Dec 2004/Jan 2005
Signalment Species
| Species | Canine |
| Breed | Labrador Retriever |
| Sex | Male |
| Age | 4 months |
Presenting Complaint
-
Vomiting for several days.
History
- Vomitus initially contained food. It is now bile.
- Pet has been anorexic and lethargic.
- On the day vomiting began, the puppy had access to adult dog food.
- Indoor/outdoor pet.
Physical Examination
- Temperature 100.8°F.
- Pulse 120 bpm.
- Respiration 12 bpm.
- Depressed.
- Dehydrated.
- Abdomen tucked up and uncomfortable on palpation.
Diagnostic Plan
-
Complete blood count.
-
Serum chemistry profile.
-
Abdominal radiographs.
CBC and Biochemical Abnormalities
-
Mature neutrophilia: 12,000/uL (3,000-11,500)
-
Elevated bands: 490/uL (0-300)
-
Lymphopenia: 820/uL (1,500-5,000)
-
Monocytosis: 3,300/uL (100-800)
-
Occasional reactive lymphocyte
-
Decreased chloride: 100 mmol/L (109-124)
-
Elevated bicarbonate: 29 mmol/L (16-26)
-
Mild hyperglycemia: 135 mg/dL (60-120)
-
Decreased creatinine: 0.2 mg/dL (0.5-1.4)
-
Elevated ALP: 141 U/L (12-122)
-
Elevated phosphorus: 6.8 mg/dL (2.3-6.5)
-
Elevated CK: 285 U/L (58-241)
Figure 1: Right Lateral Radiograph.
Figure 2: Left Lateral Radiograph.
Figure 3: Ventrodorsal Radiograph.