Clinical Case Challenge: Acute Weakness in an Adult Street Dog at Lower Parel.
Case Detail :
On presentation, the Dog was mentally dull, extremely weak and exhibited open-mouth breathing. He was unable to stand or support his head in an upright position, and his body condition score was low at 2/5 (normal is 3-3.5/5). Additionally, an elevated heart rate of 120 bpm (normal is 60-90) was noted, while respiratory rate and temperature were within normal limits. Mucous membranes and ocular conjunctiva appeared pale pink. Initial bloodwork revealed multiple abnormalities, including changes consistent with dehydration in the face of anemia (Packed Cell Volume or PCV 25%), hypoproteinemia (total serum protein level 4.0 g/dL), profound hypoglycemia (<20 mg/dL), marked hyperlactatemia (lactate level 18 mmol/L; normal <2 mmol/L), severe metabolic acidosis (pH 7.12; normal 7.35 – 7.45), mildly increased kidney values and mild electrolytes abnormalities. Soon after admission, the alpaca exhibited seizure activity, controlled with administration of diazepam. He was given oral dextrose and administered intranasal oxygen while an IV catheter was being placed. Intravenous fluid therapy was initiated with dextrose and sodium bicarbonate supplementation to address the dangerously low blood sugar and blood pH level.
Case Detail :
On presentation, the Dog was mentally dull, extremely weak and exhibited open-mouth breathing. He was unable to stand or support his head in an upright position, and his body condition score was low at 2/5 (normal is 3-3.5/5). Additionally, an elevated heart rate of 120 bpm (normal is 60-90) was noted, while respiratory rate and temperature were within normal limits. Mucous membranes and ocular conjunctiva appeared pale pink. Initial bloodwork revealed multiple abnormalities, including changes consistent with dehydration in the face of anemia (Packed Cell Volume or PCV 25%), hypoproteinemia (total serum protein level 4.0 g/dL), profound hypoglycemia (<20 mg/dL), marked hyperlactatemia (lactate level 18 mmol/L; normal <2 mmol/L), severe metabolic acidosis (pH 7.12; normal 7.35 – 7.45), mildly increased kidney values and mild electrolytes abnormalities. Soon after admission, the alpaca exhibited seizure activity, controlled with administration of diazepam. He was given oral dextrose and administered intranasal oxygen while an IV catheter was being placed. Intravenous fluid therapy was initiated with dextrose and sodium bicarbonate supplementation to address the dangerously low blood sugar and blood pH level.
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