30th October 2011

Updates of case from 23th Oct ‘11

Dog was sent home and follow-up check-ups were provided. Dog seems like it is recovering from the anaemic conditions, however tick problems still persist.

Results from the blood tests from the first few days after treatment were shown below.



Pinkish gums observed means recovering from anaemic conditions



Blood test results before treatment (20^th Oct ‘11):

Liver profile= Normal

Kidney profile= Normal

Hematology=

*Hemoglobin- 7g/dL  [Normal range: 12-18]

*Red Blood Cells- 2.8 x10^12/L [Normal range: 5.5-8.5]

Total White Blood Cells- 13.2 x10^9/L [Normal range: 6-17]

Differential Count:

Neutrophils: 59.62%

Lymphocytes: 26.36%

Monocytes: 13.18%

Eosinophils: 0.08%

Basophils: 0.83%

Packed Cell Volume= 0.19 [Normal range: 0.37-0.55]

Platelets= 52 [Normal range: 200-500]

Nucleated Red Blood Cells seen [Severe demand for RBC to be release from Bone Marrow]

No platelet clump seen



H&E staining of the blood smear and observed parasites

Blood test results after 1 day of treatment (21^th Oct ‘11):

Liver profile= Enzymes increased

Kidney profile= Normal

Hematology=

*Hemoglobin- 7g/dL [Normal range: 12-18]

*Red Blood Cells- 2.9 x10^12/L [Normal range: 5.5-8.5]

White Blood Cells- 9.6 x10^9/L [Normal range: 6-17]

Differential Count:

Neutrophils: 67.40%

Lymphocytes: 15.73%

Monocytes: 14.79%

Eosinophils: 0.62%

Basophils: 1.67%

Packed Cell Volume= 0.2 [Normal range: 0.37-0.55]

Platelets= 64 [Normal range: 200-500]

No platelet clump seen but few giant platelets present

Blood test results after 4 days of treatment (24^th Oct ‘11):

Hematology=

*Hemoglobin- 5.2g/dL [Normal range: 12-18]

*Red Blood Cells- 1.9 x10^12/L [Normal range: 5.5-8.5]

White Blood Cells- 13.8 x10^9/L [Normal range: 6-17]

Differential Count:

Neutrophils: 69.49%

Lymphocytes: 14.64%

Monocytes: 12.68%

Eosinophils: 0.29%

Basophils: 2.97%

Packed Cell Volume= 0.15 [Normal range: 0.37-0.55]

Platelets= 50 [Normal range: 200-500]

Blood test results after 5 days of treatment (25^th Oct ‘11):

Hematology=

*Hemoglobin- 4.7g/dL [Normal range: 12-18]

*Red Blood Cells- 1.8 x10^12/L [Normal range: 5.5-8.5]

White Blood Cells- 12.3 x10^9/L [Normal range: 6-17]

Differential Count:

Neutrophils: 50.49%

Lymphocytes: 47.80%

Monocytes: 1.71%

Eosinophils: 0%

Basophils: 0.08%

Packed Cell Volume= 0.13 [Normal range: 0.37-0.55]

Platelets= 50 [Normal range: 200-500]

No platelet clump seen but few giant platelets present

The tests had been confirmed by repeat analysis

Blood test results from IDEXX after 5 days of treatment (25^th Oct ‘11):

Hematology=

*Hemoglobin- 5.7g/dL [Normal range: 12-18]

White Blood Cells- 6.6 x10^9/L [Normal range: 6-16.90]

Differential Count:

Neutrophils: 1.57 x10^9/L [Normal range: 2.80- 10.50]

Eosinophils: 2.33 x10^9/L [Normal range: 0.50- 1.50]

Packed Cell Volume= 19.2% [Normal range: 37-55%]

Platelets= 259K/ul [Normal range: 175-500]

Note:

Neutrophils are usually increased in acute bacterial infection

Lymphocytes are usually increased in viral disease

Monocytes are usually increased in some bacterial infections and monocytic leukaemias

Eosinophils are usually increased in allergic conditions and when intestinal parasites are present

Basophils are usually increased in association with hypersensitivity and allergic responses

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Admin stuffs completed:
- Updated Client's database

- Created a soft copy of Toa Payoh Vets Surgery Record form