Thursday, September 9, 2010

Liver, kidneys and in between you find this

Swarupmay Majumdar ‎6 months old intact male labrador retriever, with history of not taking food, vomiting white frothy water, retching frequently, loose motions and red colured as if blood mixed urine . PE findings:Bwt 24kg, mm - pink and dry, dehydration- moderate to severe, T 101.3, Ln not swollen, stable RR,HR,PR and other vital signs.Inclinic RBS 56mg/dl. Blood sent for testing
TX: D25 100ml,RL 250ml,DNS 250ml, tribivet,Rantac,ceftriaxone. any suggestions?

06 May at 12:33 · · · Flag
    • Nassem N. Naimi Check the urine because it is the only thing that is not making since.
      is it whole blood ? or is it myoglobin? or hemoglobinurea?
      Dehydration and loose motions may indicate indicate rabdomylaysis.
      and check the kidneys !!!
      06 May at 13:22 ·
    • Darsha Mapatuna how about vaccine againt parvo. i think it may be parvo.
      can you give furozolidone 4 time per day
      06 May at 13:23 ·
    • Nassem N. Naimi
      ‎**Darsha : I did think about parvo in the begining but why does he has the Red urine :S. this is the only symptom I cant understand
      **Swarupmay: for how long he is having these signs and what diet he is having ? did they change the diet or do they have any coloring material and what are the test results and can you use dip stick for urine and I am sorry for the questions they are too many :P
      06 May at 13:33 ·
    • Swarupmay Majumdar yah , questions are too many but I prefer to stay with some one who asks questions becoz there is no answers otherwise. I take care of the things you mentioned. The case is fresh, sen today morining. blood in the lab. He is totally vaccinated. by me only.and he had been sick 2 -3 days before turning up. Parvo with hematuria I never knew. I think there is something to do with its Liver!! actually the hematuria is incidental findings, as I used D25 during the tx he passed urine on table. His blood sugar randim is only 56.
      06 May at 15:29 ·
    • Nassem N. Naimi Did you test the urine to confirm it is blood?
      06 May at 15:34 ·
    • Swarupmay Majumdar no,could not,here labs are not ready to take dog urine for fear of Lepto
      06 May at 15:46 ·
    • Nassem N. Naimi OK, if you have microscope just look for RBCs. if no then simply put urine in a tube and wait to see if there is RBC sediment
      06 May at 15:47 ·
    • Swarupmay Majumdar I got microscope but I never tried that for this
      06 May at 15:52 ·
    • Nassem N. Naimi It works really well, you may also look for WBC's because these signs also may indicate Nephritis
      06 May at 16:01 ·
    • Swarupmay Majumdar blood report: HB 15.5, TC 7900,PLAT 2.2,N 69 L26.CREAT-0.7, SGOT-199.5,SGPT 95.1ALP 582
      06 May at 17:12 ·
    • Nassem N. Naimi hehe can u tell me what is abnormal I dont have the reference range and Blood is ok , so can u check for CK??
      06 May at 17:18 ·
    • Swarupmay Majumdar LIVER BOSS
      06 May at 17:19 ·
    • Nassem N. Naimi OK :D Great like not great but I am happy u got the diagnosis
      06 May at 17:35 ·
    • Sumit Virmani So what's the course of treatment, now?
      08 May at 12:15 ·
    • Swarupmay Majumdar The owner did not turn up, but with discussion with Dr Gautam, I had decided to put the dog on NPO ( nothing Per Oral), IV + Sc fluids other than RL (surely D25), liver extracts, antibiotics like strepto penicillin. For Vomiting decided to use Ganasetron, a new generation 5HT blocker.and IV Robeperazole as vomiting was pronounced.
      08 May at 17:18 ·
    • Nassem N. Naimi The thing is he is so young do you have Adenovirus in india??
      like what is the real problem>??
      08 May at 17:21 ·
    • Kuljit Singh Gill rule out babesia or ehrlichia (do u get tick fever in india?)
      18 May at 16:44 ·
    • Elena Madgliani vaccines?
      we have a lot of cases with babesiosis that present these signs...but without a lab test...
      18 May at 22:35 ·
    • Ashok Kaushik What about the Hb and platelet count?
      19 May at 07:14 ·
    • Swarupmay Majumdar Hb 15,Plat 2.2 as above. Actually Owner didnot turn up as we strictly wanted NPO with IV fluids twice a day. It turned back after a gap of 34 days after visiting many clinics and was in recumbency.
      19 May at 16:47 ·
    • Ashok Kaushik SGOT, SGPT,ALT-- all suggest liver is involved.But you can not do anything if the patient is not turning up
      19 May at 17:30 ·
    • Swarupmay Majumdar not 34 days, its 3 -4 days
      30 May at 17:33 ·

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