Companion collection - Clinical conundrum

  A 7-year-old female Labrador Retriever presented as an emergency with sudden-onset collapse and jaundice. Chronic hepatitis and cirrhosis were diagnosed and treatment was attempted.

  A 7-year-old Labrador presented with a 3 month history of lameness affecting the left hind limb, bilateral hind limb lameness and episodes of acute-onset collapse. Diagnosis and treatment of a thrombus and protein-losing nephropathy are described.

  A 17-month-old Lhasa Apso presented for investigation of pancytopenia. Diagnosis of the cause and the subsequent management of the patient are described.

A 6-year-old Collie cross presented with pyrexia of unknown origin. She had been treated with antibiotics without response. Diagnosis and treatment of idiopathic IMPA are discussed.

A 5-year-old Domestic Shorthair cat with a history of IMHA (successfully treated a year before) presented as an emergency following a tonic clonic seizure. The diagnosis and treatment of polycythaemia are described.

A 7-year-old female Border Collie presented with a 2-week history of constipation, dyschezia and faecal tenesmus. The diagnosis and treatment of lymphoma is described.

A 9-year-old German Shepherd bitch was referred with a 1 week history of lethargy, reluctance to lie down, cough, dyspnoea, retching and vomiting. The diagnosis of a heart base mass using radiography and CT scans following routine blood testing is described.

A 4-year-old Domestic Shorthair cat presented with a 48 hour history of dyspnoea and anorexia. There were marked oral lesions. An enterectomy had been performed 2 years previously. Symptoms, diagnosis and treatment are described.

An 8-year-old Labrador Retriever presented with a 24 hour history of lethargy and inappetance. The faeces were dark, and weight loss had been detected over previous months. Meloxicam had been given 3 days prior to presentation following an injury to the tail. The diagnosis and treatment of IBD are described.

A 9-year-old Cocker Spaniel presented with a history of ptyalism and hallitosis. Hair loss and skin lesions were also reported. A diagnosis of mycosis fungoides followed tests and biopsy, with the skin lesions proving to be unexpectedly significant.

A 9-year-old West Highland White Terrier presented for a dental check having been diagnosed with diabetes a year before. He required extensive dental treatment including several extractions.

Laura Thornton, intern at Davies Veterinary Specialists, invites Companion readers to consider a case of epistaxis in a middle-aged cat.

A 1-year-old Great Dane presented with alopecia, crusts and pruritus. She was otherwise well. Pyoderma caused by Staphylococcus pseudintermedius was diagnosed and treated but a meticillin-resistant strain was found to be present. The complications and subsequent treatment are described.

a 10-month-old English Setter presented with a 7 week history of intermittent lethargy, inappetence and weight loss. The diagnosis and treatment of immune-mediated meningitis and polyarthritis are described.

A 1-year-old Border Collie presented with a 24-hour history of lethargy and numerous cutaneous bumps. The diagnosis and treatment of systemic histocytosis are described.

An 8-year-old Cavalier King Charles Spaniel presented with a 6-month history of progressive forelimb lameness. The diagnosis and treatment of rheumatoid arthritis is described.

A 2-year-old Domestic Shorthair cat presented with a 1 hour history of acute onset ptyalism and muscle tremors. The diagnosis and treatment of permethrin poisoning are described.

An 18-month-old Springer Spaniel presents with a 7 month history of recurring episodes of lethargy, dysuria and gross haematuria first seen 1 week after ovariohysterectomy. Diagnosis and management of phosphofructokinase deficiency are described.

A 6-year-old Great Dane presented with a 3-day history of lethargy, vomiting and anorexia and a 24-hour history of passing discoloured urine. The diagnosis of splenic torsion and subsequent surgery and treatment are described.

A 4-year-old Hamilton Stovare presented collapsed as an emergency, 24 hours after taking a large amount of homemade flapjack in the owner’s kitchen. This masked earlier poisoning with rodenticide; the diagnosis are treatment are described.

A young Doberman-cross presented with pruritus, self-trauma and pain of all four feet. The dog was acquired from a shelter and had been found as a woodland stray. The symptoms, diagnosis and treatment of hookworm dermatitis are described.

An adult male swan is presented by a wildlife rescue organisation with a fishing line trailing from its mouth. The procedure for removing the hook and line are described.