July 28, 2016
Referrals are very important to a doctor. I thank this groomer for referring this case to me. The Jack Russell has large lymph nodes under his jaws, in front of his shoulders and back of his hind knees. This could be lymphoma or inflammatory.
A popliteal lymph node is excised and sent to the laboratory in the US for analysis. This takes around a week.
X-rays shows enlarged spleen which could be palpated as a lump of 10 cm across in the lower abdomen.
Blood test by Vet 1 showed increase in liver enzymes.
"This case is detected early," I said. "The blood values are normal except for the liver enzymes which are twice as high."
The owner will wait one week for the lab result. This dog meant a lot to him as he sought a second opinion from his trusted groomer,