Dear All,
This is a spayed female 3 years old chivauva. She was spayed one week ago. Her hematocrit is now 8! ( pre op no blood result)
She came to our clinic today in shock. She received transfusion.
Ultrasound: gall bladder wall oedema, minor ( few ml) ascites, cystic lesions caudal to the urinary bladder- fluid centesis show protein, leukocytes, no glukose. Urinary bladder was filled also with lot’s of sediment- UA is pending- but no glucose, no protein- but KETONURIA.
Dear All,
This is a spayed female 3 years old chivauva. She was spayed one week ago. Her hematocrit is now 8! ( pre op no blood result)
She came to our clinic today in shock. She received transfusion.
Ultrasound: gall bladder wall oedema, minor ( few ml) ascites, cystic lesions caudal to the urinary bladder- fluid centesis show protein, leukocytes, no glukose. Urinary bladder was filled also with lot’s of sediment- UA is pending- but no glucose, no protein- but KETONURIA.
The other weird thing to me- that her v. cava has an arteria flow profile…i don’t understand- the vessel is pulsating like the aorta. ( picture attached)
The dog has also severe hydrocephalus.
No biochemistry is possible because of the anaemia.
My questions:
– can the lesions caudal to the urinary bladder be prostatic cysts? In a female dog? Or its due to the ovaryhyster?
-where are her RBC’s?
-where does the ketonuria come from?
-why does the v cava pulse like an artery?
AV fistula?
What other examination is needed, and what would be Your differentials?
Thank You
Rita
Comments
Lesion caudal to the urinary
Lesion caudal to the urinary bladder – post surgery hematoma, surgical trauma, abscess.
Where are her RBC’s – think of IMHA (primary or secondary), parasites (Babesia, Mycoplasma), GI blood loss, hemothorax (warfarin toxicity).
Ketonuria – most likley from anorexia with fat breakdown.
Why does the v cava pulse like an artery – I think that you are picking up the underlying aorta as it is a small dog.
Initial further assessment – Coomb’s or in-saline agglutination test, fecal anaylsis, thoracic radiographs.
Thank You!
Thank You!