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Dog's CBC profile/Vomiting/Ocular Lesion/Skin Dermatitis/Tremors

My senior Yorkie recently went to the Vet to review an ocular lesion that suddenly appeared and also receive medication for an ongoing itchy skin dermatitis (small itchy, crusty/flaky circular patches of skin).  The doctor prescribed Clavamox for the skin ailment (as Convenia injections don't work very well for her) which I administered with food. He had no idea what the ocular lesion (a white spot on the iris) could be (glaucoma and cataracts were ruled out) so referred me to a veterinary ophthalmologist (which I am going to tomorrow).

Half way through the Clavamox treatment, my Yorkie started vomiting bile daily and then also right after meals a couple days later.  She never had a problem with this medication before.  So I returned to the vet who ran blood work on her.  Here are results worth noting:

Elevated:

SPEC cPL = 1262
ALP - 279
ALT = 152
AST = 88
CREATINE KINASE = 1934
BUN = 39
POTASSIUM = 5.7
MCV = 77
MCH = 26.6
AUTO PLATELET = 758

Low:

NA/K RATIO = 25

With these results, the vet so far has diagnosed PANCREATITIS and I am now following a strict dietary regimen for her.  He also gave her an injection for the vomiting (which has now subsided) and Convenia (since the skin problem persists).  I advised that periodic whole body tremors go on with her (a couple to a few a day lasting just seconds; never collapses like a full seizure).  He wants to see what the eye doctor reports and I am also supposed to have blood work run again in 2 weeks.

Does anyone have thoughts on what can be the problem?  A month ago, my dog seemed totally fine except for the ongoing skin problem (we give her weekly chlorhexidine baths).  The eye lesion was noted upon returning from a trip (she was cared for by my in-laws during that time; they did not notice the eye problem).

Any feedback will be appreciated!
3 Responses
675347 tn?1365460645
COMMUNITY LEADER
The Pancreatitis could have been caused separately, or it could be a side eddect of the Clavamox. But as she tolerated Clavamox well before, with no problems (how long ago?) -it may be that some dietary issue might be behind the pancreatitis.

Can you recall what she was fed just before she became sick? Did she get ham, Turkey skin, anything at all fatty -even some cheese?
675347 tn?1365460645
COMMUNITY LEADER
Sorry about typos in my reply.
Avatar universal
Hello, Ginger.  Thank you for your reply!

My dog didn't eat anything out of the ordinary before she got sick.  She was on a regular diet of Orijens Senior food in the morning and has a small plate of string beans at night. Treats have always been Greenies, Charlie Bears and Milkbone's MarroSnacks.  For now, the vet has her eating 4 small meals a day (a combo of Prescription Diet's W/D, smaller amounts of the Orijens, rice or pasta, and boiled chicken).

The last time she took Clavamox was about 9 months ago with no issues for her recurring skin dermatitis.  This time she was vomiting yellow bile (with no food in it) in the early a.m. hours.  Then a couple days later, she would vomit right after a meal.  She hasn't vomited for 3 days now after being on a controlled diet and receiving a Cerenia (anti-vomit) injection.

Her stools appear normal with no diarrhea.

She was diagnosed with low thyroid a couple years ago but that has been under control since ever since as she takes Soloxine.

In researching her blood levels along with the tremors, skin and eye ailments, I am wondering if it could possibly be TOXOPLASMOSIS or NEOSPOROSIS as my dog is attracted to cat feces (we do not have a cat but sometimes on walks, she will quickly eat this before I can stop her).  Another idea is possibly ADDISON'S DISEASE.  I am going to discuss this with our vet and the eye doctor on Monday.
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675347 tn?1365460645
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