A 9-year old neutured male Wirehaired Dachsund was presented to AcaseAweek Clinic with history of lethargy, generalized bilateral symmetrical alopecia of increasing severity, potbellied appearance and complaint of polyuria/polydipsia for one month duration. The patient is current on vaccinations, heartworm preventative, de-worming, and flea and tick control.
Physical Exam:
T: 102.8
P: 100
R: 32
MM: pink/moist
CRT <2
Bilateral symmetrical alopecia, rat-tail, comedones over ventrum, bruising on left lateral thorax. Potbellied abdomen, weakness, muscle wasting (esp. semitendinous, semimembranous muscles).
CBC and Biochemistry: all values within reference range
Urinalysis:
Color : pale yellow
pH : 8.0
SG (refractometer): 1.015, SG (dipstick): 1.010 [1.015-1.060]
Protein (dipstick): 2 + (100-300 mg/dL) [negative-trace]
Blood (Dip stick): Moderate
Sediment exam: small number of cocci
What will be your tentative and differential diagnosis?
What further diagnostic test(s) you will perform to confirm your diagnosis?
What will be your treatment plan(s)?
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