
P
Murmurs, heart failure, sudden death (Tetralogy of Fallot)
_______ _______
_______ ______
P
Puppies—Murmurs, exercise weakness (patent ductas arteriosus PDA)
_______ _______
_______ ______
P
Hole in heart wall (Ventricular Septal Defect VSD)
_______ _______
_______ ______
A
Exercise intolerance (dilated cardiomyopathy DCM)
_______ _______
_______ ______
Hormones — Endocrine Disease
Group Females Group Males
Inflammation of the Thyroid (Hypothyroidism—Autoimmune Thyroidi- _______ _______ tis)
_______ ______
Addisons — affecting the adrenals (Primary Hypoadrenocorticism)
_______ ______
Immune System Diseases
_______ _______
Group Females Group Males
P
Rough itchy, oozing skin (Atopic Dermatitis)
_______ _______
_______ ______
P
Severe recurrent disease (Selective IgA Deficiency)
_______ _______
_______ ______
P
Mange— localized skin infection (Demodicosis Demodex)
_______ _______
_______ ______
A
Mange — covers large percentage of body
_______ _______
_______ ______
Immune System Diseases (continued)
Group Females Group Males
A Attack own red blood cells (Autoimmune Hemolytic Anemia)
_______ _______
_______ ______
A Benign skin disorder — scaling, ulceration etc. (Discoid Lupus DLE)
_______ _______
_______ ______
A Hemmorages, etc. (Idiopathic Thrombocytopenic Pupura)
_______ _______
_______ ______
A Inflammation of joints (Immune Mediated Polyarthritis)
_______ _______
_______ ______
A Lymph gland enlargement, etc. (Systemic Lupus SLE)
_______ _______
_______ ______
Liver — Pancreas
Group Females Group Males
P Exocrine Pancreatic Insufficiency (Pancreatic Hypoplasia)
_______ _______
_______ ______
P Extra vessels allows blood bypass liver (Portosystemic Shunt)
_______ _______
_______ ______
P Abnormal blood vessel (Portosystemic Shunt — Intrahepatic)
_______ _______
_______ ______
P Excessive sugar accumulates in blood & urine (JCD—Juvenile Canine _______ _______
_______ ______
Diabetes)
A Excessive sugar accumulates in blood & urine (Diabetes Mellitus)
_______ _______
_______ ______
A Vomiting, weight loss, etc. (Chronic Active Hepatitis)
_______ _______
_______ ______
Muscle Disease
Group Females Group Males
P Lameness after exercise (Biceps Brachi Tendon Displacement)
_______ _______
_______ ______
P Lameness in muscles which affect the gait (Fibrotic Myopathy)
_______ _______
_______ ______
P Muscle stiffness (Hereditary Myopathy Lab Retriever Myopathy)
_______ _______
_______ ______
P Mouth pain & visible swelling (Masticatory Myositis Atrophic Myositis)
_______ _______
_______ ______
P Abnormality of gait (Type II Fiber Hypotrophy of GSD)
_______ _______
_______ ______
Nervous System Diseases (Neurolgical)
Group Females Group Males
P Severe muscle weakness (Congenital Myasthenia Gravis)
_______ _______
_______ ______
A Muscle Atrophy (Cauda Equina Polycradiculoneuritis)
_______ _______
_______ ______
A Lack of coordination, ataxia, paralysis, death (Cerebellar Degeneration)
_______ _______
_______ ______
A Rear Limb & Structural Paralysis (Degenerative Myelopathy)
_______ _______
_______ ______
A Urinary incontinence/difficult defecation etc. (Dysautonomia)
_______ _______
_______ ______
A Seizures (Epilepsy)
_______ _______
_______ ______
A Rear limb paresis, atrophy, etc. (Giant Axonal Neuropathy)
_______ _______
_______ ______
A Glycogen Storage Disease (Glycogenosis-
_______ _______
_______ ______
A
Type II (Pompe’s Disease
_______ _______
_______ ______
A
Type III Cori’s Disease)
_______ _______
_______ ______
_______ _______
_______ ______
A Weakness and wasting of all limbs, etc. (Spinal Muscular Atrophy)
Reproductive Diseases P Subcutaneous collection of fluid—pup may be 4 to 5 times normal size at
Group Females Group Males _______ _______
_______ ______
P An absence of one or both testicles (Monorchidism or Crypotorchidism)
