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A 9.5-year-old 20.4-kg spayed female Border Collie was referred to the oncology service of Washington State University Veterinary Teaching Hospital for evaluation of a right anal gland mass and hypercalcemia. The referring veterinarian had evaluated the dog 3 weeks earlier for a 1- to 2-year history of alopecia, polydipsia, polyuria, and polyphagia; noticed a right anal gland mass; and then performed a CBC, serum biochemical analyses, serum thyroid and parathyroid panels, and abdominal ultrasonography. The CBC and thyroid panel results were within reference limits; however, the biochemical analyses revealed mildly high serum alanine aminotransferase (141 U/L; reference range, 18
A 1.3-year-old castrated male British Shorthair cat with a history of chronic lameness and diagnosed with bilateral femoral capital fracture was referred for bilateral femoral head and neck excision. The cat was not receiving any medication.
On presurgical examination, the cat was bright and responsive and had a body condition score of 6/9, body weight of 5.83 kg, heart rate (HR) of 120 beats/min (reference range, 160 to 180 beats/min), respiratory rate (RR) of 24 breaths/min (reference range, 15 to 30 breaths/min), and a rectal temperature of 37.7 °C (reference range, 36.7 to 38.9 °C). The oral mucous membranes
A 4-month-old 1.6-kg (3.5-lb) sexually intact female domestic shorthair kitten was referred to the North Carolina State University Small Animal Emergency Service because of progressive respiratory distress. One week earlier, the referring veterinarian had sedated the kitten with IM administration of dexmedetomidine, ketamine, and butorphanol (doses unknown) for radiographic examination because of a 1.5-month history of nasal discharge from the left nostril combined with increased respiratory rate and effort that had not responded to medical management. While sedated, the kitten became cyanotic. Intubation attempts failed because of an undefined oropharyngeal obstruction; thus, supplemental O2 was provided by
A 1-year-old 18-kg (39.6-lb) sexually intact male Pygmy goat with tetralogy of Fallot (ToF) was presented for castration, scrotal ablation, and penile amputation at New Bolton Center, School of Veterinary Medicine, University of Pennsylvania. Six months earlier, ToF had been diagnosed in this goat during diagnostic evaluations and treatment for fever and ocular discharge attributed to a mild respiratory infection. On presurgical physical examination for castration, the goat was bright, alert, and responsive and had pink and moist mucous membranes with a capillary refill time of approximately 2 seconds (reference range, ≤ 2 seconds). Peripheral pulses were strong, synchronous,
An 8-year-old 1.642-kg (3.612-lb) sexually intact male Netherland Dwarf rabbit
A 4-year-old 4.6-kg (10.1-lb) spayed female Pomeranian was referred for airway examination, endotracheal wash, tracheoscopy, and CT because of progressive exercise intolerance and respiratory distress with stridor. Dynamic collapse of the trachea and mainstem bronchi had been diagnosed previously, and dynamic pharyngeal collapse was suspected. Food but not water had been withheld from the dog overnight.
On preanesthetic physical examination, the dog had a body condition score of 7/9, and a cough could be elicited on tracheal palpation. The remaining findings from physical examination were unremarkable, and results of venous blood gas analysis
A 13-year-old 20.8-kg (45.8-lb) spayed female Husky was evaluated at Veterinary Dental Services for multiple episodes of oral bleeding noticed by the owner. The episodes seemed spontaneous and unrelated to any specific activity. Results of recent blood work indicated that the dog's CBC and total thyroxine concentration were within reference limits but that the dog had mild azotemia (SUN concentration, 48 mg/dL [reference range, 6 to 31 mg/dL]; serum creatinine concentration, 2.3 mg/dL [reference range, 0.5 to 1.6 mg/dL]). In addition, the dog had a history of anxiety and aggression and was receiving atenolol (1.8 mg/kg [0.8 mg/lb], PO,
A 6-month-old 9.5-kg (20.9-lb) sexually intact male Vietnamese potbellied pig was presented for castration. Findings on preoperative physical examination were unremarkable, and food was withheld from the pig for 8 hours in preparation for the procedure scheduled for the following day.
The morning of surgery, the pig received maropitant (0.84 mg/kg [0.38 mg/lb], PO) and gabapentin (10.5 mg/kg [4.7 mg/lb], PO). Approximately 4 hours later, dexmedetomidine (2.6 μg/kg [1.2 μg/lb]), ketamine (2.6 mg/kg), midazolam (0.30 mg/kg [0.14 mg/lb]), and butorphanol (0.30 mg/kg) were administered IM. A marked level of sedation with no resistance to restraint was achieved. An intravenous
A 9-year-old 21.3-kg (46.9-lb) spayed female English Bulldog was presented to the University of Florida College of Veterinary Medicine Oncology Service for surgical evaluation after a right adrenal mass was incidentally identified by the referring veterinarian during abdominal ultrasonography performed for evaluation of recurrent urinary tract infections. There were no other changes in the dog's health or behavior reported by the owner. Physical examination revealed moderate pelvic limb ataxia, a recessed vulva, and atopic skin disease. Results of a CBC and serum biochemical analyses were unremarkable, except for mildly high serum alkaline phosphatase activity (162 U/L; reference range, 7
A 9-month-old 6.2-kg (13.6-lb) sexually intact male Cavalier King Charles Spaniel with pulmonary valve stenosis was referred for cardiac consultation regarding treatment with balloon valvuloplasty. The owners reported that the dog had no clinical signs of heart disease but a history of a grade 5/6 heart murmur since birth. Echocardiography performed by the referring veterinary cardiologist when the dog was 2 months old revealed severe pulmonary valve stenosis, and atenolol (1 mg/kg [0.45 mg/lb], PO, q 12 h) was prescribed at that time. Transthoracic echocardiography was repeated at our facility by a cardiology resident (AVC) under the supervision of