A 12 year-old spayed female Shepherd cross dog was present for hematuria with blood clots with a history of having Addison’s disease and uveitis. Urine was turbid in appearance and contained 3+ protein, 3+ blood, and elevated microalbuminuria. Abnormalities on CBC and serum biochemistry included monocytosis, hypoalbuminemia, elevated AST and ALT activity, and hypocalcemia. Coagulation panel was normal.
A 12 year-old spayed female Shepherd cross dog was present for hematuria with blood clots with a history of having Addison’s disease and uveitis. Urine was turbid in appearance and contained 3+ protein, 3+ blood, and elevated microalbuminuria. Abnormalities on CBC and serum biochemistry included monocytosis, hypoalbuminemia, elevated AST and ALT activity, and hypocalcemia. Coagulation panel was normal.
Case Study
Bladder mass in a 12 year old FS German Shepherd mix
DX
Bladder mass
Sonographic Differential Diagnosis
Either attached blood clot or minor possibility of low grade neoplasia. Rule out coagulopathy.
Image Interpretation
The urinary bladder contained a 5.4 x 2.6 cm attached blood clot to the dorsal wall or potential low grade neoplasia.
Outcome
No further information is available on this patient.
Clinical Differential Diagnosis
Hematuria – bladder pathology (bacterial cystitis, neoplasia, uroliths, trauma, sterile cystitis), renal pathology (pyelonephritis, neoplasia, renoliths, trauma, glomerulonephritis). Liver disease.
Sampling
Aspirate biopsy of the bladder mass revealed mostly frank blood with some low grade, mixed inflammation.
Video
Patient Information
Patient Name :
Chelsea N
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
06_00057
Clinical Signs
- Hematuria
History
- Addison's disease
Images
Blood Chemistry
- Albumin, Low
- ALT (SGPT), High
- AST (SGOT), High
- Calcium, Low
CBC
- Monocytes, High
Clinical Signs
- Hematuria
Urinalysi
- Albumin Present
- Appearance Turbid
- Blood Present
- Protein Present