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Elevated blood work

Sent to Pet Experts January 19, 2005 2:02 p.m.

I have an 8 year old boxer..She has been having spells of collapsing and white gums..Have done blood work Elevated WBC count, Pcv 30%, Low rejuvination of RBC, Liver and kidney panel fine,TP 6.2 she seems to be getting worse and my vet isn’t giving me any options or suggestions what do I do..

Customer (name blocked for privacy)

Status: Closed Value: $5

Answer
January 19, 2005 2:05 p.m. (3 minutes and 5 seconds later)

REPLIED

If her gums are white but her blood level (PCV is okay) you need to have heart evaluated for a problem with perfusion.
Arrythmias in the heart cause a "skip" of perfusion and the dog can "faint" and be pale. There is usually minimal changes in the bloodwork. This workup requires and ECG and possible xrays. If your vet is reluctant to look into this, it may be time to change vets.

Let me know if you have further question.

Dr. Vamvakias

__________________
Dr. D.A. Vamvakias
Veterinarian

Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

Reply to Dr. Vamvakias
Sent January 19, 2005 2:34 p.m. (28 minutes and 43 seconds later)

Should I not be concerned with a low rejuvination rate in RBC and a high rate in WBC. I have had the same blood work done on this dog the last 3 weeks and the WBC are progressivly elevating each time. also I didn't state she had a CBC done and she is having about 7- 14 retics per HPF

Customer (name blocked for privacy)

Answer
January 19, 2005 2:38 p.m. (3 minutes and 41 seconds later)

REPLIED

If you have a copy of her bloodwork please put it on. What is the WBC. Retic numbers are important with anemias yes...but if you want to investigate anemia...we need to determine is it blood loss/failure to produce blood/destruction of blood cells...
Was a chemistry blood profile done? urinalysis?

Dr.V

__________________
Dr. D.A. Vamvakias
Veterinarian

Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

Reply to Dr. Vamvakias
Sent January 19, 2005 3:08 p.m. (30 minutes and 16 seconds later)

Blood work was done most recent on monday..
PCV 30%
TP 6.2
WBC 28,000
Serum Lipemic
Bands 7
Segs. 58
Lymphs. 15
Eos. 5
Monos. 5
Platelets >200,00
RBC Morph Sl. polychromasia, 2-4 target cells, 2-4 Amso, 7-14 retics
Blood work done on 1-5-2005
PCV 36%
TP 6.9
WBC 14,000
Serum Clear
Bands 6
Segs. 54
Lymphs 35
Eos. 2
Monos 3
Platelets >200,000 clumped
RBC Morph. 1-4 hypochromic, 1-4 Amso, 14-20 Retics, 3 NRBC

Customer (name blocked for privacy)

Reply
Sent January 19, 2005 3:11 p.m. (2 minutes and 49 seconds later)

she also had blood work done on 12-9-2005
PCV 40%
TP 6.5
WBC 10,000
Serum Clear
Bands 2
Segs. 67
Lymphs 25
Eos. 3
Monos 3
Platelets 200,000
RBC Morph Normochromic, Amso 2-4, Retics 4-12 hpf

Customer (name blocked for privacy)

Answer
January 19, 2005 3:22 p.m. (10 minutes and 53 seconds later)

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Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

Info Request
January 19, 2005 3:23 p.m. (1 minute and 30 seconds later)

one last question...she is spayed? correct?

__________________
Dr. D.A. Vamvakias
Veterinarian

Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

Reply
Sent January 19, 2005 3:27 p.m. (3 minutes and 34 seconds later)

Yes she is spayed

Customer (name blocked for privacy)

Answer
January 19, 2005 3:32 p.m. (4 minutes and 42 seconds later)

REPLIED

I do feel if the collapsing first started and then the sequential bloodwork was done, you can not rule out primary heart disease. A improperly functioning heart can cause lysis of the red cells and a mild anemia. The elevation in white cells is concerning too.
I am equally concerned if your vet has just stopped diagnosising with no medical explanation to you.

Dr.V

__________________
Dr. D.A. Vamvakias
Veterinarian

Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

Reply to Dr. Vamvakias
Sent January 19, 2005 3:40 p.m. (8 minutes and 8 seconds later)

Thank You so much for your time it is greatly appreiciated...I feel more educated now going into this...She has an appointment on monday again for repeat blood work and I am going to bring up some of what you suggested...It has been very frustrating for my family going through this..Are vet hasn't given us possible diagnosis or anything...If he seems to be as unconcerned on monday I will definately be finding another clinic..again thank you

Customer (name blocked for privacy)

Answer
January 19, 2005 5:31 p.m. (1 hour and 51 minutes later)

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Dr. Vamvakias -- Veterinarian -- 100% Positive Feedback on 991 Pet Accepts
Small Animal & Emergency Medicine

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