SMALL ANIMAL CLINICAL CASE CHALLENGES
- Clinical Case Challenge: More Than Hip Dysplasia?
An eight-month-old Shetland sheepdog presented with an odd walk. His owners brought him to their primary veterinarian who diagnosed him with hip dysplasia and a limb deformity, but his condition appeared to get worse rather than better over the next few months.
- Clinical Case Challenge: Just another case of idiopathic IMHA?
A six-year-old, female spayed terrier mix originally presented to her referring veterinarian for a two-week history of lethargy and inappetence.
- Clinical Case Challenge: Blepharospasm of the Right Eye
History
An 8-year-old spayed female Boxer was presented for a 3-week history of blepharospasm in the right eye. Her primary care veterinarian had initially diagnosed a corneal ulcer and prescribed neomycin/bacitracin/polymyxin ophthalmic ointment. The ulcer was considered healed at recheck based on lack of fluorescein stain retention. When medications were discontinued, symptoms returned, and a red ... - Clinical Case Challenge: Nutrition
History/Case Details
Cole, a 10-year-old male neutered Dalmatian, was presented to the Cummings Veterinary Medical Center’s Emergency Service with stranguria. He had a large, unexpressable bladder, a III/VI systolic murmur on the left side, ventral pyoderma, and hyperemic paws. Body weight was 27 kg, with a body condition score of 4/9 and a normal muscle condition ... - Penny’s Clinical Case Challenge
Penny, a 12- month -old female spayed Chihuahua mix presented to Foster Hospital for Small Animals at Cummings Veterinary Medical Center due to the development of cutaneous nodules, on the groins, abdomen, back and neck. She was adopted from a shelter in Puerto Rico three months prior. Ruby was previously treated with amoxicillin-clavulanic acid for ... - Diagnosing Renal Disease in Rabbits – Clinical Case Challenge
Renal disease is commonly seen in rabbits, but often can be underdiagnosed or mistaken for other conditions. Since the causes can vary, a veterinarian will first want to rule out some other potential causes for the rabbit’s symptoms, including lymphoma, abscesses, or other types of kidney infections. In the case of Edison, a three- and- ... - Treatment and Monitoring of Sammy’s Chronic Diarrhea and Lethargy
Sammy, an eight- month -old, Chihuahua, presented to Cummings Veterinary Medical Center for an endoscopy and gastrointestinal biopsy due to chronic diarrhea and lethargy. Lab work revealed ongoing blood loss was an issue. Sammy was referred to the Anesthesia Service for treatment and monitoring. Sammy’s very small size made his treatment plan ... - Clinical case challenge: Diagnosis and Treatment of Molly’s Anal Sac
Molly, an 11 ½-year-old female Golden Retriever was referred to Foster Hospital for Small Animals at Cummings Veterinary Medical Center for the treatment of an anal sac mass discovered on a routine physical examination. A complete diagnostic workup was completed for this type of cancer to confirm the diagnosis. Learn about the approach taken during ... - Treating Buster’s Demodicosis and Making Changes Along the Way
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Buster, a two-year-old castrated male Staffordshire bull terrier mix, presented to Foster Hospital for Small Animals at Cummings School of Veterinary Medicine with a five-month history of generalized demodicosis with secondary bacterial folliculitis and a progressive worsening of his skin condition. While Buster’s treatment regimen was consistent with standard treatment protocols, it didn’t appear to ... - Flight Trouble: To Trim or Not to Trim
Clinical Case Challenge: Schatzi (Cockatiel)
Prepared by:
Jennifer Graham, DVM, Dipl. ABVP (Avian / Exotic Companion Mammal), Dipl. ACZM
