An 8-year-old F Miniature Schnauzer with diabetes was presented for polyuria/polydipsia, intermittent vomiting, and vaginal discharge. The only abnormality on physical examination was pyrexia. Urine had a cloudy and yellow appearance, which on analysis showed normal specific gravity, 3+ proteinuria, 3+ glucosuria, 2+ ketones, 3+ hematuria, and bacilli. The patient was treated with a course of antibiotics as the owner declined further workup. The following day the patient was returned as she was vomiting bile. An audible murmur was present on physical exam.

An 8-year-old F Miniature Schnauzer with diabetes was presented for polyuria/polydipsia, intermittent vomiting, and vaginal discharge. The only abnormality on physical examination was pyrexia. Urine had a cloudy and yellow appearance, which on analysis showed normal specific gravity, 3+ proteinuria, 3+ glucosuria, 2+ ketones, 3+ hematuria, and bacilli. The patient was treated with a course of antibiotics as the owner declined further workup. The following day the patient was returned as she was vomiting bile. An audible murmur was present on physical exam. CBC showed anemia, leukocytosis, thrombocytopenia, neutrophilia, monocytosis, and basophilia. On blood chemistry hyperglycemia, mild hypoalbuminemia, elevated ALP activity, hypercholesterolemia, mild hypocalcemia, low chloride, and hypoamylasemia were present.