2. CLINICAL HISTORY
Patient presents with a 2-3 week history of exercise intolerance and poor
appetite
Possible increased thirst
No recent GI signs but intermittent history of V+ and D+
5. HAEMATOLOGY
Test Result Unit Reference
Range
RBC 4.98 x10 E12/l 5.5-8.5
Hb 11.5 g/dl 12.0-18.0
HCT 35.6 % 37-55
Monocytes 1.515 x10 E9/l 0.15-1.35
PLT 178 x10 E9/l 200-500
Smear: The blood picture appears poorly regenerative with no aberrant
cells seen.
Comments:
• Normocytic normochromic anaemia
• Differentials for the anaemia could be anaemia of chronic disease,
decreased iron, IMHA, kidney failure (decreased EPO).
• Monocytosis can be caused by chronic renal failure, IMHA, trauma
• The decrease in platelets is very mild
6. BIOCHEMISTRY
Test Result Unit Reference Range
Chloride 118.4 mmol/l 95-115
Urea 34.6 mmol/l 2.5-8.5
Creatinine 402 umol/l 45-155
Cholesterol 7.58 mmol/l 2.0-7.0
Albumin 26 g/l 29-36
Comments:
• Differentials for increase in chloride could be retention of chloride through renal
failure or tubular acidosis
• The increased BUN & creatinine can be attributed to dehydration, kidney failure,
toxic injury to kidneys, or urinary blockage
• Increased cholesterol and triglyceride can cause GI signs such as the V+ and D+
as well as generalised abdominal pain. Hyperlipidaemia can be primary or
secondary to hypothyroidism, pancreatitis, hepatic disease, diabetes mellitus,
nephrotic syndrome, hyperadrenocorticism, or high-fat diets
• The low albumin can be due to inadequate fluid or food intake, amyloidosis,
inflammatory effusions (pancreatitis), lymphoma
7. ACTH STIM TEST
Test Result Units Reference
Range
Cortisol – resting 79 nmol/l 13-140
Cortisol – post
ACTH
403 nmol/l 200-500
Comments: The dog was not diagnosed to have Cushing’s or
Addison’s