Zoological Companion Animal Medicine
History
Shatzi, an 8-year-old male cockatiel, presented to his referring veterinarian with a recent history of lethargy, watery droppings and decreased appetite. According to the owner, the bird had recently been taken into a local pet store for ... - Clinical Case Challenge: Internal Medicine (Cat)
Prepared by: Orla Mahony, MVB, DACVIM, DECVIM
Case Description
Harry, a 9-year-old male castrated FIV positive, DSH cat, presented to the Internal Medicine Service at the Foster Hospital for Small Animals at Cummings School of Veterinary Medicine at Tufts University for a 5-month history of diabetes mellitus. An abdominal ultrasound had shown a hydronephrotic right kidney, an ... - Second Opinion at Tufts Saves Shayla’s Life
They say big things come in small packages. Well, you can say the same for big diseases. Granulomatous meningoencephalomyelitis or GME is an inflammatory disease of the central nervous system, which effects many small breed dogs and one which very few people know anything about. When Veronica was asked to tell her story about Shayla, ... - Clinical Case Challenge: Radiation Oncology (Dog)
Oscar, a 10-year-old male castrated Yorkshire terrier, presented to the Tufts Foster Hospital for Small Animals at Cummings School Radiation Oncology Service for a several month history of nasal signs. Oscar’s owners initially noted increased sneezing and increased respiratory noise/congestion approximately six months prior that was non-responsive to treatment with steroids and antibiotics. Intermittent unilateral epistaxis was ... - Clinical Case Challenge: Animal Behavior Clinic (Dog)
Case Description
A 2.5-year-old miniature dachshund named Otto, presented to the Animal Behavior Clinic at Cummings School of Veterinary Medicine at Tufts University for the sudden onset of aggression to his owners. The aggression consisted of growling, lunging, snapping and biting. Lifting him, attaching a leash and approaching him while resting triggered an aggressive response. ... - Clinical Case Challenge: Ophthalmology (Dog)
Case description
A 4-year-old male, neutered, mix breed dog, Canon, presented to the Ophthalmology Service at Tufts Foster Hospital for Small Animals for a two-month history of ocular redness and discharge involving the left eye (OS). Canon was previously treated with topical neo/poly/dex ointment (q12h) for approximately one month, with minimal improvement.
Ophthalmic examination revealed menace ... - Clinical Case Challenge: Soft Tissue Surgery (Dog)
An 11- year-old castrated male Boxer cross presented to the referring veterinarian with a four-day history of vomiting once per day, which was very unusual for him. The owners had also noticed that his abdomen appeared mildly distended over a two-week period. On physical examination at the referring veterinarian’s hospital, the abdomen was difficult to palpate, ... - Clinical Case Challenge: Cardiology (Dog)
Case description:
“Sadie”, an 11-year-old female Pit Bull, presented to the Cardiology Service at Tufts Foster Hospital for Small Animals for further evaluation and treatment of a cardiac mass and signs of persistent right-sided congestive heart failure(RCHF). Sadie had previously been treated with standard doses of furosemide and pimobendan. Previous three-view thoracic radiographs at Tufts VETS showed ... - Clinical Case Challenge: Neurology (Dog)
Case description
A 1.5 year old neutered Labrador retriever, Rimadyl, presented to the Neurology Service at Tufts Foster Hospital for Small Animals for a two week history of neck pain. Rimadyl improved for about one week, however, clinical signs then progressed with an uncoordinated gait and dragging of all four legs.
