Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, Q&A 07


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Student tip template.png Student tip: This case is a lesson in how to infer diagnosis from biochemical results.




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A 3-year-old female Daschund presents for vomiting eight times in the last 24 hours. T = 39.4°C (103°F); HR = 180 bpm; RR = panting; CRT = >3sec; MM gray, dry; femoral pulses weak; perfusion - early decompensatory shock; 8% dehydrated by skin turgor, dry MM/corneas. Biochemistry laboratory abnormalities: BUN = 28.5 mmol/l (80 mg/dl); creatinine = 177 μmol/l (2.0 mg/dl); K+ = 3.0 mEq/l; lactate = 3.4 mmol/l (30.6 mg/dl); pH = 7.31; HCO3 = 15 mEq/l; PCO2 = 30 mmHg.

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