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Cases in Clinical Pathology

Cases in Clinical Pathology. Case #1. Callum, a 6 y.o. MN Pointer. History Vomiting Ascites Polydepsia/Polyurea Yellow/ turbid urine. Clinical Findings Dull depressed, recumbent Pale mm, CRT =2s, HR=140 Grade 2/6 murmur. Rapid Blood Results. Using microhaematocrit centrifuge

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Cases in Clinical Pathology

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  1. Cases in Clinical Pathology Case #1

  2. Callum, a 6 y.o. MN Pointer History Vomiting Ascites Polydepsia/Polyurea Yellow/ turbid urine

  3. Clinical FindingsDull depressed, recumbent Pale mm, CRT =2s, HR=140 Grade 2/6 murmur

  4. Rapid Blood Results Using microhaematocrit centrifuge HCT 26% Using refractometer Total Solids 33 g/l

  5. Haematology Results Unit = x109/L RBC 3.82 5.5-8.5 HCT 25.94 37-55% Hb 8.91 12-18 MCV 71.0 60-77 MCH 20.6 19.5-24.5 MCHC 35.0 32-36 Retic. 32% Blood smear: Non-regenerative picture Normal morphology

  6. Haematology Results Unit = x109/L WBC 20.16-12 Neut 18.6 3-11.8 Bands 0 Lymph 1 1-4.8 Mono 0.3 0.15-1.35 Eosino 0.2 0.1-1.25 Baso 0 Rare PLT 263 200-500

  7. Source: voided Colour: yellow SG: 1.016 pH: 7 Protein: +4 Glucose –ve Ketone –ve Bilirubin –ve Blood –ve Sediment: RBCs: 1-2 hpf WBCs: 2-5 hpf Granular casts Amorphous crystal Urinalysis

  8. Biochemistry Results TP 33.3 60-75 Alb 7 23-31 Glob 26.3 27-44 BUN 133 8-28 Creat 362 45-155 Glucose 120 60-120 ALP 43 <230 ALT 21 <90 UPC 12.2 <1 Peritoneal fluid: Clear. Non-degenerate neutrophils, MΦ and mesothelial cells, protein <2.5 g/dl. NCC= 200 cells/μl

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