Presentation:
A 9 to 10 month old intact female, mixbreed was presented to AcaseAweek Clinic around 2:30pm after being hit by a car approximately 6:40am that morning. Owner said that the patient started biting at her vulva and so blood was seen around the vulva and mouth. The patient was in lateral recumbency and manual manipulation was painful.
Physical exam:
- Weight = 10kg,
- TPR all WNL,
- MM pink
- CRT<2 >
- EENT all normal
- Thoracic auscultation was nonremarkable.
- A mild lymphadenopathy was noted in all lymph nodes.
- When palpating the caudal vertebrae an obvious defect of the vertebrae could be felt just cranial to the sacrum.
Neurological exam: Hyperreflexia in both right and left hindlimbs. Withdrawl reflex was absent in both. Ischial groove reflex of the left hindlimb produces a reflex in the right limb that was hyperreflexive. Anus was flaccid and showed no tone.
Radiographs of lumbosacral and pelvis region were taken as shown below (Click on image to enlarge):
What are the radiographic findings and diagnosis?
What are differentials for the signs presented?
How will you treat and manage this case?
