Dog with Acute Abdominal Pain
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Dog with Acute Abdominal Pain Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories
description
Dog with Acute Abdominal Pain. Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories. “Cookie”. 8 years old Intact Female Sheltie dog Presented with clinical history of acute abdominal pain. “Cookie” - 8 Year-old, Sheltie. - PowerPoint PPT Presentation
Transcript of Dog with Acute Abdominal Pain
Dog with Acute Abdominal Pain
Dennis B. DeNicola, DVM, PhD, DACVPChief Veterinary Educator
IDEXX Laboratories
“Cookie”8 years oldIntact FemaleSheltie dog
Presented with clinical history of acute abdominal pain
“Cookie” - 8 Year-old, SheltieWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )LYM = 0.98 K/L ( 0.70 – 4.90 )MONO = 2.90 K/L HIGH ( 0.10 – 1.40 )NEU = 14.67 K/L HIGH ( 2.00 – 12.00 )EOS = 0.25 K/L ( 0.10 – 1.49 )BASO = 0.04 K/L ( 0.00 – 0.10 )%LYM = 5.2 %%MONO = 15.4 %%NEU = 77.8 %%EOS = 1.3 %%BASO = 0.2 %HCT = 49.2 % ( 37.0 – 55.0 )RBC = 7.21 M/L ( 5.50 – 8.50 )HGB = 14.8 g/dL ( 12.0 – 18.0 )RETIC = 22.8 K/L%RETIC = 0.3 %MCV = 68.3 fL ( 60.0 – 72.0 )RDW = 19.9 % HIGH ( 14.7 – 17.9 )MCHC = 30.1 g/dL LOW ( 31.0 – 37.0 )MCH = 20.54 pg ( 19.50 – 24.50 )PLT = 329 K/L ( 175 – 500 )MPV = 16.69 fLPCT = 0.5 %PDW = 19.2 %
“Cookie” - 8 Year-old, SheltieErythronHCT = 49.2 % ( 37.0 – 55.0 )RBC = 7.21 M/L ( 5.50 – 8.50 )HGB = 14.8 g/dL ( 12.0 – 18.0 )RETIC = 22.8 K/L%RETIC = 0.3 %MCV = 68.3 fL ( 60.0 – 72.0 )RDW = 19.9 % HIGH ( 14.7 – 17.9 )MCHC = 30.1 g/dL LOW ( 31.0 – 37.0 )MCH = 20.54 pg (19.50 – 24.50)
“Cookie” - 8 Year-old, SheltieErythronHCT = 49.2 % ( 37.0 – 55.0 )RBC = 7.21 M/L ( 5.50 – 8.50 )HGB = 14.8 g/dL ( 12.0 – 18.0 )RETIC = 22.8 K/L%RETIC = 0.3 %MCV = 68.3 fL ( 60.0 – 72.0 )RDW = 19.9 % HIGH ( 14.7 – 17.9 )MCHC = 30.1 g/dL LOW ( 31.0 – 37.0 )MCH = 20.54 pg (19.50 – 24.50)
“Cookie” - 8 Year-old, SheltieErythronHCT = 49.2 % ( 37.0 – 55.0 )RBC = 7.21 M/L ( 5.50 – 8.50 )HGB = 14.8 g/dL ( 12.0 – 18.0 )RETIC = 22.8 K/L%RETIC = 0.3 %MCV = 68.3 fL ( 60.0 – 72.0 )RDW = 19.9 % HIGH ( 14.7 – 17.9 )MCHC = 30.1 g/dL LOW ( 31.0 – 37.0 )MCH = 20.54 pg (19.50 – 24.50)
Normal red blood cell density Probable insignificant RDW and MCHC changes since
other parameters are not affected
Erythron – Blood Film
Leukon – Blood Film
“Cookie” - 8 Year-old, SheltieLeukonWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )LYM = 0.98 K/L ( 0.70 – 4.90 )MONO = 2.90 K/L HIGH ( 0.10 – 1.40 )NEU = 14.67 K/L HIGH ( 2.00 – 12.00 )EOS = 0.25 K/L ( 0.10 – 1.49 )BASO = 0.04 K/L ( 0.00 – 0.10 )%LYM = 5.2 %%MONO = 15.4 %%NEU = 77.8 %%EOS = 1.3 %%BASO = 0.2 %
“Cookie” - 8 Year-old, SheltieLeukonWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )
“Cookie” - 8 Year-old, SheltieLeukonWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )
Leukocytosis Minimal
“Cookie” - 8 Year-old, SheltieLeukonWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )LYM = 0.98 K/L ( 0.70 – 4.90 )MONO = 2.90 K/L HIGH ( 0.10 – 1.40 )NEU = 14.67 K/L HIGH ( 2.00 – 12.00 )EOS = 0.25 K/L ( 0.10 – 1.49 )BASO = 0.04 K/L ( 0.00 – 0.10 )%LYM = 5.2 %%MONO = 15.4 %%NEU = 77.8 %%EOS = 1.3 %%BASO = 0.2 %
Leukocytosis Minimal
“Cookie” - 8 Year-old, SheltieLeukonWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )LYM = 0.98 K/L ( 0.70 – 4.90 )MONO = 2.90 K/L HIGH ( 0.10 – 1.40 )NEU = 14.67 K/L HIGH ( 2.00 – 12.00 )EOS = 0.25 K/L ( 0.10 – 1.49 )BASO = 0.04 K/L ( 0.00 – 0.10 )%LYM = 5.2 %%MONO = 15.4 %%NEU = 77.8 %%EOS = 1.3 %%BASO = 0.2 %
Leukocytosis Minimal Mild monocytosis and
minimal neutrophilia Low normal lymphocytes
Leukogram InterpretationMinimal leukocytosis
Mild monocytosisEither tissue demand for macrophages of
glucocorticoid influenceMinimal neutrophilia
Either mild inflammation or glucocorticoid influence
Erythron – Blood Film
Erythron – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukon – Blood Film
Leukogram InterpretationMinimal leukocytosis
Mild monocytosisEither tissue demand for macrophages of
glucocorticoid influenceMinimal neutrophilia
Either mild inflammation or glucocorticoid influenceBlood film complement
Inflammation (left shift and toxicity in neutrophils)Probable tissue demand for macrophages Probable glucocorticoid influence
“Cookie” - 8 Year-old, SheltieWBC = 18.84 K/L HIGH ( 5.50 – 16.90 )LYM = 0.98 K/L ( 0.70 – 4.90 )MONO = 2.90 K/L HIGH ( 0.10 – 1.40 )NEU = 14.67 K/L HIGH ( 2.00 – 12.00 )EOS = 0.25 K/L ( 0.10 – 1.49 )BASO = 0.04 K/L ( 0.00 – 0.10 )%LYM = 5.2 %%MONO = 15.4 %%NEU = 77.8 %%EOS = 1.3 %%BASO = 0.2 %HCT = 49.2 % ( 37.0 – 55.0 )RBC = 7.21 M/L ( 5.50 – 8.50 )HGB = 14.8 g/dL ( 12.0 – 18.0 )RETIC = 22.8 K/L%RETIC = 0.3 %MCV = 68.3 fL ( 60.0 – 72.0 )RDW = 19.9 % HIGH ( 14.7 – 17.9 )MCHC = 30.1 g/dL LOW ( 31.0 – 37.0 )MCH = 20.54 pg ( 19.50 – 24.50 )PLT = 329 K/L ( 175 – 500 )MPV = 16.69 fLPCT = 0.5 %PDW = 19.2 %
