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Severe Pancreatitis in a 14 Year Old Rat Terrier

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A geriatric, spayed Rat Terrier presented with acute abdominal signs and shock following ingestion of a large amount of zucchini bread. She was found to have hypotension, relative bradycardia, pleural and peritoneal effusion, hypoglycemia, hyponatremia, hypochloridemia, hypocalcemia, azotemia and a degenerative left shift. Further diagnostics, including an abdominal ultrasound, complete blood count (CBC), chemistry panel, disseminated intravascular coagulation (DIC) panel, and repeated blood gas tests lead to a diagnosis of severe pancreatitis with secondary systemic inflammatory response syndrome (SIRS) and renal azotemia. Intensive supportive treatment was unsuccessful in alleviating disease progression; due to the development of DIC, worsening pleural edema, continued relative bradycardia, increasing azotemia, and hypotension refractory to vasopressors, the patient was euthanized.

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2018-10-24

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Pancreatitis, shock, systemic inflammatory response syndrome

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case study

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