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A 1 year old German Shepherd is presented with a 2-week history of lameness. Although the dog limps on the right foreleg as it enters the exam room, the owner reports that the dog was lame on the left hindleg last week. On physical exam, the dog reacts painfully on palpation of the long bones of the right foreleg. Which one of the following choices is the most likely diagnosis? Value Normal 99.8 F (37.7 C) 99.5-102.5 F, 37.2-39.2 C HR=100 bpm 0-120 RR=24 brpm 15-34 A - Panosteitis B - Multiple cartilaginous exostoses C - Hypertrophic osteodystrophy D - Hypertrophic osteopathy E - Retained ulnar cartilage cores - The hallmark of panosteitis is an acute-onset shifting leg lameness with long bone pain in a young (5 mos-2 years), medium to large breed dog. German Shepherds are reported to be at highest risk of panosteitis. Basset hounds may be overrepresented. Hypertrophic osteodystrophy (HOD) is characterized by bilateral metaphyseal pain, swelling in distal radius and ulna, fever, anorexia and depression. Typically a disease of young, growing large and giant breed dogs. Hypertrophic osteopathy (HO) is a diffuse periosteal proliferative disease of long bones in dogs SECONDARY to neoplastic or infectious masses in the thoracic or abdominal cavity. Multiple cartilaginous exostoses is characterized by non-painful ossified swellings on metaphyseal cortical surfaces of long bones, vertebrae, and ribs in young dogs and cats. Animals may have no signs at all.Diagnosis is confirmed by palpation and radiography. Click here to see a radiograph of cartilaginous exostoses Retained ulnar cartilage cores are characterized by lameness and eventually, angular limb deformity in young, large breed dogs. A 1-year old female spayed Doberman Pinscher has presented after being hit by a car. Initial chest radiographs show mild contusions, and the patient appears to be otherwise stable. A right mid-shaft long oblique femoral fracture has been identified. Routine pre-operative blood work is unremarkable. A buccal mucosal bleeding test (BMBT) is elevated at 6 minutes. What will you administer prior to surgery? A - 1,25 dihydrocholecalciferol B - Desmopressin acetate C - Vitamin K D - Whole blood transfusion - B
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