_______ _______
_______ ______
P Skion over the penis so it cannot come out (Preputial Stenosis-Phimosis)
_______ _______
_______ ______
P Own sex as well as opposite sex characteristics (Pseudohermaphrodite) _______ _______
_______ ______
birth (Anasarca)
Respiratory Diseases
_______ _______
_______ ______
_______ _______
_______ ______
P Bone Cysts (Pathological fractures are common…)
_______ _______
_______ ______
P Abnormal deposits of calcium (Calcinosis Circumscripta)
_______ _______
_______ ______
P Cleft Lip/Cleft Palate (A fissure or cleft in roof of mouth or upper lip)
_______ _______
_______ ______
P Abnormal jaw bone growth (Craniomandibular Osteopathy CMO)
_______ _______
_______ ______
P Abnormal formation of vertebrae (Hemivertebra)
_______ _______
_______ ______
P Mild to severe lameness (Hypertrophic Osteodystrophy)
_______ _______
_______ ______
P Dorsal rupture of discs (Invertebral Disc Disease IDD)
_______ _______
_______ ______
P Rear-leg gait abnormalities (Lumboscacral Malarticulation)
_______ _______
_______ ______
P Lameness, etc. (Lumbosacral Stenosis—Spinal Stenosis)
_______ _______
_______ ______
P A separation of the bones making up the hock joint (Luxation of the Tar-
_______ _______
_______ ______
_______ _______
_______ ______
P OCD—(Osteochronditis Dissecans Lameness):
_______ _______
_______ ______
P
Elbow Dysplasia FCP—OCD
_______ _______
_______ ______
P
Elbow Dysplasia (UAP) Nonfusion of the Anconeus
_______ _______
_______ ______
P
Shoulder Joint
_______ _______
_______ ______
P
Stifle Joint
_______ _______
_______ ______
P Panostetitis (Sudden onset of a mild shifting lameness—self- limiting)
_______ _______
_______ ______
P Wrists turn in, front feet turn out (Premature Closure of the Ulna)
_______ _______
_______ ______
P Bowed front legs (Premature Closure of the Radius)
_______ _______
_______ ______
P Rear-limb weakness, etc. (Spinal Bifida)
_______ _______
_______ ______
P Abnormal fusion or bridging bet. Vertebrae (Spondylosis Deformans)
_______ _______
_______ ______
P Paralysis, atrophy, etc. (Transitional Vertebral Segments)
_______ _______
_______ ______
Shiloh Shepherds are predisposed to none of the diseases in Dr. Padgett’s book
Skeletal Diseases
sal, Metatarsal and Intertarsal Joints)
P Lameness and bony nodules (Multiple Carliginous Exotoses)
Skeletal Diseases (continued)
Group Females Group Males
P Missing Teeth (Other imperfect dentition)
_______ _______
_______ ______
P Overshot Jaw (Upper jaw extends beyond the lower jaw)
_______ _______
_______ ______
P Undershot (Lower jaw extends beyond the upper jaw)
_______ _______
_______ ______
P Pituitary Dwarfism
_______ _______
_______ ______
_______ _______
_______ ______
_____ ______
______ _____
Self-mutilation (Acral Mutilation Syndrome)
_______ _______
_______ ______
Ulcers (Bullous Perphigoid)
_______ _______
_______ ______
Skin lesions, etc. (Contact Dermatitis)
_______ _______
_______ ______
P Fading nose to whitish or chocolate color (Dudley Nose)
_______ _______
_______ ______
P Easily torn skin (Ehlers Danlos Syndrome)
_______ _______
_______ ______
_______ _______
_______ ______
_______ _______
_______ ______
Loss of nails—infection (Onchodystorphy)
_______ _______
_______ ______
Blistering skin starting on ears or face (Pemphigus Foliceus)
_______ _______
_______ ______
Blistering of skin—ulcerations groin area (Pemphigus Vulgaris)
_______ _______
_______ ______
_______ _______
_______ ______
Hair brittle, matted, skin greasy (Sebaceous Adenitis SA)
_______ _______
_______ ______
Blisters, pimples—pustules (Subcorneal Pustular Dermatosis)
_______ _______
_______ ______
Sloughing claws/sec. Infections (Symmetric Lupid Onchodystrophy)
