Case study - I
- Rocky, a 5 year old Spitz , had a history of polydypsia and weight loss for 2 weeks. Both kidneys were enlarged on abdominal palpation. The results of haemogram, biochemical profile and urinalysis are as follows.
Haemogram
| Haemoglobin
|
8 g%
|
Differential count
|
|
| PCV
|
26 %
|
Neutrophil
|
79%
|
| Erythrocytes
|
3.83 x 105/cmm
|
Lymphocyte
|
15%
|
| Reticlocyte
|
|
Monocyte
|
3%
|
| Leucocyte
|
54,000/cmm
|
Eosinophil
|
3%
|
| Blood picture
|
Netrophilia,
mild left shift, anisocytosis
|
Basophil
|
0%
|
|
|
Blood smear
|
Negative for blood parasite
|
Biochemical profile
| BUN
|
87 mg/dl
|
Potassium
|
4.8 mmol/L
|
| Creatinine
|
4.8 mg/dl
|
Sodium
|
135 mmol /L
|
| ALT
|
45 IU/L
|
Glucose
|
68 g%
|
| ALP
|
50 IU/L
|
|
|
| Total protein
|
3.6 g/dl
|
|
|
| Albumin
|
1.6 g/dl
|
|
|
Urinalysis
| Colour
|
pale yellow
|
Glucose
|
Negative
|
| Specific gravity
|
1.013
|
Ketone
|
Negative
|
| pH
|
6.5
|
Blood
|
positive (+)
|
| Protein
|
+++
|
Bilirubin
|
Negative
|
| Sediment
|
Epithelial cells, WBC, RBC
|
|
|
Based on the clinical pathological parameter, interpret the result.
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|
Last modified: Wednesday, 30 November 2011, 9:03 AM
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