"AURORA" - Pyometra
STUDY GUIDE QUESTIONS:
- How do you determine if the cervix is open or closed? What are the implications in clinical presentation and treatment options in open versus closed cervix pyometra?
- What is the significance of PU/PD as a clinical presentation in dogs with pyometra?
- What diagnostic test findings are definitive for pyometra?
- What is the preferred treatment? Why?
SIGNALMENT: 8 year old F/I Bassett Hound
HISTORY: The owner reports that Aurora has had a decreased appetite for 7 days, has shown increased thirst intermittently for 3 to 4 days and has been vomiting for about 2 days. Aurora was last in heat about 4 months ago. The owner feels that Aurora is painful in her abdomen as she will not jump up onto furniture or do up and down stairs.
PHYSICAL: T 103.4°F P 110 R 40
DIAGNOSTICS:
Complete blood count (CBC)
Serum chemistry profile
Urinalysis
Abdominal radiography
Abdominal ultrasound
Culture and sensitivity – Vagina
Culture and sensitivity – Uterus
Ear swab
Vaginal cytology
Serum progesterone assay