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.
- 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.
- 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?
