asitis may b of cardic origin since dog is excersice intolarance.
And also tachycardia and arthymia. Bt CBC report is showing low protien and i feel its suffering from hepatitis nd mild nephritis......ultrasono anD ECG may advisd for further diagnosis

 

tentative diagnosis is chronic nephropathy. as the blood albumin value is less than 1.2 prognosiss may be poor means treatment may not be usefull. but stil need blood parameters like serum creatinine. bun. uric acid and blood electrolyte ie k+,Na+, bicorbonate.
rx is hermin iv/albumin iv 25-50% dextrose. based on other values erythropotin .othr supportive therapy with decadurabolin.

 

I think Its a case of PLN protein losing nephropathy and related ascites. It required aggresive fluid and amino acids in addition to diuretics.
Plz go for more tests

 

radiographs and ultrasound along with blood parameters needed...as cbc showing hypoproteinemia my minds clicking towards something wrong to liver but further blood parameters will tell about renal disturbance or not...

 

Dr Ramesh, there was no arrhythmia in this case. Dr Majumdar you are on right track... think of more tests to be done...

 

history: which is shown the dog is female intact , showing abdominal distention , no other abnormalities is shown, up to date for vaccine, but not heart warm prevention or in apply for ecto parasite .
physical exam:
clinical signs :which is shown in the case
problematic list
temp :almost normal .heart rate shown tachycardia prolapsed 3rd eyelid ,halitosis,excessive tartart
abdominal distention , ASCITIES :+ve reaction to ballotment,low pcv, hypoalbumenemia ,hyperchlostermia ,low tb, proteinueria,presence of RBCS in urine
DD:1-HEART WORM DISEASE 2-PYOMETRA 3-IMMUNE COMPLEX GLOMERULONPHRITIS4-AMYLOIDOSIS5-LIVER DISEASE 6-TUMOR
7-hyperadrencorticsm 8-pancreatitis
9-kidney stone 10- urinary tract infection
according to the clincal sings which no abnormality in eating or drinking we can rule out pancreatitis and amyloidosis and pyometra as primary cause but if there is porblem in the eating behaviour then we need to consider this diseases
in my opinion the tentative diagnosis is heart worm disease most heart worm signs are asymptomatic , but it shown as the sign start as panting and and aascities ,which sign of right CHF
presence of the protein in the urine and hypolbumenemia is secondary to immune complex glumerulnephritis , or right-sided CHf ,presence of rbcs in urine could be due to kidney stone or uti
so we need to make further test such as heart warm antigen test, and -x-ray
but i guess the heart warm test will be +ve ,
treatment; for heart warm is adulticide therapy 1-thiacetramide or melarsamine
the microflarial therapy should be done after the adultcide therapy by 4-6week
milbemycin or ivermctine
should be not give this medication for collie
and we should also be aware of the complication of adulticide therapy can also make thromboembolic

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