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Weakness

Weight loss, diarrhea, decreased appetite, occasional weakness. Glucose checks have been consistently in the low 60s. HCT over 60%, ALT 299, AST 141, BG 61. Recheck BG 64.

A 13-year-old MN Beagle mix with history of increased weakness and respiratory effort presented for a heart murmur, suspected pulmonary edema, enlarged liver, and possible cranial abdominal mass. The patient was abdominally retracting while breathing, but his mucous membranes remained consistently pink. The patient was started on furosemide 12.5 mg 3 tabs BID and Pimobendan 5 mg BID. CBC and blood chemistry found moderately high WBC count; poss. bands, Alk. Phos. 663. Urine specific gravity was 1.023.

A 13-year-old MN Border Collie was presented for anorexia. Blood chemistry revealed moderate to severe BUN, creatinine and phosphorus with minor ALT, CPK and globulin elevations. Urinalysis revealed isosthenuria was present with a urine PH of 6.0 and some epithelial cells. Clinical dehydration and depression was present. Survey abdominal radiographs and CBC were unreremarkable.

A 10-year-old FS American Eskimo dog was presented for stranguria, hematuria, pollajuria and just not herself. She was non responsive to therapy for UTI. Severe azotemia and moderate anemia developed. Urinalysis revealed proteinuria, elevated WBC, blood and transitional cells, and isosthenuria.

An 8-year-old F Maltese was presented for examination.  A grade 5/6 systolic heart murmur was noted. Radiographs revealed severe generalized cardiomegaly and an unremarkable pulmonary parenchyma. Moderate hepatomegaly and ascites was additionally noted.

The patient was presented for weight loss, occasional vomiting, not herself, lethargic. CBC revealed mild anemia and elevated thyroid values. Clinical exam revealed a palpable intestinal mass and poor body condition.