December 2005
Signalment Species
| Species | Canine |
| Breed | Labrador Retriever |
| Sex | Male Intact |
| Age | 15 months |
Presenting Complaint
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Fell off of moving tractor yesterday.
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Having difficulty eating and drinking.
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Labored breathing.
History
- Owner bought from a breeder in Texas about 1 year ago
- 1 year history of watery stools
- Progressively getting weaker and weight loss over the past 6 months
- Increased lethargy over past 4 days
- Seeds in stool
Physical Exam
- Temperature: 98.7 F
- Pulse: 100 bpm
- Respiration: panting with increased effort.
- MM: pale pink and tacky.
- CRT: < 2 seconds.
- Decreased lung sounds most apparent cranioventrally on right side.
- Painful on abdominal palpation.
- Submandibular lymph nodes enlarged bilaterally.
- Limping on both left forelimb and hind limb.
Diagnostic Plan
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Complete blood count.
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Serum chemistry analysis.
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Thoracic radiographs.
CBC and Biochemical Abnormalities
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Elevated ALT with differentials including hepatocyte damage and skeletal muscle damge and elevated CK due to skeletal muscle damage, all resulting from traumatic incident of falling off tractor.
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Leukocytosis with a mature neutrophilia with the primary differential being that of a substantial acute inflammation of internal tissues such as the pleural cavity and liver.
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Decreased total protein and albumin with differentials including hemodilution from increased extracellular fluid volume due to intravenous fluid administration or increased protein loss from vascular space due to hemorrhage.
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Decreased platelets with differentials including blood loss with extracellular fluid volume replacement or hemodilution.
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Interpretation
Case Follow-Up