A 14-year-old spayed female Beagle mix was presented for PU/PD. She had a recent history of anaplasmosis which was treated with doxycycline and amoxicillin. Urinalysis showed isosthenuria, proteinuria, hematuria, and microalbuminuria. Abnormalities on CBC and blood chemistry were leukocytosis, thrombocytosis, neutrophilia, monocytosis, elevated ALT, elevated GGT, elevated ALP, mild hypernatremia, and hypercholesterolemia. Pre and post-prandial bile acids were elevated. The patient had a low T-4 and a low free T-4. ACTH stimulation test was within normal range.

A 14-year-old spayed female Beagle mix was presented for PU/PD. She had a recent history of anaplasmosis which was treated with doxycycline and amoxicillin. Urinalysis showed isosthenuria, proteinuria, hematuria, and microalbuminuria. Abnormalities on CBC and blood chemistry were leukocytosis, thrombocytosis, neutrophilia, monocytosis, elevated ALT, elevated GGT, elevated ALP, mild hypernatremia, and hypercholesterolemia. Pre and post-prandial bile acids were elevated. The patient had a low T-4 and a low free T-4. ACTH stimulation test was within normal range. The patient was re-presented within several days for worsening PU/PD, episodes of vomiting, decreased appetite, and anorexia for the past 24 hours. Urinalysis was similar to the previous findings; urine protein:creatinine ratio was elevated at 3.6. The patient was treated with Clavamox and thyroid medication.