Case 34

Hematology

  ERYTHROCYTE PARAMETERS  RESULT UNITS
  RBC                     6.93 M/ul
  HEMOGLOBIN               9.9 gm/dl
  HEMATOCRIT              31 %
  MCV                     44.7 fl
  MCH                     14.3 pgm
  MCHC                    31.9 gm/dl
  RDW                     16.5 %
  RETICULOCYTE COUNT    26,000 /ul
RBC MORPHOLOGY - SLIGHT ANISOCYTOSIS; RARE POLYCHROMASIA

LEUKOCYTE PARAMETERS         %   ABS COUNT
  WBC                             6,440/ul
WBC DIFFERENTIAL
  NEUTROPHILS            42%    2,718/ul
  LYMPHOCYTES            47%    3,040/ul
  MONOCYTES               2%      109/ul
  EOSINOPHILS             9%      573/ul
  BASOPHILS               0%

OTHER PARAMETERS        RESULT UNITS       COMMENTS
  PLATELETS            156,000 /ul
  PLASMA PROTEIN           7.8 gm/dl
  ICTERUS INDEX                            SLIGHT HEMOLYSIS

Serum Chemistry Profile

ANION GAP 26 (15-28 MM/L); SODIUM 150 (151-158 MM/L); POTASSIUM 4.1 (3.6-4.9 MM/L); CHLORIDE 112 (113-121 MM/L); CO2 TOTAL 16 (15-21MM/L); CALCIUM 10.0 (9.4-11.4 MG/DL); PHOSPHORUS 3.2 (3.2-6.3 MG/DL); CREATININE 1.6 (1.1-2.2 MG/DL); UREA NITROGEN 23 (18-33 MG/DL); GLUCOSE 131 (73-134 MG/DL) TOTAL PROTEIN 7.8 (6.6-8.4 G/DL); ALBUMIN 4.3 (1.9-3.9 G/DL); GLOBULIN 3.5 (2.9-5.3 G/DL); ALT 60 (28-106 IU/L); AST 15 (12-46 IU/L); ALKALINE PHOSPHATASE 22 (14-71 IU/L); BILIRUBIN TOTAL 0.2 (0-0.2M G/DL); CHOLESTEROL 105 (89-258) MG/DL; CREATINE KINASE 199 (73-260) IU/L; GAMMA GT 5 (0-4I U/L)

Urinalysis

URINALYSIS PARAMETER   RESULT                               METHOD/UNITS

VISUAL INSPECTION
   Turbidity           hazy                                 Visual
   Color               yellow                               Visual
   Specific gravity    1.041                                Refractometer

CHEMICAL REAGENT STRIP
   pH                  6.0                                  Reagent strip
   Protein             1+                                   Reagent strip
   Protein (Confirm)   1+                                   Sulfosalicylic acid
   Glucose             negative                             Reagent strip
   Ketones             negative                             Reagent strip
   Bilirubin           negative                             Reagent strip
   Bilirubin (Confirm) negative                             Ictotest
   Hemoprotein         negative                             Reagent strip

SEDIMENT               <.1ml sediment / 4ml urine
   WBC                 0-1                                  #/hpf
   RBC                 none seen                            range/hpf
   EPITHELIAL CELLS
     Transitional      0-1                                  range/hpf
     Squamous          none seen                            range/hpf
     Renal             none seen                            range/hpf
     Caudate           none seen                            range/hpf
   Casts               none seen                            range & type/lpf
   Crystals            rare calcium oxalates                rare/few/mod/many
   Bacteria            none seen                            rare/few/mod/many
   Lipid Droplets      moderate                             rare/few/mod/many
   Sperm               none seen                            rare/few/mod/many

SMALL ANIMAL ULTRASONOGRAPHY SCAN

CASE HISTORY

Four month history of collapsing episodes that last for 5 seconds. He paddles with his front paws during these episodes.

GENERAL ABDOMEN

Significant Findings:

The kidneys are lobular and echogenic. The pancreatic body is visible caudal to the gastric wall. There is mild mesenteric lymphadenopathy.

ULTRASOUND IMPRESSIONS

Changes involving the kidneys likely represents chronic renal disease. Mild mesenteric lymphadenopathy.