Companion collection - Clinical conundrum

  Sarah Spencer, Senior Clinical Training Scholar in Small Animal Medicine, at Langford Vets University of Bristol, invites Companion readers to consider a Boxer with nasal discharge.

  Charlotte Howes, a former intern at Dick White Referrals, invites Companion readers to consider a depressed puppy.

  Katherine Clarke, an intern at Willows Veterinary Centre, invites Companion readers to consider the causes of dyspnoea in a young cat.

  Francisco Silveira, an intern at Dick White Referrals, invites Companion readers to consider the causes of respiratory distress in a Staffordshire Bull Terrier.

  Liz Gray, a small animal intern on rotation at the 404 Veterinary Emergency and Referral Hospital, Canada, invites Companion readers to consider a polycythemic patient.

   Caroline Edvinsson and Nat Whitley of Davies Veterinary Specialists invite Companion readers to consider a 6-month-old Affenpinscher with glucosuria, vomiting and lethargy.

  Ariadna Ribas, an Intern at the University of Liverpool, Small Animal Teaching Hospital, invites Companion readers to consider an anuric crossbreed.

  Symptoms, diagnosis and treatment of an 11-year-old Norwegian Elkhound presenting with tachypnoea, inappetence and lethargy.

  A 1-year-old Springer Spaniel presented with sudden onset ataxia, head tilt and paresis following two episodes of lameness. Symptoms, diagnosis and treatment are discussed.

  The case of an ‘off-colour’ Cocker Spaniel. Steps in the diagnosis and the medical and surgical treatment are described.

  Generalized tremor and ataxia in a young Labrador Retriever. A 5-month-old retriever presented with a 24 h history of ‘wobble’ in her hind limbs, progressing to an acute episode. The diagnosis and treatment options are described.

  A Miniature Schnauzer presented after several months of pelvic limb collapses. Lizzy Conway, an intern at Dick White Referrals, on the symptoms, diagnosis and treatment.

 A 2-year-old Field Spaniel presented with a 3 day history of lethargy, tachypnoea and anorexia. Pyothorax was diagnosed and following surgery the dog made a good recovery.

 A 12-week-old Savannah kitten presented with lameness. Radiography showed a generalized decrease in bone opacity and a fracture. Extensive testing led to a diagnosis of nutritional hyperparathyroidism which was successfully treated and managed.

 An 8-year-old female neutered Australian Cattle Dog that had recently moved to the UK from Arizona presented with a 4-month history of lethargy, inappetance and right forelimb lameness, and a 6-month history of stranguria and haematuria. Diagnosis and treatment of a fungal infection are described.

 The 4-year-old dog presented as an emergency after becoming trapped in a stair gate when his owners were out. It was estimated that he had been struggling for up to 6 hours. Compartment syndrome with associated rhabdomyolysis were diagnosed

 How the diagnosis of metastatic insulinoma (stage 2) was reached, and the treatment and outcome that followed.

  Consideration of a Bichon Frise presenting with a history of mild intermittent haematochezia and recent polyuria and polydipsia accompanied by increased water intake. Fresh blood was present in faeces and marked erythrocytosis was noted. Diagnosis and treatment are described.

 A 12-week-old male Border Collie presented with a 2 week history of inappetance and progressive lethargy. The diagnosis and treatment of congenital cobalamin deficiency are described.

  A 21-year-old Domestic Shorthaired can presented with sudden onset blindness. The patient was also drinking, urinating and eating more, but had lost weight. Diagnosis and treatment of the underlying systemic hypertension and its cause are described.

  A 6-year-old Bichon Frisé presented with a 1 week history of progressive ascites and a 4 week history of weight loss. Three weeks earlier he was hospitalised for vomiting and collapse. The diagnosis and treatment of a ruptured biliary system is described.

  The 18-month-old female Golden Retriever has a 14 month history of intermittent stranguria and haematuria which had responded to antibiotic treatment. An ectopic ureter was diagnosed and successfully treated with cystoscopic laser ablation.

A 1-year-old English Springer Spaniel presented with a 3 day history of unilateral right periocular inflammation, exophthalmos and ocular discharge following a suspected trauma to the right eye. The identification and removal of a large foreign body is described.

A 4-year-old Hungarian Vizsla presented with a 7 day history of progressive neurological signs including stumbling and bumping into objects. Diagnosis and treatment of a meningoencephalitis are described.

A 3-year-old Rhodesian Ridgeback presented with intermittent dark brown/red urine for 4 weeks. The diagnosis and treatment of an idiopathic renal haemorrhage are described.