A 3-year-old 32.2-kg castrated male Labrador Retriever was presented to the Colorado State University Veterinary Teaching Hospital for evaluation because of anorexia and a painful left eye. The patient was evaluated by the primary veterinarian 4 days prior because of blepharospasm of the same eye with no known history of trauma. Results of fluorescein staining were negative, and the primary veterinarian empirically prescribed neomycin-polymyxin-B-dexamethasone ophthalmic ointment to be applied to the affected eye twice daily and oral administration of amoxicillin trihydrate-clavulanate potassium (12 mg/kg, PO, q 12 h) and prednisone (0.6 mg/kg, PO, q 12 h). The patient did
A 15-year-old 2.35-kg spayed female Siamese cat was referred because of a history of chronic intermittent vomiting that had progressed over a 7-month period from twice weekly to vomiting daily. The patient had a 1-month history of diarrhea, polydipsia, polyphagia, weight loss, and diffuse muscle wasting. Inflammatory bowel disease (IBD) was presumptively diagnosed 5 years earlier and was treated with a gastrointestinal supportive diet and prednisolone (0.75 mg/kg, PO, q 24 h), which moderately improved the frequency of vomiting. A CBC, serum biochemical profile, and measurement of thyroxine concentration were performed, and the abnormalities included mild anemia (30% [reference
An 11-year-old 27-kg castrated male Bull Terrier was evaluated because of left thoracic limb lameness of a few weeks’ duration. The dog was resident in the UK with no history of trauma or foreign travel. The dog had previously been diagnosed with allergic skin disease but was not receiving any treatment for this at the time of examination.
On physical examination, the dog had vital signs within reference limits. On gait examination, a moderate left thoracic limb lameness was observed. Signs of pain were elicited on palpation of the left humerus. No abnormalities were detected on routine hematologic and
A 6-year-old castrated male Belgian Sheepdog was presented following a 20-foot fall from a ledge onto grass. On presentation, the dog was toe-touching lame on the left forelimb, with evident swelling of the left carpus. Remaining findings on physical examination and point-of-care bloodwork were within reference limits. Two-view radiographic images of the left carpus were obtained (Figure 1).
Mediolateral (A) and dorsopalmar (B) radiographic images of the left carpus of a 6-year-old castrated male Belgian Sheepdog with toe-touching left forelimb lameness and carpal soft tissue swelling following a 20-foot fall from a ledge.
A 12-year-old 26.0-kg spayed female Labrador Retriever was referred because of high liver enzyme activities. During the few months prior to referral, the dog had developed polyuria, polydipsia, hyporexia, and abdominal distension. The owner reported these clinical signs as progressive. A concern for hyperadrenocorticism prompted referral for further diagnostic evaluation.
On referral examination, cranial organomegaly was appreciated on abdominal palpation. Diffuse epaxial and hind limb muscle wasting was apparent. Clinically important abnormalities on serum biochemical analyses included high activities of alanine aminotransferase (592 U/L; reference range, 16 to 75 U/L) and alkaline phosphatase (831 U/L; reference range, 8 to
A 13-week-old 0.87-kg sexually intact female domestic shorthair cat was presented to MedVet Cincinnati's emergency service for evaluation of a suspected urinary tract obstruction based on the lack of recent use of the litterbox with concurrent onset of abnormal behaviors that included reluctance to greet the owner, inappetence, and lethargy. The owner reported that the patient had developed epiphora and nasal discharge overnight and had a sudden-onset of sneezing. No vomiting, diarrhea, or coughing was reported.
On examination, the patient was quiet, alert, and responsive. On physical examination, it was noted that the patient was atypically small in size
A 3-year-old spayed female domestic shorthair cat was presented for a 1-day history of progressive vomiting, anorexia, and lethargy after vomiting a large trichobezoar. The patient had had a similar occurrence of clinical signs 14 months previously, and abdominal ultrasonography at that time was unremarkable. An exploratory laparotomy and gastrotomy were performed and revealed no clinically important findings. Results from several intestinal biopsies revealed mild plasmacytic lymphocytic enteritis, and the cat’s clinical signs resolved with supportive treatment.
On physical examination, the cat was dull but alert and responsive. A CBC and serum biochemical analysis revealed hyperglycemia (224 mg/dL; reference
A 7-day-old 40-kg mixed-breed beef heifer calf was presented for recheck evaluation because of persistent signs of inspiratory dyspnea. Four days earlier, the calf had been examined because of labored breathing with marked abdominal effort that developed after the calf (unwitnessed birth) had been kicked and appeared rejected by its dam; was deemed to have had a clinically normal body temperature, pulse, and behavior and no obvious signs of dysmaturity or congenital defects; and then tube fed 2 L of colostrum harvested from its dam. During the initial examination 4 days earlier, the calf was febrile (rectal temperature unknown),
A 20-year-old 582-kg warmblood mare was referred because of a 3-month history of pollakiuria and suspected sabulous cystitis, which is an accumulation of calcium carbonate sludge in the bladder leading to inflammation. Three weeks prior, the referring veterinarian performed a urinary workup, during which transrectal palpation revealed an enlarged bladder. A urinary catheter was passed, the bladder was drained, and a large amount of debris was noticed. Urinalysis and systemic bloodwork revealed no clinically remarkable abnormalities. No change in pollakiuria followed, and 1 week later, a urolith (approx 1 × 1 × 2 cm) covered with a blood clot
A 9-year-old 3.8-kg castrated male Maltese mixed-breed dog was referred for evaluation of acute lameness in the right forelimb after falling down a flight of stairs 3 days earlier. The dog had non–weight-bearing lameness in the right forelimb when taken to the referring veterinarian, who then identified signs of pain in the right elbow joint and prescribed carprofen (3.3 mg/kg, PO, q 24 h).
On referral examination, the dog had non–weight-bearing lameness in the right forelimb and mild soft tissue swelling over the right elbow joint and midantebrachium. Manipulation of the right elbow joint elicited signs of discomfort. Two