A 14.5-year-old 6.3-kg (13.9-lb) spayed female West Highland White Terrier was examined because of a long-term history of vomiting that had progressed over the last 4 months from 3 to 5 episodes/wk to 3 episodes/d. These episodes were reported to occur approximately 15 minutes after water intake. The dog was current on core vaccinations and was receiving a monthly preventative against fleas, ticks, and heartworm.
On physical examination, the dog was bright, alert, and responsive and had a rectal temperature of 38.5°C (101.3°F; reference range, 37.8°C to 39.2°C [100°F to 102.6°F]), pulse rate of 110 beats/min (reference range, 80
A 1.5-year-old 4.38-kg (9.6-lb) neutered male domestic shorthair cat was referred because of a 3-day history of retching, ptyalism, and inappetence. Clinical signs were refractory to medical management (ie, administration of maropitant citrate, famotidine, and crystalloid fluid at unknown dosages).
At the time of hospital admission, the cat was alert, responsive, and euhydrated with a body condition score of 5/9. The cat had a body temperature of 38.7°C (101.6°F). The heart rate (170 beats/min; reference range, 120 to 140 beats/min) and respiratory rate (60 breaths/min; reference range, 16 to 40 breaths/min) were mildly high, likely attributable to stress or
A 6-year-old 35.2-kg (77.4-lb) sexually intact male Labrador Retriever was examined because of a 2-week history of coughing, dyspnea, regurgitation, dysphagia, and lethargy. The dog had been evaluated by its primary veterinarian for regurgitation and coughing 2 weeks earlier, at which time pneumonia was suspected and treatment with orbifloxacin, sulfamethoxazole, and gentamicin (unknown dosages) was initiated along with a canned-food diet. The dog's regurgitation resolved; however, abnormal respiratory signs worsened, and the dog became dyspneic and cyanotic. Results of thoracic radiography (not shown) at that point suggested a thoracic mass, and the dog was referred for further evaluation and
An 11-week-old 5.8-kg (12.8-lb) sexually intact female Golden Retriever–Poodle crossbred dog was referred for evaluation because of progressive respiratory distress of 5 hours’ duration. Before the onset of respiratory distress, the dog was examined and vaccinated by the referring veterinarian. Vaccinations included a third booster vaccination (SC) against distemper, parvovirus, adenovirus, and coronavirus; an initial vaccination (SC) against Leptospira canicola and L icterohaemorrhagiae; and a vaccination (PO) against Bordetella bronchiseptica. Within an hour after being vaccinated, the dog became ataxic, had signs of agitation, and began wheezing. The referring veterinarian administered diphenhydramine hydrochloride
A 2-year-old 28-kg castrated male Australian Shepherd that was adopted from California at 8 weeks of age and traveled across the southwestern and southern US was referred for follow-up care and management after removal of a hard testicular mass (approx 2.5 to 5 mm in diameter) and castration by the primary veterinarian. The mass had been present for about 2 to 3 weeks prior to surgery, and purulent discharge during surgery was noted. In addition to surgery, the primary veterinarian performed a fecal examination, which revealed no evidence of parasitism. Monthly heartworm and flea and tick preventatives were prescribed.
A 6-year-old spayed female Chesapeake Bay Retriever was presented to the authors’ institution for a 1- to 2-month history of melanic diarrhea, intermittent vomiting, and weight loss, with 2 days of hyporexia. Prior to presentation, the dog had been treated symptomatically with metronidazole, maropitant, and sulfasalazine with no clear improvement and had tested negative for intestinal parasites by means of fecal flotation.
On presentation, the dog was quiet and alert with a distended abdomen and mildly increased respiratory effort. The dog had a mild neutrophilia (segmented neutrophils, 2.2 X 109 cells/μL; reference range, 3.5 X 109
An approximately 5-year-old 0.203-kg (0.45-lb) sexually intact male hognose snake (Heterodon nasicus) was presented for evaluation of multifocal dermal nodules. The snake was housed in a plastic crate with newspaper bedding and was fed every 2 weeks. The referring veterinarian had submitted a fine-needle aspirate sample of one of the nodules for cytologic examination; however, results did not indicate a definitive diagnosis, and the snake was referred for further evaluation.
On referral examination, the snake was lethargic, had increased respiratory effort, and had multiple nodules (approx 1 cm in diameter) disseminated over its entire body. Palpation revealed
A 10-month-old 26.8-kg castrated male Golden Retriever was referred because of a 5-month history of progressive pelvic limb ataxia and paresis. Prior to referral, the dog was evaluated by the primary veterinarian and empirically treated with prednisone (20 mg, PO, q 12 h, on a tapering schedule), doxycycline (unknown dosage), and physical therapy. The dog’s pelvic limb ataxia improved with medical treatment but worsened as the prednisone dosage was tapered.
On referral examination, the dog was bright, alert, and responsive and had abrasions on the dorsal aspect of digits 2 and 3 of the pelvic limbs bilaterally. The nails