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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 |
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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, 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.
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| 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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