A Case A Week for Veterinarians
Providing veterinarians a challenging case for brain storming every week ... A Case A Week a website for Vets prepared by Dr Mofya Saul and Dr Rajesh Banga.
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Monday, October 18, 2010
Case 24
A 12 year old spayed female Labrador was presented to AcaseAweek Clinic with one week history of vomiting, decreased appetite and lethargy. Bad breath of the pet was also a complaint. The patient was brought to clinic 4 month back for ehrlichia and mild azotemia. She is currently on Hill’s k/d diet.
Physical exam:
  • Weight: 34.8 kg
  • Temperature: 100.7
  • Pulse: 136
  • Respiration rate: 28
  • Mucus membranes: pale
  • Capillary refill time: > 2 seconds.
  • Dehydration: ~5%
  • Abdomen was tender upon palpation.
Lab tests: (Reference Values)
  • BUN: 112 mg/dl
  • Creatinine: >13.6 mg/dl
  • Phosphorous: 16.1
  • PCV: 25%
  • USG: 1.011
  • TP: 6.4 mg/dl
  • Albumin: 2.7 mg/dl
  • Non-regenerative anemia was also noted.



What is your tentative diagnosis?
Give differentials for your diagnosis.
What further diagnostic test(s) will be performed to confirm the tentative diagnosis?
How will you treat and manage this case?

posted by Dr Banga's Websites @ 12:00 AM  
2 Comments:
  • At October 18, 2010 at 7:05 AM, Blogger Dr Swarupmay Majumdar said…

    straight forward....I will consider the case from its clinical history of being recovered babsesia cases with azotemia and present clinical signs of vomiting ,lethargy and blood report of high creatinine and low usg ..as a case of Chronic renal failure.

    I will prefer putting him on Lasix, D25 with insulin if RBS is high, phosphate binder (phostat 675mg bid), ranitadine, ..Azodyl perhaps may not help him a lot.
    Since in India, dialysis is still unavailable...and the case seems to be of a poor prognostic value, I will inform the owner about it and tell him medical and humane options available with him for his pet.

    thanks Dr Rajesh

     
  • At October 18, 2010 at 6:47 PM, Blogger BangaVet.com said…

    Nice explanation Dr Majumdar.. we will talk more about it on Friday...

     
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