Summer 2010 Issue 2

The Need to Assess Patients with Comprehensive In-House Blood Work Case Example General and emergency practitioners have all faced the enigma of the anorexic, listless patient. For example, Chance Murphy, a 6-year-old 66-pound female spayed black lab mix, walks in the practice door.

The owners are faithful clients and are concerned because Chance is suddenly depressed, weak-lethargic, and has not eaten for the last two days. There has been no overall change in her history, no known toxins or poisons that she could have gotten into and the other pets in the household are fine.

The veterinanan evaluates Chance and finds that her body temperature is 102.3F (39C). She has a strong 120 pulse rale, 40 respiration rate, light pink mucous membranes, a two-second capillary refill time, and normal hydration. She appears weak and possibly slightly painful in her caudal abdomen; no palpable abnormalities can be detected. All other elements of her physical examination are withln normall limits.

The veterinarian discusses the concerns with the owners and outlines the diagnostic recommendations which include a complete blood count, chemistry profile, urinalysis and chest and abdominal radiographs. The owners agree to the initial diagnostic plan and the medical team takes Chance to the back for radiographs and lab work....... Read More....

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