Monocytes, High

A 2-year-old MN Doberman Pinscher presented on April 4th due to a sock foreign body. He underwent exploratory surgery with a resection and anastamosis. This was the second resection and anastomosis surgery for this patient since February. After the first surgery, the patient had a septic abdomen. After that surgery, he was managed with a drain in an emergency hospital for several days. He had initial hepatic enzyme elevations which resolved with resolution of sepsis. At the second surgery on April 4th, adhesions were noted throughout the abdomen. There was an area of adhesions in the left inguinal area that was extremely friable. A drain was placed following this surgery as well. Intracelluar bacteria were noted in the drainage fluid. The patient was discharged from the hospital on April 8th. The following medications were sent home: Cefaseptin, 750 mg BID x 5 days Baytril, 150 mg BID x 5 days, Metronidazole, 500 mg BID x 5 days Cerenia and codeine were also dispensed. Clinically the patient is doing very well. He is eating, drinking, urinating and defecating normally. His activity level is good. Blood work from April 7th: Alb=21 (better than pre-op) ALP=241, lymphocytes=0.88, monocytes=1.57, Neutrophils=12.15, suspected bands. A follow up ultrasound 14 days post-op from the second sock foreign body surgery was performed.

A 4-year-old intact male labrador retriever was presented for depression, weight loss, intermittent vomiting bile, decreased appetite, and greenish, mucoid ocular discharge. Blood work revealed mild leukocytosis and mild hyperglobulinemia.

The patient was presented for annual exam with a 1-2 month history of decreased appetite. Blood chemistry and CBC found a potassium low at 3.2, chloride low 113, AST high 70, monocytes high 684, and T4/fPL both normal. Repeat bloodwork a month later showed potassium even lower at 2.6. The patient was started on Renacare potassium supplement and abdominal ultrasound was scheduled.  The day of the ultrasound, potassium was rechecked and still low at 2.7; Renacare dose was increased and a month later the potassium level was normal. Post-ultrasound Aldosterone baseline level was high at 1194 (194-388). Prior to surgery she had a normal appetite and energy level, and CBC and chem were normal other than a mildly elevated ALT.

A 7-year-old Bernese Mountain Dog (BMD) was presented for a history of persistent weight loss. The only abnormality on physical examination was a thin body condition. CBC and blood chemistry showed monocytosis, elevated creatinine, hypercalcemia, and mild hyperamylasemia. Survey thoracic radiographs showed a 4cm diameter spherical soft tissue opacity mass arising at the ventral tip of the lung to the right of the cardiac apex within the right middle lung lobe. There was also a 14cm x 6cm x 8cm mass infiltrating the ventral portion of the caudal subsegment of the left cranial lung lobe. No pleural effusion was seen.