Case Study

03-00123 Jester C Suppurative pancreatitis—-NEEDS SI, SDX, C—–

An 8-year-old MN DSH with history of hairballs (currently on Laxatone therapy), was presented for evaluation of vomiting. Abnormalities on physical examination were listlessness and mild dehydration. CBC showed leukocytosis, neutrophilia, basophilia, high MCHC, and elevated MCH. On blood chemistry hyperalbuminemia, elevated ALP and ALT activity, hypercholesterolemia, mild hyperglycemia, slight hypokalemia, and hyperbilirubinemia were evident. Blood gas analysis showed alkalosis with decreased HCO3, PCO2, and TCO2. T-4 was within normal range.

An 8-year-old MN DSH with history of hairballs (currently on Laxatone therapy), was presented for evaluation of vomiting. Abnormalities on physical examination were listlessness and mild dehydration. CBC showed leukocytosis, neutrophilia, basophilia, high MCHC, and elevated MCH. On blood chemistry hyperalbuminemia, elevated ALP and ALT activity, hypercholesterolemia, mild hyperglycemia, slight hypokalemia, and hyperbilirubinemia were evident. Blood gas analysis showed alkalosis with decreased HCO3, PCO2, and TCO2. T-4 was within normal range.

DX

Suppurative pancreatitis

Outcome

The patient was treated with I.V. fluids, gastroprotectants, antibiotics, and nutritional support. . After 72 hours of fluids and supportive care, he was discharged with a course of antibiotics and Ursodial. At follow-up visit he was doing well, eating venison diet, sufficiently hydrated, and BAR. The antibiotics were finished but he was to remain on Ursodial.

Comments

Should this really be a liver case? Fern Now I`ve loaded images labeled small intestine. I`m even more confused! Fern

Clinical Differential Diagnosis

Acute liver disease: toxins, infectious, lipidosis. Bile duct obstruction, diabetes mellitus, peritonitis, Pancreatic disease: acute, chronic, or neoplastic