SIGNALMENT: 4 year old F/I mongrel
HISTORY: Bitsy was bred by the neighbor's 9 month old Labrador Retriever about
2 months ago. The owners did not think the male dog could be fertile and so
did not know Bitsy was pregnant until about 1 week ago when pregnancy was confirmed
by palpation at another veterinary clinic. That veterinarian felt several puppies.
Bitsy has been panting and restless for about 8 hours, has refused all food
today, and passed odorless, greenish-black vulvar discharge about 1 hour ago.
The owners have not seen any overt abdominal contractions.
PHYSICAL: T 102.3°F P
100 R 40
| EYES | No abnormalities noted |
| EARS | No abnormalities noted |
| ORAL CAVITY | Mild dental tartar over carnassial teeth in upper arcade bilaterally. |
| SKIN AND HAIRCOAT | No abnormalities noted |
| LYMPH NODES | No abnormalities noted |
| HEART / LUNGS | No abnormalities noted |
| ABDOMINAL PALPATION | Abdomen too distended to palpate any structures |
| GENITOURINARY | Greenish-black discharge caught in perivulvar hair |
| BODY CONDITION SCORE | 4 / 9 |
To complete the exercise, create a written report, providing:
1) a synopsis of the case, as you might present to another clinician as you
handed this case over to them - this is excellent practice for referral cases
you will send to other hospitals in the future, and for communications with
other veterinarians in facilities where you may work
2) a list or problems and rule-outs - this permits me to see your thought process
3) a list of diagnostic tests you would run and interpretation of results- diagnostic
test results can be accessed through the links present on each case's web page.
You may choose not to run all the tests available. Make sure you could defend
all of your choices to the owner.
4) a treatment plan and estimate of costs for the owner.
Submit this as a Word document to Dr. Root via email (rootk001@umn.edu) by 8:00 am on the second Wednesday of your rotation. Please remember to copy your classmates on this mailing so we all have the same information for our rounds discussion.
Diagnostics:
Complete blood count (CBC)
Serum chemistry profile
Urinalysis
Abdominal radiograph
Digital vaginal examination
Serum calcium assay
