PANCREATIC PROFILE

PRACTICE N° 07
VETERINARY CLINICAL PATHOLOGY
M.V. José Luis Villena Suárez
teacher

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 PROOF REFERENTIAL INDICATIONS

ALT/GPT < 40 IU/L Acute Liver Pathologies - Necrosis

AST/GOT < 50 IU/L Liver and Heart Pathologies

Chronic hepatitis, cholestasis, NOT
ALP/AP < 190 IU/L USEFUL- YOUNG
Cholestasis at the Liver Level, excess
GGT < 6 IU/L cortisol
They evaluate protective metabolism. and
Total proteins 5.5 - 7.5 g/dl immune states

Albumin 2.6 - 3.5 g/dl High values indicate dehydration

They evaluate protective metabolism. and
Globulins 2 - 4 g/dl immune states

Total Bilirubin < 0.6 mg/dl Evaluate Enf. Hepatic

Direct bilirubin < 0.14 mg/dl Evaluate hemolysis and blood loss

indirect bilirubin < 0.46 mg/dl Evaluate hemolysis and blood loss

Amylase 370 – 1500 IU/L Evaluate pancreatic integrity

Lipase 90 – 520 IU/L Evaluate pancreatic integrity 2

 Species: Canine Breed: Basset hound Sex: male Age: 7 years
CLINICAL DATA 01
Patient with tachypnea, tachycardia, weakness, anorexia, sudden emesis, is brought to the
emergency room (7:15 pm), had lunch (12:30 pm) normally (home diet based on rice or
flour soups plus chicken organ meats).
CLINICAL EXAMINATION : malaxation with painful abdomen, congested mucous
membranes, skin that retracts at 2", TLLC 2", intense vocalizations, staggering gait, rectal
temperature 39.6 °C, slight abdominal bulge. There are no PD/PU, vaccines and
antiparasitics up to date.
ADDITIONAL DATA : PV 39.8 kg, neutered, lives with a cat and there are canaries on
the roof they share.

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 Species: Canine Breed: Basset hound Sex: male Age: 7 years

IMPROVE ANAMNESIS (if necessary)

PRESUMPTIVE DIAGNOSES?

EXAMS TO REQUEST

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 Species: Canine Breed: Basset hound Sex: male Age: 7 years
CLINICAL DATA 01
Patient with tachypnea, tachycardia, weakness, anorexia, sudden emesis, anorexia, is
brought for emergency consultation (7:15 pm), had lunch (12:30 pm) normally (home diet
based on rice or flour soups plus chicken entrails).
CLINICAL EXAMINATION : malaxation with painful abdomen, congested mucous
membranes, skin that retracts at 2", TLLC 2", intense vocalizations, staggering gait, rectal
temperature 39.6 °C, slight abdominal bulge. There are no PD/PU, vaccines and
antiparasitics up to date.
ADDITIONAL DATA : PV 39.8 kg, neutered, lives with a cat and there are canaries in
the
rooftop they share. BLOOD BIOCHEMISTRY
HEMOGRAM ALT 185
Erythrocytes: 5.8 AST 133
Hematocrit 45 TO P 1258
Hemoglobin: 14.5 Q. TOTALS : 10.2
VCM 72 ALBUMIN: 3.2
HCM 26 GLOBULIN: 7.0
Platelets 114 AMYLASE 2940
LEUKOCYTES 17300 LIPASE 960
Canes 3%
Segmented 79 %
Lymphocytes 15 %
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Eosinophils 2% PRESUMPTIVE DIAGNOSES
 Species: Canine Breed: Basset hound Sex: male Age: 7 years
CLINICAL DATA 01
Patient with tachypnea, tachycardia, weakness, anorexia, sudden emesis, anorexia, is
brought for emergency consultation (7:15 pm), had lunch (12:30 pm) normally (home diet
based on rice or flour soups plus chicken entrails).
CLINICAL EXAMINATION : malaxation with painful abdomen, congested mucous
membranes, skin that retracts at 2", TLLC 2", intense vocalizations, staggering gait, rectal
temperature 39.6 °C, slight abdominal bulge. There are no PD/PU, vaccines and
antiparasitics up to date.
ADDITIONAL DATA : PV 39.8 kg, neutered, lives with a cat and there are canaries in
the
rooftop they share. BLOOD BIOCHEMISTRY
HEMOGRAM ALT 185
Erythrocytes: 8.8 AST 133
Hematocrit 45 TO P 1258
Hemoglobin: 14.5 Q. TOTALS : 10.2
VCM 72 ALBUMIN: 3.2
HCM 26 GLOBULIN: 7.0
Platelets 658 AMYLASE 2940
LEUKOCYTES 17300 LIPASE 960
Canes 3%
Segmented 77%
Lymphocytes 15 % DEFINITIVE DIAGNOSIS
 Species: Canine Breed: Basset hound Sex: male Age: 7 years
Eosinophils 0%
Acute pancreatitis, associated with
Monocytes 4%
Basophils 1% hepatitis
inflammatory with active hemolysis 5
 Species: Canine Breed: German Shepherd Sex: Female Age: 4 years

