Vomiting 4 days and painful right armpit.
Sunday. Painful right armpit and large swelling (haematoma). Bruised skin further down the sternum is evidence that the dog injured himself when startled and over-extended his right elbow to get out from the front of the car.
The dog loved to sleep with front half of the body below the car bonnet. On that day, he rushed out from below his car, causing himself probably overextension of the armpit, a very painful right armpit area and a large swelling.
The next 3 days, he vomited and was not able to stand up. No appetite. Blood test showed acute renal failure.
1. Acute renal failure & urinary tract infection. No urinary stones (holding urine in bladder overnight inside masterbedroom for years - stasis of urine - bacterial growth to blood borne bacteria infection, leucocytosis ). 2. Haematoma (blood swelling) of right armpit and chest area due to sudden exertion getting the front half of the body from under the car (his habit of sleeping this way is to be discouraged). Prognosis is poor as dog has anuria (not passing urine despite 1500 ml of IV drips).
Peritoneal or haemodialysis is needed when
BUN = or more than 100 mg/dL
Serum creatinine = or more 10 mg/dL
Convert mmol/L to mg/dL = x18
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