The Case of the Lethargic Lhasa....

History

Female spayed 7 year old Lhasa apso.  Mostly a “lap dog”.  Recently switched from normal adult maintenance dog food to senior maintenance.  Over last couple of months, owner noticed decreased appetite and energy as well as occasional vomiting and soft stools.  Owner thinks dog has lost a little weight.  Recent travel to northern California for 2 months – not on heartworm preventive.

PE

Normal appearance.  Some discomfort on abdominal palpation.

What Do You Want to See Next?

Wanna cheat??? (go directly to diagnosis)

Current Problem List...

• Elevated WBC

• Elevated BUN

• Elevated ALP

• RBC’s & WBC’s in urine

• Decreased appetite +/- weight loss

• Lethargy

• Occasional vomiting & soft stools

What Do You Want to See Next?

(Roll your mouse over each test to see results!!!)

Differential Diagnosis

(Review the following options then choose your diagnosis.  Answer at bottom of page.)

• Recent Diet Change

• Inflammatory Bowel Disease

• Pancreatitis

• Heartworm Disease

• Pyelonephritis

• Hyperadrenocorticism

• Hypoadrenocorticism

What’s Your Diagnosis???