Physical examination showed a dog in ... - Clinical Case Challenge: Zoological Companion Animal Medicine
History: A 6-year-old female spayed Lionhead rabbit presented to Tufts Foster Hospital for Small Animals with a one-day history of inappetance. She also had a recent history of urine scald. On physical examination the rabbit was noted to be overweight with increased subcutaneous and abdominal fat stores. The results of a complete blood count revealed ... - Clinical Case Challenge: Dermatology (Dog)
A 9-year-old intact male Labrador retriever presented to Tufts Foster Hospital for Small Animals for further evaluation of history of painful gait, chronic atopic dermatitis/pododermatitis (for years) and the recent discovery of of increased liver enzymes (ALT =422 U/L, ALP= 377 U/L, AST =73 U/L) with a normal albumin and bilirubin. The dog had failed ... - Clinical Case Challenge: Dermatology (Cat)
Clinical case challenge
History:
A 5-year-old sprayed female domestic short haired cat is brought to her veterinarian for evaluation of raised pink lesions on the medial thighs of 2 weeks duration. The owners report that she is a healthy cat that lives indoors but occasionally has access to a screened porch. There are no other cats in ... - Clinical Case Challenge: Nutrition (Dog)
Maxy, a 2-year-old spayed female Golden Retriever, presents for her first weigh in after starting a weight loss program. Her initial physical exam reveals no abnormalities other than a body condition score of 9/9 (normal muscle condition). Her starting weight is 105 pounds, with an estimated ideal weight of 80 pounds. Her diet history reveals ... - Clinical Case Challenge: Diagnostic Imaging (Dog)
History
An 8 year-old spayed female Golden Retriever was referred to the Foster Hospital for Small Animals with a three-week history of right forelimb lameness. On physical examination the dog would not bear weight on the affected leg when standing and a toe touching lameness was present when walking. Pain was elicited with light palpation of ... - Clinical Case Challenge: Nutrition (Cat)
A 15-year-old castrated male domestic shorthair cat presented for evaluation of polyuria/polydipsia and weight loss despite a good appetite. He weighed 9 pounds (4.1 kg) with a body condition score of 4/9. Moderate atrophy of the epaxial muscles was noted. Physical examination was otherwise unremarkable. A CBC revealed a mild, non-regenerative anemia (Hct, 25%; reference ... - Clinical Case Challenge: Oncology (Cat)
Oral Mass in a Cat
History and Physical Exam: An 11-year-old, castrated male domestic shorthair cat presented for evaluation of a rapidly growing mass along his left rostral maxilla. The owners reported that hyperemia of the mucus membranes had been noticed in that region at his annual physical exam by his local veterinarian. The lesion progressed over the ... - Clinical Case Challenge: Opthalmology (Dog)
1.
Challenge: The right eye of an 8 year old MC German shepherd presented for an annual recheck of his eyes. The nucleus of the lens is noted to be cloudy bilaterally. The rest of the ocular examination is normal.
What is the diagnosis?
What is the prognosis?
Answer: This is “pulverulent” cataract. “Pulvis” is Latin for “dust,” ... - Clinical Case Challenge: Behavior (Dog)
Phobias may be related to living or inanimate objects, or noises.
- Clinical Case Challenge: Oncology (Dog)
Cranial Mediastinal Mass in an Old Dog
History: An 11 year-old, spayed female Labrador retriever presents for polyuria and polydipsia. The owners report mild lethargy but the dog is otherwise doing well. Physical examination reveals body condition 4/9 but is otherwise within normal limits for a dog of this age. A complete blood count is within ... - Clinical Case Challenge: Emergency and Critical Care (Dog)
Labrador Collapses: What’s Your Diagnosis?
History: An eight-year-old, spayed female Labrador retriever presented for evaluation of acute onset of diarrhea and collapse. The owner reported that the dog was completely normal until 3 hours prior to presentation when the dog developed profuse bloody diarrhea. There was no history of toxin exposure, and current medications included prednisone 1 ... - Clinical Case Challenge: Anesthesia and Pain (Dog)
Anesthesia and Pain Case Challenge
History: An 8 year old, 30 kg, mixed breed dog presents with recent onset of left hind leg lameness. Radiographs and subsequent biopsy reveal the presence of an osteosarcoma of the distal femur. The decision to amputate the limb is made. How would you manage this dog’s acute perioperative pain using a ... - Clinical Case Challenge: Orthopedic Surgery (Dog)
Minimally Invasive Surgery Case Challenge
Shanti Jha, DVM, Resident in small animal surgery
Michael Kowaleski, DVM, DACVS, Associate Professor of Surgery
Background: Boomer, a 7 year old, CM chocolate Labrador retriever was evaluated to determine the cause of chronic right forelimb lameness of 3 months duration. The lameness was not responsive to medical management consisting of rest of ...