Case #6 -- Pyometritis
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Case Presentation by: Thomas Sissener, Kelly Gray and Karen Sanderson
Patient Profile: "Maggie", a 7-year old, intact female, Golden Retriever.
History: "Maggie" was lethargic and anorexic for a few days. However, the owner complained that she was drinking and urinating a lot. "Maggie" had also been "in heat" last month.
Physical Examination: Heart and pulse rate = 160/minute. Respiratory rate = 24 breaths/minute. Body weight = 28.2 kg. "Maggie's" attitude was normal. Heart and lung sounds were normal. Capillary refill time was >2 seconds and mucous membranes were tacky. She was moderately painful on abdominal palpation and had a mucopurulent vulvar discharge.
Laboratory Findings: Inflammatory leukogram (Nucleated cells = 44,900; Segmented neutrophils = 27,800; Band neutrophils = 9,900), monocytosis (4,500). PCV = 33, protein = 7.8 g/dl, albumin = 2.5 g/dl, globulin = 5.3 g/dl, AST = 46 IU/L, sodium = 138 mEq/L, potassium = 3.5 mEq/L, serum osmolality = 270 mOsm/Kg.
Abdominal Radiographs:
Lateral radiograph of Maggie's abdomen
Ventrodorsal view of Maggie's abdomen
Click on the radiograph to see an enlargement
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