NAVLE Questions & Answers(Graded A+)

A 2 year-old budgie (parakeet) is presented with a history of limping on his left leg, which has gotten progressively worse over the last 3 weeks. He is eating and drinking normally, but has fallen off his perch twice in the last two days. Weakness in the left leg compared with the right one is observed. He retracts his left more slowly and more weakly when his toe is pinched. What condition is at the top of the differential diagnosis list? A. Pacheco's disease B. Polyoma virus infection C. Ren - ANSWER C. Renal tumor Think renal tumor with progressive unilateral lameness in budgies (and poor prognosis). The sciatic nerve passes through the renal parenchyma in birds, and budgies are prone to neoplasia in general. A 7 year old intact female poodle is presented. The owner has noted a lot of drinking and some urinary accidents in the house in the last week and that the dog hasn't seemed herself either. Yesterday, she vomitted twice. On physical exam the dog appears depressed, listless, has dark injected mucous membranes and a distended tender abdomen. T = 104F (99.5-102.5) HR = 100 bpm (60-120) RR = 30 brpm (15-34) What diagnosis is of most immediate concern? A. Pregnancy B. Intestinal foreign body C. Hep - ANSWER E. Pyometra Pyometra is a life-threatening emergency which typically requires immediate surgery (ovariohysterectomy) if the cervix is closed and there is no obvious discharge. Open cervix pyometras are likely to present with a purulent discharge, simplifying Dx, but surgical ovariohysterectomy is stll recommended. Pyometra should always be near the top of your DDX when presented with an older intac