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congenital? severe anaemia

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

 

pacsit

2 responses to “congenital? severe anaemia”

  1. 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.

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