A 3-year-old FS Pomeranian dog presented at emergency facility for five episodes of acute vomiting, anorexia, and lethargy. Physical exam found the patient to have a slightly tense, painful abdomen. In-house blood chemistry revealed elevated alkaline phosphatase, hyperphosphatemia, hypercholesterolemia, hyperamylasemia, hyperglycemia, and low chloride. CBC found slightly elevated HCT and eosinopenia. The patient had a positive snap CPL. There were ketones in urine. Patient was admitted for intravenous fluids and supportive care.
A 3-year-old FS Pomeranian dog presented at emergency facility for five episodes of acute vomiting, anorexia, and lethargy. Physical exam found the patient to have a slightly tense, painful abdomen. In-house blood chemistry revealed elevated alkaline phosphatase, hyperphosphatemia, hypercholesterolemia, hyperamylasemia, hyperglycemia, and low chloride. CBC found slightly elevated HCT and eosinopenia. The patient had a positive snap CPL. There were ketones in urine. Patient was admitted for intravenous fluids and supportive care. After 24 hours on fluids, patient was still vomiting a great deal, was febrile, and her amylase level was increasing.