03_00172 Skittles B Biliary calculi
A 12-year-old FS Malti-poo with a history of seizures and unregulated diabetes, was presented for seizure activity. She was admitted immediately and given diazepam (Valium®) via I.V. catheter. The physical exam following the injection of diazepam found the patient to be quiet, and obtunded. She had tacky pale pink mucous membranes, bilateral cataracts, and mild…
Insulinoma with hepatic metastasis in a 10 year old FS Labrador mix dog
A 10-year-old FS Labrador mix dog was presented after having had a possible seizure lasting 20 minutes. Preliminary blood work performed in-house showed hypoglycemia, hypoalbuminemia, an elevated ALP enzyme activity, hypercalcemia, hyperphosphatemia, hypernatremia, and hypokalemia. An insulin blood concentration was decreased. An ACTH stimulation test was normal. The patient continued having seizures due to hypoglycemia…
Insulinoma with hepatic metastasis in a 10 year old female spayed Lab mix
A 10-year-old FS Labrador mix was presented after having had a possible seizure lasting 20 minutes. Preliminary blood work performed in-house showed hypoglycemia, hypoalbuminemia, an elevated ALP enzyme activity, hypercalcemia, hyperphosphatemia, hypernatremia, and hypokalemia. An insulin blood concentration was decreased. An ACTH stimulation test was normal. The patient continued having seizures due to hypoglycemia for…
Pulmonary hypertension in a 10 year old MN Boston Terrier
A 10-year-old neutered male Boston Terrier dog was presented for possible seizure activity. A grade II/VI heart murmur and left submandibular lymphadenomegaly were present on physical examination. Abnormalities on CBC and blood chemistry included neutrophilia, eosinopenia, thrombocytosis, elevated ALP activity, and elevated CK. T4 was within normal limits. The patient was treated with enalapril and…
Normal liver, portosystemic/intrahepatic shunt rule out in a 3 month old M American Eskimo Spitz dog
A 3-month-old M American Eskimo Dog was presented at an emergency hospital for seizures. Blood smear evaluation showed mild polychromasia. On CBC moderate anemia and mild thrombocytopenia was present. Serum chemistry showed hyperphosphatemia and hypoglobulinemia. The patient was treated with intravenous fluids spiked with 2.5% dextrose and oral lactulose. The following morning the patient was…
Moderate chronic hepatitis, possible Leptospirosis in a 3 year old FS Labrador Retriever dog
A 3-year-old FS Labrador Retriever dog with history of recent OHE, presented for seizure. Physical exam found patient emaciated, jaundiced, and with decreased skin turgor. In-house chemistry revealed markedly elevated Alkaline Phosphatase, ALT was unable to be determined, hypoamylasemia, low BUN, hyperbilirubinemia, and sample was icteric. CBC found high HCT, high RBC, and low MCHC….