Monday, September 18, 2017

3143. Blood test for health screening of the dogs older than 5 years. Case study of a bad breath 6-year-old Corgi. Fasting glucose level

The most common panel of screening lab tests for general, overall health status includes:

1.  BLOOD TESTS

complete blood count (CBC), that tells us how many red and white blood cells a patient has.

differential, part of the CBC, which shows how many of each different type of white blood cell is present.

chemistry profile (chemistries), which conveys information on the major organs (liver, kidneys, pancreas), blood sugar and electrolytes (sodium, potassium, chloride, bicarbonate, calcium, phosphorous).


2.  URINE TESTS

urinalysis, which has a chemical part (ph/acidity, concentration, protein, sugar, etc.) and a microscopic part (bacteria/infection, bladder cells, kidney cells, blood cells, crystals that might contribute to stone formation, etc.)


The above collection of tests is sometimes referred to as a “minimum database,” or the smallest collection of tests that will give us a good overview of a patient’s health. This panel might be requested for screening before anesthesia, or a pet ill with non-specific signs.


3.  X-RAYS
Useful to check for urinary stone formation in the kidneys and bladders, lung disease, heart, kidney and liver disease, some abdominal tumours or bone abnormalities.


4.  DENTAL WORK (SEE CASE STUDY BELOW).  



CASE STUDY

Sep 17, 2017

Corgi, F, Not Spayed, 6 years old.

Sep 16, 2017

The owner just wanted a blood test to screen her health.
The dog has bad breath. He did not want dental work.

Blood test

Glucose (Fasting ) 3.3  (3.9-6.0). Surprisingly low. However, the dog is healthy and has no complaint of fits. Will need another blood test 4 weeks later. 

The glucose level has a range of 5.6 - 13.9 for dogs on injections of Vetsulin level. These values are for a stable diabetic dog.

Low values for creatine  62   (89-177).  High Hb 21.2  (12-18), ALT  65 (less than 59). These values will not be significant. Will need another blood test 4 weeks later.


Sep 17, 2017
The owner decided on dental as he had to board the dog with his friend. Bad breath was terrible.

Dom + Ket at 50% IV.  (50% of Dom 0.4 and Ket 0.5) was quite effective. Isolflurane gas standby.

Only one loose tooth  RU Premolar 1 was extracted. Lots of tartar and plaque removed. Dental scaling was done. 

UPDATE IN OCT 17, 2017.
The owner did not return for a 2nd blood test. 



TIPS AND ADVICES

Dogs over 5 years of age are considered old. They need annual check ups to ensure that they are healthy and will live longer lives. 

Physical examination, blood and urine tests, dental inspection of their teeth and X-rays are the common wellness screening in dogs. The owner may have to request these tests as not all vets remind the owners of old dogs during the annual vaccination.   










VIDEO OF AN OLD POODLE NEEDING DENTAL SCALING

https://www.youtube.com/watch?v=SqzLnNPquUY

 

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