Clinical case challenge
A 5-year-old sprayed female domestic short haired cat is brought to her veterinarian for evaluation of raised pink lesions on the medial thighs of 2 weeks duration. The owners report that she is a healthy cat that lives indoors but occasionally has access to a screened porch. There are no other cats in the household. She is up-to-date on her vaccines and is fed a high quality, nutritionally balanced, commercial diet. Continue reading
Maxy, a 2-year-old spayed female Golden Retriever, presents for her first weigh in after starting a weight loss program. Her initial physical exam reveals no abnormalities other than a body condition score of 9/9 (normal muscle condition). Her starting weight is 105 pounds, with an estimated ideal weight of 80 pounds. Her diet history reveals that she was receiving 2000 kcal from her current diet. You start her on 1600 kcal of a therapeutic diet after calculating that this is 80% of her current estimated caloric intake. After two weeks on the veterinary therapeutic diet, the owner is upset that Maxy has gained one-half pound and is now 105.5 lbs. Continue reading
An 8 year-old spayed female Golden Retriever was referred to the Foster Hospital for Small Animals with a three-week history of right forelimb lameness. On physical examination the dog would not bear weight on the affected leg when standing and a toe touching lameness was present when walking. Pain was elicited with light palpation of the right proximal humerus. Initial forelimb radiographs from the referring veterinarian were considered within normal limits. Given the persistent and progressive lameness, follow-up radiographs of the right forelimb were obtained. Continue reading
A 15-year-old castrated male domestic shorthair cat presented for evaluation of polyuria/polydipsia and weight loss despite a good appetite. He weighed 9 pounds (4.1 kg) with a body condition score of 4/9. Moderate atrophy of the epaxial muscles was noted. Physical examination was otherwise unremarkable. A CBC revealed a mild, non-regenerative anemia (Hct, 25%; reference range, 31-46%).The biochemistry profile revealed hyperglycemia (glucose, 583 mg/dl; reference range, 70-120 mg/dl) and azotemia (BUN, 99 mg/dl; reference range, 15-33 mg/dl; creatinine, 3.2 mg/dl; reference range, 0.9-2.1 mg/dl). Urinalysis revealed a specific gravity of 1.015 with 4+ glucose and no proteinuria. T4 was within the reference range. A complete diet history revealed that the cat was eating ½ cup over-the-counter (OTC) dry adult maintenance cat food plus two 3 oz. cans of cat food per day (both made by good quality major manufacturers – specific varieties and flavors were included in the diet history). The cat did not receive any cat treats, table food, or dietary supplements.