Golden panting and very weak front legs giving out
Prsenting with panting, general weakness, front legs giving out. Still eating, peeing and pooping fine. Vet tested for Lyme, heartworm he is stumped any ideas? She is getting weaker and weaker and it is killing us.
There are many, many possibilities, as weakness is completely, nonspecific. The physical exam and history may give clues as to the direction to pursue. Duration? Worsening? Stable? Prior episodes? Recent travel? Does the dog have a normal rectal exam?
The first question then, is what organ/system is primary. Could it be nervous system? Could it be endocrine or related to internal organ function?
Assuming all lab work but calcium and phosphorous normal, and chest and abdominal films also normal and all lymph nodes inside and out are of normal size, then running down the elevated calcium is in order. The urinalysis and urine culture are essential.
Some things to consider are
non-azotemic kidney disease (renal secondary hypoparathyroidism)
neoplasia (cancer) of various forms may elevate calcium (esp lymphoma, and anal sac adenocarcinoma)
There are many others
In such a case, an orderly stepwise workup for weakness must be done to get a diagnosis. This may require SERIAL lab work to allow comparison and trend identification.
If not confident that progress towards a diagnosis is occurring consider a second opinion with a board certified internist (credential is DACVIM). There are several here in CT.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.