Lake Ray Hubbard
Emergency Pet Care Center

was established in Rowlett in 1997 by a local group of veterinarians to provide high quality emergency and critical care on nights, weekends, and holidays... more

You are here:
Interesting Case
Layla PDF Print E-mail

LaylaSignalment: 4 YR FS DSH

History: “Layla” was an adult stray cat, wandering the neighborhood when she was taken in by her good hearted owner. For the first two years in her new home “Layla” was healthy and received regular veterinary care. Layla’s owner began to notice weight loss and then blood tinged urine outside the litter box. At that time, “Layla” also began hiding and avoiding all attention. “Layla” was taken to her regular veterinarian where her blood work revealed anemia. It was suspected that she had a blood borne parasite or an autoimmune disorder, immune mediated hemolytic anemia (IMHA). She was prescribed the antibiotic Doxycycline and a vitamin supplement. Her owner observed labored breathing and increasing lethargy the following morning, “Layla” was referred to the ER.

Exam: She presented depressed with fair pulses, pale mucus membranes and increased bronchovesicular sounds in dorsal lung fields.

Diagnostics: The CBC revealed anemia (Hct 14%) and thrombocytopenia (62 K/uL). Hyperbilirubinemia (0.8 mg/dL) and hyperglycemia (266 mg/dL) were noted on the chemistry analysis.

Read more...
 
Diesel PDF Print E-mail

DieselHistory:  Diesel presented with facial swelling redness and hives on his chest and abdomen.  His owner stated that he was outside for approximately 1 hour, and noted the swelling after 30 minutes. Owner gave him a bath the he began rubbing his face.  Diesel began developing hives on the car ride to the clinic. The family’s yard is small and in a residential area, and they are not aware of any toxins or abnormal items that he could have ingested.  Diesel had had no recent changes in his diet, no flea products applied, and no vomiting.  He has no history of allergies or any other medical issues. He is also current on vaccinations and takes a monthly heartworm preventative.

Exam:  All of the abnormalities found were associated with Diesel’s skin.  He had generalized red skin (erythema) which was most pronounced on his head/neck, and swelling (angiodema) which was primarily affecting his face.  He was itchy (pruritic) and also had hives (urticaria).  Otherwise Diesel appeared to be a normal Boston Terrier.

Read more...
 
Deets PDF Print E-mail

DeetsSignalment: 4YR, intact male, Belgian Sheepdog

History: Acute onset of abdominal discomfort noticed by owner several hours prior to presentation. “Deets” had been seen crouching in a “praying” posture and also was acting unusual. No retching, vomiting or diarrhea had been observed and there had been no history of dietary indiscretion.

Exam: Mucous membrane color was slightly muddy, femoral pulses reduced, and very mild stomach distension was observed on abdominal palpation. Hydration status was normal and “Deets” was very alert and active in the examination room.

Diagnostics: CBC, chemistry analysis, and electrocardiogram were normal. Radiographs revealed abnormal gas accumulation with compartmentalization in the stomach suggesting gastric distension and volvulus...

Read more...
 
Satevia PDF Print E-mail

SateviaSignalment: 3 month old, Chihuahua

History: Acute onset of weakness and lethargy. Owners also observed difficulty breathing (dyspnea).
Exam: Tachypnea (rapid breathing), pale mucous membranes, weak, lethargic, muffled heart sounds bilaterally.

Upon further discussion with the owners, it was found that the puppy had eaten rat bait poison approximately 3 days prior to presentation.The owners believed that the poison was an anticoagulant.

Read more...
 
Jack PDF Print E-mail

Signalment: 6 1/2 YR NM DSH

JackHistory: ~2wk history of lethargy; owners now reporting loss of appetite, vomiting and vocalizing when picked up. Hx of feline asthma. Becomes stressed while owners are out of town. Current meds include prednisolone and amoxicillin.

Exam: Presented lethargic, ~8-10% dehydrated, unkempt hair coat, occasional vocalizations, mild gingivitis, tender on abdominal palpation, wt loss.

Diagnostics: Normal WBC on CBC (later elevated to 23k), elevated liver values (ALT 473 U/L), hypokalemia (3.2 mMOL/L), hypophosphatemia (3.0 mg/dl), mild hyperbilirubinemia (1.0 mg/dl) and severe hyperglycemia (425 mg/dl) observed on chemistry analysis. UA revealed concentrated urine (sg 1.044) with severe glucosuria (500 mg/dl) and severe ketonuria. Bilirubin initially normal but elevated to 4.2mg/dl 3 days after admission.

Read more...
 
Kiara PDF Print E-mail


KiaraHistory: “Kiara” is a 4 month old Yorkshire terrier that presented for gagging and foaming at the mouth. Her owner stated that she had aggressively taken a treat away from the housemate 30-40 minutes prior to the symptoms starting. “Kiara” has no other medical conditions and is current on all vaccinations.

Exam: “Kiara’s” physical exam was all normal except for a small amount of regurgitation and persistent gulping.

Diagnostics: Radiographs (see radiographs at bottom of page) revealed a large foreign body lodged in the proximal esophagus...

Read more...