September 2006

 

Signalment Species

Presenting Complaint

• Pacing and vocalizing past 24 hours

• Displaying nesting behavior

• Bloody vulvar discharge
   

History

• Patient is pregnant with first litter
• Date of last estrus and date bred unknown
   

Physical Examination

• Weight: 12 kg
• Heart Rate: 108 bpm
• Respiratory Rate: 60 bpm
• Temperature: 98.2° F
• Mucus Membranes: pale; CRT >3 sec.
• Fetal head palpated in vaginal vault
   

Plan

• CBC: Severe leukpenia due to a neutropenia and lymphopenia
• Serum Biochemistry: Hypoglycemia, Hypoproteinemia, Hyperphosphatemia, Hyponatremia, Hypochloremia, Increased ALP and CK, Respiratory acidosis
• Abdominal radiographs
   

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Figure 1

Figure 2

Figure 3
 

Interpretation

• Radiographs and Ultrasound
  - to evaluate area in question

Case Follow-Up

• Further diagnostics and final diagnosis