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Case 27
Primary Clinician: Kris MacDonald,
DVM
Supervising Clinician: Mark D.
Kittleson, DVM, PhD,
DipACVIM (Cardiology)
Signalment
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Seven-year-old male Afghan hound weighing 41
kg ("Marso") |
|
Bleeding From Mouth |
| Clients found "Marso" at noon standing by their pool bleeding from his
mouth (about 1/2 cup). There was also some blood around the back yard.
They took him to their veterinarian. He had stopped bleeding by the time they
reached the clinic, where he was given a physical exam and referred to the
VMTH. |
| The clients acquired Marso about 3 years ago as a rescue dog.
|
| He was
already debarked when they got him. He has always had a soft cough
after drinking water. |
| The clients say that there is no rat bait, snail
bait or other toxins on their property. |
| Marso showed no sign of illness
this morning or in the past few days. He has had no illnesses while he
has been with the clients. |
| He takes a heartworm preventative
(lives in Sacramento, CA), but they
have missed a pill on occasion. |
| They have one other dog at home who is
healthy. |
| Marso is current on his vaccinations. |
| He is eating, drinking, defecating, and urinating normally. |
| There was no coughing or sneezing prior to today. |
| He eats a lamb & rice diet from the grocery store. |
| GEN: QAR, no increased skin turgor, BCS=4/9, T=104.0, P=130, R=pant.
|
| INTEG: full shiny coat, no evidence of fleas. |
| EENT: Ears are clean and not erythematous. Conjunctiva is mildly
injected. Cornea and anterior chambers are clear. Unremarkable fundic
exam. PLRs direct and consensual are intact. Mucus membranes are injected,
CRT<1sec, no oral ulcers, moderate generalized tartar. Nose is wet,
black and has no discharge. |
| MS: No gait abnormalities seen. |
| CV: No murmurs heard over any region; no arrhythmias; good femoral
pulses. |
| Resp: Normal |
| GI: Mildly fluid-filled gut loops; no organomegaly; no masses; no pain
on palpation; clean anus. Rectal exam was unremarkable, except for
melena. |
| GU: No bladder palpated; prepuce clean. |
| CNS: Not examined |
| LN: Prominent left prescapular node (2.0cm); all others WNL. |
| Historical bleeding from the mouth/Melena |
| Hyperthermia |
Laboratory Data
| CBC - Hematocrit = 51%; WBC = 13,300/uL (Neutrophils = 11,200;
Lymphocytes = 1,584/uL; Monocytes = 264/uL; Eosinophils = 132/uL); Platelets
= 237,000/uL |
| Chemistry Panel - All values within normal limits |
| Coagulation Panel - All values within normal limits |
| Arterial blood gas: PCO2 = 29.8 mmHg; PO2 = 91.5
mmHg |
Quiz
Correct Quiz
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