SIGNALMENT: 12 year old F/S Labrador Retriever
HISTORY: Ladybird was spayed when she was very young. Since about 3 years of
age, she has been treated for urethral sphincter mechanism incompetence to effect
with phenylpropanolamine. The current complaint is sticky, odorless vulvar discharge.
The owner sees the discharge most commonly after Ladybird urinates. Ladybird
has been licking at her vulva more than usual for the last several weeks. She
also is licking at her paws and scratching at her ears.
PHYSICAL: T 101.4°F P
100 R 36
| EYES | No abnormalities noted |
| EARS | Both ear canals erythematous, contain foul-smelling brown discharge |
| ORAL CAVITY | Grade III periodontal disease with gingival hyperplasia over upper canines |
| SKIN AND HAIRCOAT | Localized alopecia on paws and in groin, erythema between toes on all four feet |
| LYMPH NODES | No abnormalities noted |
| HEART / LUNGS | Grade 4 / 6 cardiac murmur, holosystolic, louder on left side, lung sounds slightly increased in all fields |
| ABDOMINAL PALPATION | No abnormalities noted - difficult to palpate due to size |
| GENITOURINARY | Recessed vulva, mild perivulvar dermatitis, mucoid discharge caught in perivulvar hair |
| BODY CONDITION SCORE | 8 / 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
Digital vaginal examination
Vaginoscopy
Culture and sensitivity - Urine
Culture and sensitivity - Vagina
Ear swab
Skin scraping
Vaginal cytology
Serum progesterone assay
Serum estrogen assay
Thoracic radiograph - VD
Thoracic radiograph - lateral
