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VPTH 123 2nd Lab Exam WMLL

This document contains information about two veterinary clinical case analyses involving laboratory examination results. Case A involves a 7-year-old female dog presented with diarrhea. Based on blood gas analysis results, the dog has metabolic acidosis likely due to diarrhea. Case B involves a 4-year-old male dog with intermittent weakness and lameness. Laboratory tests show anemia, azotemia, and elevated alkaline phosphatase, suggesting kidney dysfunction is the predominant organ system impairment. The dog also has mild dehydration.

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59 views2 pages

VPTH 123 2nd Lab Exam WMLL

This document contains information about two veterinary clinical case analyses involving laboratory examination results. Case A involves a 7-year-old female dog presented with diarrhea. Based on blood gas analysis results, the dog has metabolic acidosis likely due to diarrhea. Case B involves a 4-year-old male dog with intermittent weakness and lameness. Laboratory tests show anemia, azotemia, and elevated alkaline phosphatase, suggesting kidney dysfunction is the predominant organ system impairment. The dog also has mild dehydration.

Uploaded by

eva marie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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VETERINARY CLINICAL PATHOLOGY (VPTH 123)

2ND Laboratory Examination

NAME: _______________________________________ LAB SECTION: ______________


Instructions: Erasures are allowed in this part of the exam. You can write anything on the questionnaire but final
answers should be written CLEARLY on the space provided for each number.
CASE ANALYSIS -A
A 7-year-old female neutered mixed breed dog
presented with diarrhea for the past several days. Physical
examination reveals that there is a mild discomfort in the
abdomen as well as dry mucous membranes. The blood
gas analysis is as follows:

Reference
Analyte (units) Result
Interval
Arterial pH 7.24 7.36-7.44
_______4. The increase in serum potassium is due to:
PaCO2 (mmHg) 24 36-44
PaO2 (mmHg) 95 85-95 A. H+ shift from the ECF into the ICF in
Plasma HCO3- exchange for K+
10 18-26
(mmol/l) B. H+ shift from the ICF into the ECF in
Serum Na+ 145 145-155 exchange for K+
+
Serum K 6.5 4-5 C. Cl- shift from the ECF into the ICF in
Serum Cl- 124 105-115 exchange for K+
Anion gap ? 15-25 D. Cl- shift from the ICF into the ECF in
1. Compute and interpret the anion gap. (4 pts) exchange for K+
_______5. The increase in Cl- is a normal compensatory
mechanism for the:
A. Decreased Na+
B. Decreased PaCO2
C. Decreased Plasma HCO3-
D. Increased K+

6. What is the type of dehydration in this case?


Justify your answer. (3 pts)

2. What is your assessment of the arterial pH? (3


pts)

3. What is your assessment of the likely underlying


etiology of the case? (3 pts)
CASE ANALYSIS - B b. There is significant hematuria
c. There is significant pyuria
A 4-year-old intact male dog was brought to the d. Urine color is abnormal
clinic with complaints from the owner of intermittent
periods of weakness and lameness. Upon physical ________ 9. Which of the biochemical parameters best
examination, the animal was mildly dehydrated, had reflects decreased renal function?
halitosis, and had teeth covered with tartar. Blood and
a. Glucose
urine samples were taken for laboratory analysis and
b. BUN
results are shown below:
c. Creatinine
Hematology Reference Interval
d. Albumin
PCV (%) 11 37-55 ________10. Which of the biochemical parameters will
Hgb (g/dL) 4.0 12-18 have elevated levels during cholestasis?
RBC (x106/uL) 1.64 5.5-8.5
Retics (x103/uL) 13.1 <60 a. ALT
TP (P) (g/dL) 6.8 6-8 b. AST
Biochemical Reference Interval c. ALP
Profile d. BUN
Gluc (mg/dL) 91 65-122
BUN (mg/dL) 183 7-28 ________11. Based on the laboratory results, what is the
Creat (mg/dL) 8.1 0.9-1.7 predominant organ exhibiting diminished function?
Ca (mg/dL) 8.2 9.0-11.2
Phos (mg/dL) 17.2 2.8-6.1 a. Liver
TP (g/dL) 5.8 5.4-7.4 b. Kidneys
Alb (g/dL) 3.2 2.7-4.5 c. Lungs
Glob (g/dL) 2.6 1.9-3.4 d. All of the above
T. Bili (mg/dL) 0.4 0-0.4
Chol (mg/dL) 180 130-370 ________ 12. In relation to the answer in item 5, what is
ALT (IU/L) 19 10-120 the likely duration of the disease in the animal?
AST (IU/L) 17 16-40
a. Acute
ALP (IU/L) 40 36-280
b. Subacute
Na (mEq/L) 146 145-158
c. Chronic
K (mEq/L) 5.0 4.1-5.5
Cl (mEq/L) 115 106-127 ________ 13. If the patient is a horse, what will be the
TCO2 (mEq/L) 16 14-27 enzyme of choice if you are trying to assess cholestasis?
An. Gap 20 8-25
(mEq/L) a. ALP
Urinalysis (Catheterized) b. GGT
Color Yellow Urine Sediment c. Both A and B
Transparency Clear WBC/HPF 3-5 d. None of the above
Sp. Gr. 1.008 RBC/HPF 2-3
Protein Trace Epith 0 ________14. What observation during PE match the
cells/HPF laboratory finding/s in the patient?
Glucose Neg Casts/LPF 0
Bilirubin Neg Crystals 0 a. Mild dehydration – elevated creatinine
Blood Neg Bacteria 0 b. Foul smelling breath – elevated BUN
pH 5.0 c. Teeth covered with tartar – elevated BUN and
creatinine
d. All of the above
________7. Which of the following is true?
a. There is hepatocellular injury
b. There is cholestasis
c. There is azotemia
d. All of the above
________8. Which of the following is true regarding the
urinalysis result?
a. There is significant proteinuria

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