Case Studies

Hepatic Encephalopathy in a 4-year-old Shih Tsu mix Dog.

Hepatic Encephalopathy: Shih Tzu Mix

VETERINARIAN SPECIALTY CASE STUDY Hepatic encephalopathy can be associated with extra-hepatic portosystemic shunts and/or hepatic microvascular dysplasia in small breed dogs. Pending surgical intervention, if an option, medical management of hepatic encephalopathy can help prevent secondary sequela. By Peggy McMahon, DVM Diplomate American College of Veterinary Emergency & Critical Care 1. Referral Max is a 4-year-old […]


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Distal Renal Tubular Acidosis in a Terrier Presented for Dehydration, Lethargy and Hepatopathy.

Distal Renal Tubular Acidosis: Border Terrier

VETERINARIAN SPECIALTY CASE STUDY Renal tubular acidosis (RTA) is a group of rare disorders that lead to metabolic acidosis with normal anion gap.  In dogs, cases are often “idiopathic,” whereas in cats, dRTA has been associated with pyelonephritis and hepatic lipidosis. By Mickila Collins, DVM Diplomate American College of Veterinary Internal Medicine 1. Referral Ostin, a […]


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Dilated Cardiomyopathy and Atrial Fibrillation in a Labrador Retriever

Dilated Cardiomyopathy and Atrial Fibrillation

VETERINARIAN SPECIALTY CASE STUDY An EKG showed a supra ventricular tachycardia with irregular R-R intervals known as atrial fibrillation. By Nicole DeNezzo, DVM Emergency + Critical Care 1. Referral Colt is a 9 year old male, castrated lab that presented to Animal Specialty Group’s Emergency and Critical Care Service for evaluation of a dry, hacking cough […]


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Bilateral Femoral Capital Physeal Fractures in Young Male Cat

Pelvis radiographs

VETERINARIAN SPECIALTY CASE STUDY On presentation Gunner was having trouble standing/bearing weight on is pelvic limbs, right especially. He was reluctant to walk, appeared paretic in the hind limbs and would lay down on his right side when positioned to stand in order to evaluate gait. By Roubina Honarchian, DVM Emergency + Critical Care 1. Referral […]


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Thiamine deficiency made my cat crazy!

Thiamine (vitamin B1) deficiency

VETERINARIAN SPECIALTY CASE STUDY Thiamine, or vitamin B1, is a water-soluble vitamin that is required for carbohydrate metabolism.1 With a deficiency in this vitamin, normal energy metabolism is interrupted and the alternative anaerobic metabolism is stimulated which is detrimental to the brain. By Megan Stout Steele, DVM, DACVIM Neurology 1. Referral Tilly, a 10-year-old spayed female […]


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