A 7-year-old FS German Shepherd with history of treatment for undiagnosed illness was presented for evaluation of considerable weight loss, weakness, lethargy, coughing up bile, anorexia, not urinating and not defecating. Current therapy was prednisone, sucralfate, and tramadol. Abnormalities on physical examination were weakness and labored breathing. Abnormalities on blood chemistry were moderately elevated ALP activity, mildly elevated ALT activity, and mild hyperglycemia.

A 7-year-old FS German Shepherd with history of treatment for undiagnosed illness was presented for evaluation of considerable weight loss, weakness, lethargy, coughing up bile, anorexia, not urinating and not defecating. Current therapy was prednisone, sucralfate, and tramadol. Abnormalities on physical examination were weakness and labored breathing. Abnormalities on blood chemistry were moderately elevated ALP activity, mildly elevated ALT activity, and mild hyperglycemia. The patient was treated with IV fluids, Baytril, dexamethasone, and atropine and subsequently transferred to a referral facility for further diagnostics. On survey thoracic radiographs, bilateral pulmonary congestion was present. The only pertinent finding on survey abdominal radiographs was severe hip dysplasia. Tracheal wash was performed and a thyroid profile submitted. The patient was treated with Nutri-Cal, aminophylline, Previcox, Clavamox, and eventual Cerenia as the Clavamox resulted in vomiting. The patient was presented a few days later for trouble swallowing and was treated Metacam and atropine, and discharged with Orbax.