Michael Stone, DVM, DACVIM
Case 13: 12 year old labrador retriever, pre-dental workup reveals ALT 250, alkaline phosphatase 355, BILIRUBIN 0.2.
Diagnostics for chronic gastrointestinal problems include a complete blood count (including manual differential), biochemical profile, urinalysis, fecal flotation (+/- direct examination, fecal cytology, sedimentation, acid-fast staining, occult blood, PCR testing for parasites), thoracic and abdominal radiographs and abdominal ultrasound. Trypsin-like immunoreactivity may be indicated.
The procedures discussed will include in-hospital urine cultures, voiding urohydropropulsion, and esophageal feeding tube placement.
Case 8: 6 year old dog on phenobarbital. ALK PHOS 2000, ALT 120, BILI 0.2.
Prednisone is almost always included in immunosuppressive protocols. The dose is approximately 2.2 mg/kg once daily for most cases; 1 mg/kg in less severe diseases.