No abstract

SurnmtqySixteen cases oJ'eZine, non-traumatic hemoperi~oneum were evaluated retrospective~. tie median age was 5. 75years were anorexia (37%), lethargy (3I %), and recumbency (31 %). Physical examination~ndings (n=ll) included depressed mentation (100%), hypothermia (89 %), pale mucous membranes (82 %), and poor qualip pzdses (80%). 7i??e median initi"al penphera [ packed celi volume (n=ll) was 24% (range 17-55%). InJour outo~sti cases where abdominocentesis was per$onne~the packed cell voiume oJthe abdominalj?uid rangedfiom 18% to 24%, and matched the penpheralpacked cell volume (range 15-26%). Some common abnormalities in the serum chemistry screens {n=6) were elevated alanine aminotrans~erasein 83% (5/6) tithe cats (range 55-5828 U/~and elevated alkaline phosphatase in 50% (3/6) of the cats (range 18-402 LJYZ). Ten cats (63%) were euthanued, three (19%) werepresented dead on arriva( two (12%) are sti~lalive, and one (6%) died. me causes o~hemopentoneum were hepatic neopkzsia (3I %), hepatic necrosis (19 '%),hepatic amyioidosis (13%), non hepa~"cneopkzsia (13%), hepatopathy (6%), hepatic rupture (6%), necrofi"tihemon-hagicqwtitis (6%), and ruptured bladder (6%).

Ocular emergencies can be very intimidating for veterinarians. Most ocular emergencies can be stabilized by the veterinarian until an ophthalmologist can be consulted if necessary. Proptosis, or forward displacement of the globe, can occur secondary to any blunt trauma to the head. The two options for a proptosed eye are enucleation or replacement with tarsorrhaphy depending on the viability of the extraocular tissues and eye. Glaucoma, or increased intraocular pressure (above 35 mm Hg), is diagnosed by measuring the intraocular pressure using a Shiotz or electronic tonometer. Emergency treatment includes intravenous mannitol and topical pilocarpine. Uveitis, or inflammation of the iris, ciliary body and/or choroid, can have many underlying causes such as neoplasia, infection, lens induced, and trauma. The treatment consists of treating the underlying cause, and administering topical atropine to alleviate pain and topical corticosteroids to decrease inflammation. Corneal ulcers, or defects in the corneal epithelium, are classified according to the depth of the defect. The treatment consists of topical antibiotics and topical atropine. If the ulcer is deep, is melting, or is a descemetocele, then a third eyelid or conjunctival flap is usually necessary. The cornea should be sutured if it is perforated or lacerated. Hyphema, or blood in the anterior chamber, can occur secondary to trauma, neoplasia, infection, or a coagulapathy. The treatment consists of treating the underlying cause and topical corticosteroids with or without antibiotics.

No abstract

A 3.5 yr old castrated male miniature schnauzer was referred with a history of collapse after a bee sting to the left hind limb. At the time of presentation, 14 hr after the sting, the dog was hypotensive, comatose, seizuring, and had a brief period of cardiac arrest. Over the following 48 hr, the dog developed azotemia, severely elevated liver enzyme levels, hypertension, hematochezia, hematemesis, and disseminated intravascular coagulation (DIC). The dog's neurologic status improved slowly, but significant behavioral abnormalities remained. The dog was discharged after 7 days with ongoing polyuria, polydipsia, and behavioral changes. The polydipsia and polyuria resolved within a few days, but the behavioral changes continued for 6 wk. Reports of anaphylaxis from any cause are sparse in the veterinary literature. This is the first report of suspected anaphylaxis following a bee sting. There are no previous reports of behavioral changes after physical recovery from anaphylaxis.