Scant Vaginal Discharge in Spayed Female
Patient is a 6 year old lab cross, spayed 1 year ago w/out complictions, Presents w/ small amount of bloody vaginal discharge….Vaginal cytology is just RBC’s and normal, non-cornified epi’s. UA is normal. Vaginal exam finds normal vault but glove is covered w/ darker tingued blood.
12 yr old mn sedated Shih Tzu with hypercalcemia
12 year old mn Shih Tzu with iCa=1.7 and PTH in the high normal range. ACTH stim pre=2.2mcg/dL, post=22.6mcg/dL. normal SDMA=10mcg/dL, chems wnl except for Ca=13.0, Na=153, Chol=269. CBC showed thrombocytosis. Abdominal US was wnl except for bilateral loss of renal CM definition. Cervical ultrasound shows an irregularly shaped hypoechoic nodule in the left thyroid…