Festive Toxicities
Lemon- 7 month male labrador puppy
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Lemon - was presented after
becoming ataxic few hours after the
walk in the park in the evening
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Owner haven’t seen him eating
anything,but admits disapeared in the
bushes for a few hours
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Presenting signs: sedation,ataxia,mild
hind limb tremor,polyuria, slight
nausea but no vomiting,clinical exam
within normal limits apart mild
bradycardia hr68 bpm
Lemons treatment
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Lemon had a blood test ●
Lemon was admitted for ivft
which was unremarkable ●
Methacarbamol given rectally
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Based on neurological sign ●
Antiemetics
neurotoxin was suspected ●
Intralipid bolus protocol
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Lemon vomited once -which looked
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DDX: like chewed cigarette and smelled
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Tremorgenic mycotoxins cannabis
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Lemons signs resolved in 9
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Cannabis hourspost admission and he was
discharged home
Poppy -4 years old Dogue du Bordeaux
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Owner called and advised
Poppy ate 1 block of rat
poison 10 min ago
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Owner was able to find the
packet and identify poison
brand and type -broadifacum
0.029 g/kg 20 g blocks
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Poppy weight 46.7kg
Poppy’s treatment
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Calculations were made ●
Poppys owner was advised
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Broadifacum toxicity 0.2-4 to strictly monitor Poppy for
mg/kg any bruising,unexplained
bleeding
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Dose consumed by Poppy is
way below toxic dose
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Good practive for those
cases give advise to call
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No treatment required Animal poisol line for the
owners.
Rolo – 8years old male springer spaniel
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Rolo ate whole 600g Christmas
pudding
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Time of exposure not established
as owner came from a night shift
and found packaging shredded
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On presentation Rolo was
vomiting,shaking and lethargic.
Hr 90 rr panting,pain score 4/20
on abdominal palpation t
37.6,skin tenting present.
C
o
l
u
m
n
3
2
1
Rolo’s recovery
Rolo was admitted for IVFT Rolos signs were consistent with AKI and dehydration
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As he was profusely vomiting, there was no need to
induce emesis, antiemetics given instead and charcoal
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Bloods performed given orally at 2ml/kg (carbodote)
Gatroprotectants Omeprazole
Biochemistry: BUN -15.1
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1.5mg/kg IV
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Creatinine 289 ●
Urinalysis including UPRO
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Blood pressure monitoring
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K -5.4 ●
Rolo was mildly hypertensive so benazepril started
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Referral for dialysis discussed with the owners
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Cl 100 (range 107-113 mEq/l) ●
Rolo’s kidney parameters improved 3 days post
hospitalisation and he was discharged
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PCV 58% ●
Subsequent assessments identified lasting IRIS stage 1
kidney damage
Mittens 12 yo domestic shorthair
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Mittens presented with lethargy,
increased respiratory rate, mild
mouth mm ulceration and
haematoemesis
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Mittens is an outdoor cat, who
likes drinking from the puddles
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HR 180 rr45 MM pale pink crt
3s, weak but synchronous
femoral pulses , severe skin tent
and sunken eyes t36.2
Mittens treatment
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Mittens was admitted for IVFT ●
Mittens remained anuric even with
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Biochemistry: BUN off the scale frusemide administered
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Creatinine 489 ●
Started showing signs of limb and
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K 7.8 pulmonary oedema
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PCV 62% TS 90 ●
Renal parameters were creeping up in
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Metabolic acidosis 24h
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Abdo ultrasound discovered severe renal cortex ●
No response to alcohol administration iv.
oedema
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Urinalysis -crystaluria SG 1.008
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Owners decided to euthanize
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Antiemetic,gastroprotectans Omeprazole at
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Post mortem confirmed acute renal
1mg/kg injury associated with ethylene glycol
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Alcohol injection iv toxicity
Django 10 month old Dachund
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Presented with jerky
movement,ataxia,swaying
and falling over
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Owner collected him like that
from her brothers home who
was pet sitting
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Brother remained silent
about of any potential cause
Django’s tretment
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On exam Django was falling ●
Django was admitted
over and salivating, he ●
As he kept vomiting no emesis inducton
was needed
vomited in consult and it was ●
Istat bloods showed mild meabolic alcalosis
red in colour and smelled like but rest remained normal liver enzymes
strong alcohol. Owner made a showed mild ALKP elevation
call to her brother and he ●
Django was started on ivft,antiemetic and
oral charcoal
confessed that knocked bottle
48h later he made ful recoveryand was
of cherry and dog licked it -he
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discharge, owner sweared to never ever
found it very amusing,but did leave Django with her brother again, despite
not expected any of the signs he promised full sobriety for him and Django
