Hemorrhagic gastroenteritis in a 4 year old Shih Tzu
Smith, Kelli A.
A 4 year old female spayed Shih Tzu was presented to the Cornell University Hospital for Animals (CUHA) Emergency Service on 8/25/12 for a 3 hour history of lethargy, inappropriate mentation and inappetence. En route to Cornell, the patient began to have hematochezia. On presentation, the patient was recumbent, obtunded, tachycardic, and began to have hematemesis. A catheter was placed and point-of-care bloodwork was performed, revealing an elevated packed cell volume (PCV) of 70% with disproportionately low total solids of 5.2 g/dL and an abnormal coagulation panel. Focused Assessment with Sonography for Trauma (FAST) scan revealed gall bladder wall edema and fluid pocketed around the liver. On abdominal radiography, the patient had an enlarged, distended stomach filled with gas and fluid, and a full abdominal ultrasound showed free peritoneal fluid, mildly enlarged small intestines filled with echogenic material, an enlarged stomach filled with gas and fluids, and a gallbladder filled with anechoic bile. Initial stabilization was provided with fluids and pain medication, and a nasogastric tube and central line were placed. The patient was moved to the intensive care unit (ICU) and continued on fluids; in addition, she was administered several boluses of plasma and started on gastroprotectants, antibiotics and antiemetics. She recovered over the course of the following 3 days and was discharged to her owner on 8/28/12. The diagnosis, treatment and prognosis of hemorrhagic gastroenteritis will be discussed.
Senior seminar paperSeminar SF610.1 2013
Dogs -- Diseases -- Case studies