Case Study

RAD – Hypovolemia, volume contracted spleen, microcardia and lung underperfusion in a 6 year old FS Labrador Retriever with Addison’s Disease

This 6 year old FS Labrador Retriever presented for decreased appetite and ADR. History of Addison’s disease.

Chem: severe hyperkalemia, elevated BUN, albumin, phosporus and cholesterol

This 6 year old FS Labrador Retriever presented for decreased appetite and ADR. History of Addison’s disease.

Chem: severe hyperkalemia, elevated BUN, albumin, phosporus and cholesterol

DX

Hypovolemia with volume contraction of the spleen, microcardia and underperfusion of the lung, which is consistent with the history of an Addison’s.

Image Interpretation

right lateral and VD abdomen – The serosal detail is maintained. No obvious mass effect is noted.The stomach is
contains a moderate amount of food. The small intestinal loops are fluid and gas filled,
non dilated, of even diameter and with normal turgor. Small intestinal crowding is
noted in the mid abdomen. The large intestine contains a moderate amount of fecal
material. The spleen is volume contracted. The heart is upright and appears to be thin, The caudal vena cava is thin. The
pulmonary vasculature ist hin, the lung is hyperlucent.

Outcome

Another underlying cause for the clinical presentation is not identified on the
radiographs. Consider an abdominal ultrasound in case of specific clinical findings or
pertinent changes in the laboratory workup

Patient Information

Patient Name : Mel Casaes/DPC

Gender : Female, Spayed

Species : Canine

Type of Imaging : Ultrasound

Status : Complete

Liz Wuz Here : Yes

Code : 17_00023

Clinical Signs

"Not Doing Right"
Anorexia

Images

Blood Chemistry

Albumin, High
BUN high
Cholesterol, High
Phosphorus, High

Clinical Signs

"Not Doing Right"
Anorexia