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
2 responses to “congenital? severe anaemia”
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!