Wednesday, March 20, 2013

1332. Follow up on Sharpei with oily skin & blood in the urine

March 21, 2013  12.45pm
Phoned the mother but she could talk very briefly that the dog was not passing blood in the urine and that the skin was less "waxy". The dog vomited food + tablets 2 days ago but is now OK. Will call me back later.


REVIEW OF THE HISTORY
This is probably a Chow Chow X Sharpei, F, not spayed, 4 years old.

Mar 13, 2013
Presented for oily skin disease and 6-month haematuria (blood in the urine). Vet 1 had taken X-ray and found no bladder stones. After antibiotics, blood is seen during urination. This occurred for at least 6 months.

I had taken bladder and kidney X-rays and found no radio-dense urinary stones. However I saw  bright red blood peed out in the midst of urination and also bloody vaginal discharge.
Bladder palpation was a solid firm bladder (thickened wall). Little pain. No crepitus. I thought there was a large stone and told the owner on the first visit and palpation.


Skin scraping +ve demodex, fungi, yeast
Blood test - elevated total white cell count
Urine test - pH 9.0, bacteria +, struvite crystals +, blood +
X-rays - no obvious stones in urinary tract

S/D to dissolve struvites + antibiotics.  2 weeks to review.

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