_______ _______
_______ ______
_______ _______
_______ ______
_______ _______
_______ ______
_______ _______
_______ ______
_______ _______
_______ ______
_______ _______
_______ ______
P Hip Dysplasia—lameness—diagnosis of HD by your vet OFA Rating__________PennHip Score____________
P Abnormality of neck vertebrae—may result in paralysis (Wobbler Syndrome)
P Separation of spinal column (Luxation of the Atlantoxial Joint) Skin Diseases— Diseases— Allergies
Skin, hair loss, pigment loss, etc. (GSD Pyoderma)
P Ulceration due to tender footpads (GSD Footpad syndrome) P Sloughing off of nails (Idiopathic Onychomadeis)
P Flaking smelly, greasy (Primary Seborrhea)
P Ulcers of tongue, lips & nose, cloudy cornea, conjunctivitis, cat (Tryosinemia)
P Outpouching of skin over “belly button” (Umbilica Hernia) Depigmentation of lips, nose that doesn’t return to normal (Vitiligo)
P Rough cracking oozing skin (Zinc-Responsive Dermatosis) Snow Nose (lighter nose in winter returning to dark in spring/summer)
Urinary System Diseases P Renal Tubular Transport Defect—May cause stones (Cystinuria)
Group Females Group ______
Males
_______
_______ ______
A Malignant Tumors in the kidney with nodules in the skin (Heriditary Renal ______ _______
_______ ______
Cystadenocarcinomas & Nodual Dermatofibrosis)
P Urinary incontinence & secondary bacterial infections (Hypodias)
______
_______
_______ ______
P Renal failure and death (Renal Dysplasia)
______
_______
_______ ______
A Uremia & chronic renal failure (Systemic Reactive Amylocidosis)
______
_______
_______ ______
P Uric Acid Excretion (Usually silent disease except for stone formation)
______
_______
_______ ______
P Kidney or bladder stones (Urolits—Struvite)
If any of the dogs you are reporting on died during the two-year period, indicate the cause of death by a note next to the appropriate disease process. If a dog died for any reason not listed above, please write the number of dogs and the cause of death here__________________________________________________________________________ If your dog was diagnosed with any other disease process not listed, please indicate the name of the disease and Number of dogs by male/female
Disease
Group Females Group
Males
____________________________________________________________ ______
_______
_______ ______
____________________________________________________________ ______
_______
_______ ______
____________________________________________________________ ______
_______
_______ ______
Please help us better serve our beloved breed by providing us with the following information. My female from Group A
was sired by ISSR /other #__________________ out of ISSR/other # _________________
My female from Group B
was sired by ISSR /other # __________________out of ISSR/other # _________________
My female from Group C
was sired by ISSR/other #___________________out of ISSR/other #_________________
My male from Group A
was sired by ISSR/other #___________________out of ISSR/other #_________________
My male from Group B
was sired by ISSR/other #___________________out of ISSR/other #_________________
My male from Group C
was sired by ISSR/other #___________________out of ISSR/other #_________________
In the event of multiple dogs in the same group please make additional notes below. By providing us with the ISSR/ other Numbers of your dog’s parents you are helping us to track possibly lethal genes that could lead to the extinction of the entire breed! It will also help us determine if any dog/bitch is producing an unusual number of genetic defects.
Additional Notes or Comments Here Please: _________________________________________________________________________________ _________________________________________________________________________________
Please return completed survey to TCCP, Inc. 702 Rein Dr., Killeen, TX 76542 by July 31, 2000!
