HERO a 12.7 year-old lab presents on 3/15 after a syncopal episode with weak hind legs. His Alk Phos and SGPT have been rising since 11/08 but Cholesterol is down. EKG ON 11/08/01 shows PVCs every 2nd to 3rd heartbeat. X-RAY ON 3/15/02 shows a blurred mass between heart and kidneys. All other labs remain normal. MANUAL DIFF: Neuts 82 (5.3%), lymphs 11 (.72%), Monos 3 (.2%), Eos 3 (.2%), Banos 1 (.07%). Plat adequate, N(?)- cytic, Slight Polychromasia, aniscytosis(?)
Why is this dog showing weakness in the hind end at night, primarily. I am thinking this is metobolically-related and wonder if changing his food regimen would help or hinder? He always vomits after cold water but not tepid.
QUESTION NO. 2 DROSTE a standard poodle presents to you as an ER specialist. He is going down fast. You know he has a dead kidney and a mass on the spleen, Which is more important to you a hematocrit or a hemoglobin count for surgery? (i.e. what is more indicative of kidney malfunction
#1) the dog that had syncope needs an cardiac ultrasound to help with a diagnosis. Some differentials are Sick sinus syndrome, Heart base tumor, cardiac arrhythmia, mg
#2)How do I know the dog has a dead kidney?? Prior to any surgery a full blood screen should be done not only a pcv and hemo or one or the other. Both are important bun and creat
#3)I don't know and do not care