Name:

Diagnose the Patient (Vet Science CDE)

Review the following information and proceed through the stations

for completion of a final diagnosis.

Signalment: 8 year old, not spayed, female, Labrador

History: Not eating, lethargic, panting for 4 days, was in heat two weeks ago.

Physical Exam: Temperature 104.0 ( normal is 101.5) very large tender

abdomen, small amount of reddish, tan fluid dripping out of vulva

1. Determine Packed Cell Volume

Determine the packed cell volume (PCV) of the sample. (See handout)

PCV= ________% Normal Range for species__37 - 55____Differential

_______

2. Develop a blood smear to account for the types of WBC in the blood.
You count the WBC’s and come up with the actual numbers now convert those
into a percentage for each WBC below

Actual Count Normal Range Total WBC

Neutrophils 22 0-3% 100 ____%
Basophils 0 0-1% 100 ____%
Eosinophils 0 2-10% 100 ____%
Monocytes 21 3-10% 100 ____%
Lymphocytes 10 12-30% 100 ____%

3. Now count the total platelets on the sample for a platelet

percentage.
If you see 7-9 platelets per high power field (Oil immersion) that patient should
be normal.

4. look into the microscope and label the type of cell you see.

WBC Type:___________________
Name:

5. Now the last step in diagnosing the patient. Figure the type of
disease causing agent.
You have a sample of blood, feces, urine or tissue to prepare a gram stain.

Final Gram stain Color ________ Shape________ Type__________

Final analysis:

Now compare the results of your examination and answer the following
questions.

1. Why do you suppose the WBC is so high or low?

2. What do the elevated Neutrophils tell you?

3. Does the signalment history give any glues as to what the cause might be?

4. Does the gram stain test positive for any specific bacteria?

5. What is your diagnosis?

6. What is your recommendation of treatment?

7. How could we fix this problem from happening again.