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Lethargy

A 2-year-old MN DLH cat presented for lethargy. CBC/Chem/UA showed BUN of 41, urine specific gravity 1.041, 2+ proteinuria, urine culture (+) for Staphylococcus. Generalized cardiomegaly was noted on radiographs in addition to subnormal renal size.

Hx of TTA performed on both knees. The patient was presented for a mass seen on the right knee. Owner reported the patient seemed more tired and not motivated for walks; limping on right hind limb. Examination of the right leg found a 15 cm invasive mass at the knee. The patient was placed on NSAIDS and scheduled for further diagnostics. CBC/Chem was WNL. 

The patient was presented for intermittent lameness of the left hind for a duration of 1.5 years. Recently the right hind limb is painful, the patient seems more lethargic and does not get up much. Radiographs from previous vet showed mild inflammation of the fat pad of the left stifle. Currently on Rimadyl. Physical exam found no cranial drawer. CBC, blood chemistry, and T4 were all WNL.

A 5-year-old male German shepherd was presented for evaluation of progressive pain, lethargy, anorexia, and hunched back following an episode of abdominal trauma - tried to jump over a large hole and hit his abdomen on the edge of the hole.

 12-year-old MN Labrador mixed breed was presented for evaluation of anorexia, vomiting, and lethargy. Abnormalities on CBC and serum biochemistry were severe leukocytosis,neutrophilia, hemococentration, and elevated ALP (600).

An 8-year-old F Maltese was presented for examination.  A grade 5/6 systolic heart murmur was noted. Radiographs revealed severe generalized cardiomegaly and an unremarkable pulmonary parenchyma. Moderate hepatomegaly and ascites was additionally noted.