CLINICAL DATA 02
Patient presents marked depression, hypoactive, no PD/PU, has been in heat for a month,
covered and has gained weight recently, her diet is based on a balanced diet for puppies
plus chicken waste (mixed), she has not had any vaccinations for a year, she has not been
dewormed. , had fleas but it was already controlled.
CLINICAL EXAMINATION: T° 40.4 °C, TLLC 2", slightly increased RR and HR,
congested mucous membranes, moderate ataxia, petechiae in the inguinal region,
significant pain due to abdominal malaxation, bad-smelling and pasty stools of apparently
normal color made them half ago hour, twelve hours ago he prostrated himself. Rest of
apparently normal systems.
IMPROVE ANAMNESIS (if necessary)

PRESUMPTIVE DIAGNOSES?

EXAMS TO REQUEST (justify the request for each exam)

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 CLINICAL DATA 02
Patient presents marked depression, hypoactive, no PD/PU, has been in heat for a month,
covered and has gained weight recently, her diet is based on a balanced diet for puppies
plus chicken waste (mixed), she has not had any vaccinations for a year, she has not been
dewormed. , had fleas but it was already controlled.
CLINICAL EXAMINATION: T° 40.4 °C, TLLC 2", slightly increased RR and HR,
congested mucous membranes, moderate ataxia, petechiae in the inguinal region,
significant pain in abdominal malaxation, bad-smelling and pasty colored stools
Apparently normal he did them half an hour ago, twelve hours ago he prostrated himself.
Rest
of apparently normal systems. HEMOGRAM
Erythrocytes: 4.3
BLOOD BIOCHEMISTRY Hematocrit 31
ALT 153 Hemoglobin: 10.5
AST 98 VCM 76
GLUCOSE 140 HCM 25
Q. TOTALS : 3.2 Platelets 154
ALBUMIN: 2.0 LEUKOCYTES 35800
GLOBULIN: 1.2 Canes 7%
AMYLASE 1294 Segmented 81 %
LIPASE 918 Lymphocytes 6%
FILM TEST IN FECES (-) Eosinophils 2%
LUGOL TEST IN FECES (-) Monocytes 4%
Basophils 0% 77
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Species: Canine Breed: German Shepherd Sex: Female Age: 4 years
QUESTIONNAIRE 4:
1. What clinical signs would you expect to find?
2. What diseases would you relate these findings to? (JUSTIFY THEM)
3. JUSTIFY EACH OF YOUR STATEMENTS

Species: Canine Breed: Rottweiler Sex: Male Age: 5 years

HEMOGRAM BLOOD BIOCHEMISTRY
Erythrocytes: 6.3 ALT (U/L): 155
Hematocrit: 25 AST (U/L): 105
Hemoglobin 8.2 FOSF. ALKALINE (U/L): 268
VCM 71 TOTAL BILIRUBIN : 5.8
HCM 25 b. DIRECT : 4.1
PLATELETS 90 GGT 4.8
AMYLASE 1650
LEUKOCYTES: 27,900
LIPASE 864
Bastoned 6
GLUCOSE 178
Segmented 79
Eosinophils 1
Lymphocytes 8
Monocytes 5
Basophils 1