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Health Testing Guide
Which tests are mandatory, how to spot responsible breeders — and what it costs when things go wrong.
For the Shorkie we have compiled 0 mandatory and 16 recommended health tests, drawn from breed-club regulations, the University of PEI (CIDD), and OMIA — weighted by severity and heritability.
What this grade means
The Shorkie combines the health risks of its parent breeds, the Shih Tzu and the Yorkshire Terrier. Relevant health concerns include patellar luxation, tracheal collapse, brachycephalic syndrome, and eye disorders such as cataracts and keratoconjunctivitis sicca (dry eye). Due to their anatomical build, respiratory and structural physical stress remain ongoing risks. Health-focused breeding relies on the targeted mating of phenotypically healthy parent dogs and includes screenings for patellar luxation, eye conditions, and heart disease.
Every breed is susceptible to certain inherited conditions. Just like humans, dogs inherit predispositions from their parents. Responsible breeders screen their breeding dogs for these conditions and make informed mating decisions to reduce the risk passed on to puppies.
No — but it's the strongest tool we have. Diet, exercise, environment, and genetics all contribute to whether a dog develops a condition. When breeders use the right tests to identify risk in potential parents, the likelihood of many conditions appearing in the puppies drops significantly.
There's no one-size-fits-all here. For the Shorkie we track 0 mandatory tests plus 16 additional recommended ones. The specific tests and passing thresholds are detailed further below.
Keep in mind
Reliable screening tests still don't exist for many hereditary conditions, and tests for complex polygenic conditions are not always predictive of severity in the puppies. Even so, they're a powerful tool used by every responsible breeder.
There are two main types of health tests:
Screen the dog's DNA for known disease-causing mutations. Can be performed from puppyhood and give a binary result (clear / carrier / affected).
Clinical and imaging exams like X-ray, ultrasound, or ophthalmoscopy. They show how a predisposition actually manifests — usually only conclusive after 12–18 months.
We group breeding programs into three levels based on testing depth. Ask your breeder directly which level they meet.
A breeder at the Great level performs all mandatory tests plus 16 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Cleft palate
Allgemeine Fitness und Anatomie
A cleft palate is a congenital birth defect where the roof of the mouth fails to fuse properly during development in the womb. This failure leaves an abnormal opening between the oral cavity and the nasal passages. Because these two systems are directly connected, food, liquids, and air cannot be properly separated during swallowing.
Physisch
Brachycephalic obstructive airway syndrome (BOAS)(BOAS)
Atmung
Brachycephalic obstructive airway syndrome (BOAS) is a severe respiratory condition affecting short-muzzled dog breeds, where the physical shortening of the skull leaves insufficient space for the upper airways. This structural compression forces tissues like the soft palate and nasal passages into a restricted area, significantly obstructing the flow of oxygen to the lungs. Over time, the increased effort required to breathe puts chronic strain on the dog's respiratory and cardiovascular systems.
Physisch
Tracheal collapse(TC)
Atmung
Tracheal collapse is a progressive respiratory condition where the C-shaped cartilage rings that keep the windpipe (trachea) open begin to weaken and flatten. As these supportive rings lose their rigidity, the airway narrows, making it difficult for air to pass smoothly into the lungs. This mechanical failure of the respiratory tract leads to chronic irritation and breathing difficulties.
Roentgen · Passing: Klinisch und röntgenologisch ohne Befund (Grad 0)
Keratoconjunctivitis sicca (KCS) - "dry eye"(KCS)
Augen
Keratoconjunctivitis sicca (KCS), commonly known as dry eye, is a chronic disease of the ocular system where the tear glands fail to produce enough natural tears. Without this protective moisture, the cornea (the clear surface of the eye) and surrounding tissues become dry, inflamed, and highly susceptible to painful damage.
Augen · Passing: Unbefunden / Schirmer-Tränentest (STT) ≥ 15 mm/Min
Progressive Retinal Atrophy (PRA)(PRA)
Augen
Progressive Retinal Atrophy (PRA) is an inherited eye disease that affects the retina, which is the light-sensitive layer of tissue at the back of the eye. In this condition, the specialized cells responsible for detecting light, known as photoreceptors, gradually degenerate and die. Because these cells cannot recover or be replaced, the disease slowly but inevitably leads to complete blindness.
Cataract(HC)
Augen und Sehvermögen
A cataract is a progressive clouding of the lens inside the dog's eye, which is the clear structure that focuses light onto the retina at the back of the eye. When the lens becomes cloudy or opaque, it blocks light from entering, gradually impairing the dog's vision. If left untreated, this condition can eventually lead to complete blindness in the affected eye.
Augen
Legg-Calvé-Perthes disease(LCPD)
Bewegungsapparat
Legg-Calvé-Perthes disease is a serious orthopedic condition affecting the hip joint, primarily in small breed dogs. It occurs when the blood supply to the head of the thigh bone, known as the femur, is spontaneously disrupted. Without blood, this bone tissue dies and collapses, leading to severe joint inflammation and pain.
