A 12 year old, intact female Pompek canine presented to AcaseAweek clinic for abdominal distention. The owner reported abdominal distention worsening for last one and half week. As the patient was eating, drinking, eliminating and otherwise showing no remarkable behavioral changes at home, the owner was unsure of the exact duration of her condition. The dog is upto date on vaccines and deworming but not on any ectoparasite or heartworm control. Animal is fed Hill’s Science diet for senior dogs.
Weight= 5.5 kg
RR=panting/open mouth breathing
EENT: Normal, except right prolapsed third eyelid
Oral: MM pink/moist, CRT<2s, Halitosis, Excessive tartar, gum recession, missing teeth: 101/102, 201/202, 301-303, 401/402
Thorax: Heart/Lung auscultate normally, with normal peripheral pulse, no jugular vein distention
Abdomen: Distended, Firm, Unable to palpate internal organs, No pain on manipulation, +ve reaction on Ballotment
U/G: Normal, intact
MSk: BCS 2/5
PCV= 31.7% (37-55%)
Albumin= 1.2g/dl (2.6-4.0 g/dl)
Total Protein=3.8g/dl (5.5-7.5 g/dl)
Cholesterol= 347 mg/dl (116-254 mg/dl)
All other values WNL
Protein= Dipstick protein ++++
Hyaline casts and few RBCs observed in urine sediment.
What is your tentative and differential diagnosis?
What further diagnostic tests you will perform?
What will be your treatment plan?