A 14-year-old FS mixed breed dog was presented for pacing, lethargy, and intermittent vomiting and diarrhea over the course of 1-2 months. The physical exam was unremarkable. The only abnormality on urinalysis was 1+ proteinuria with urine culture yielding growth of Escherichia coli. Abnormalities on blood chemistry were increased creatinine and hyperglycemia. T-4 result was low but free T-4 was within normal range. CBC and survey thoracic and abdominal radiographs were all within normal limits.
A 14-year-old FS mixed breed dog was presented for pacing, lethargy, and intermittent vomiting and diarrhea over the course of 1-2 months. The physical exam was unremarkable. The only abnormality on urinalysis was 1+ proteinuria with urine culture yielding growth of Escherichia coli. Abnormalities on blood chemistry were increased creatinine and hyperglycemia. T-4 result was low but free T-4 was within normal range. CBC and survey thoracic and abdominal radiographs were all within normal limits. The patient was treated with Baytril, but presented a few weeks later for vomiting and decreased appetite. Abnormalities on recheck urinalysis and blood chemistry included 1+ proteinuria, 2+ glucosuria, azotemia, and elevated AST activity at that time. The patient was treated with I.V. fluids, Cerenia, Famotidine, Baytril, and started on insulin.