Roentgen
Patellar Luxation(PL)
Bewegungsapparat
Patellar luxation, also known as a luxating patella, is a physical condition affecting the knee joint where the kneecap slips out of its normal groove. This misalignment interferes with the mechanical movement of the hind leg and can cause the joint to lock. Over time, this abnormal friction can lead to painful joint wear and tear, known as osteoarthritis.
Physisch · Passing: Grad 0 (beidseitig frei von Patellaluxation)
Heart disease
Herz
Heart disease refers to structural or functional abnormalities of the heart muscle, valves, or electrical system that impair its ability to pump blood effectively. This reduced pumping efficiency prevents the cardiovascular system from delivering adequate oxygen and nutrients to the body's tissues. Some forms are congenital, meaning present from birth, while others are acquired over time due to wear or genetic factors.
Physisch
Patent ductus arteriosus (PDA)(PDA)
Herz
Patent ductus arteriosus is a congenital heart defect where a normal fetal blood vessel connecting the aorta and the pulmonary artery fails to close shortly after birth. This failure allows blood to continuously recirculate through the lungs instead of flowing to the rest of the body, putting severe, permanent strain on the heart muscle. Over time, this volume overload causes the left side of the heart to enlarge and weaken.
Ultraschall
Hyperadrenocorticism (Cushing's syndrome)(HAC)
Hormonelles und Stoffwechsel
Cushing's syndrome is a hormonal disorder affecting the endocrine system, where the adrenal glands chronically produce too much of the stress hormone cortisol. This overproduction disrupts the dog's normal metabolism, fluid balance, and immune system function. It is typically caused by a benign tumor in either the pituitary gland or the adrenal glands themselves.
Koerperfluessigkeiten
Intervertebral disc disease(IVDD)
Nervensystem
Intervertebral Disc Disease (IVDD) is a degenerative condition affecting the spine, where the cushioning discs between the vertebrae harden and rupture. When these discs herniate, meaning they bulge or burst, they press against the spinal cord and surrounding nerves. This compression disrupts the nervous system, causing pain and potentially blocking signals between the brain and the limbs.
Hydrocephalus
Nervensystem
Hydrocephalus is a neurological condition affecting the brain and nervous system, commonly referred to as water on the brain. It occurs when cerebrospinal fluid, the natural protective liquid surrounding the brain, builds up abnormally inside the brain's cavities, known as ventricles. This accumulation creates harmful pressure on the surrounding brain tissue, which can impair normal brain function.
Roentgen
Urolithiasis
Nieren
Urolithiasis is the formation of mineral stones within the urinary tract, which includes the kidneys, bladder, and connecting tubes. These solid crystal clusters develop when minerals in the urine clump together instead of dissolving. Over time, these stones can irritate the sensitive lining of the urinary system or completely block the flow of urine.
Familial Nephropathy(FN)
Nieren und Harnwege
Familial Nephropathy (FN) is an inherited kidney disease caused by a genetic defect in collagen, which is a vital structural protein. This defect damages the kidneys' filtering units, preventing them from properly removing waste products from the blood. Over time, this leads to progressive and irreversible kidney failure.
Koerperfluessigkeiten
Portosystemic hepatic encephalopathy(PSS)
Stoffwechsel
This is a neurological condition caused by liver dysfunction, typically occurring when abnormal blood vessels bypass the liver. Because the liver cannot filter toxins from the bloodstream, these harmful substances build up and directly affect the brain. This lack of proper filtration leads to central nervous system dysfunction.
Passing: Unbefunden / Gallensäuren-Stimulationstest im Normbereich
These levels are a comparison framework, not an official certification. They help compare breeding programs at a glance.
A complete checklist with every mandatory and recommended test plus identity and rearing questions — take it with you.
Open the full checklistFor breeders
Machine-readable mating rules, minimum ages, scoring schemes, and what's required for HonestDog verification — as a printable guide.
Example rule — Hip dysplasia (HD-FCI)
Both parents must be tested for Hip dysplasia (HD-FCI) and show a passing result.
We compile mandatory tests from official breed regulations and veterinary databases — and cross-check every uploaded certificate against the dog's profile using AI.
L1 = mandatory under breed-club regulations. L2 = recommended or clinically indicated. L3 = lower prevalence. Every assignment carries a source and confidence rating.
VDH breeding regulations, CIDD (University of PEI), OMIA (University of Sydney), curated veterinary input.
Uploaded certificates are AI-extracted and checked for date, result, and consistency with the dog's profile — with our team reviewing anything inconclusive.
0 tests are currently mandatory under the relevant breed-club regulations. The most common are —. Every test must be completed before mating, and the result must fall within the threshold defined by the regulation.
Self-check
Answer 6 quick questions about your everyday life and see how well the Shorkie fits you — including an honest cost estimate per month, per year, and across the dog's lifetime.
See breeders who have already uploaded their mandatory tests for verification.
View verified breeders