Anemia

Question 1

What is the characteristic RBC feature of IMHA on blood smear examinations?

Answer 1

Spherocytes

Question 2

A dog presents with a 24 hour history of weakness and anorexia. Clinical exam: pale MM and tachycardia. The owner complaint is red urine. Hematology detects a moderate anemia (PCV 25%), non-regenerative, normocytic, normochromic. The serum is red discolored. What is you likely diagnosis?

A. Intravascular hemolytic anemia
B. Bone marrow destruction
C. Blood loss anemia
D. Extravascular hemolysis

Answer 2

A. Intravascular hemolytic anemia

Question 3

A collapsed dog with tachycardia has IMHA, with PCV: 10%, TSP: 72g/L, ISA: +ve. What blood product would you transfuse?

Answer 3

Packed Cells

Question 4

Regarding IMTP, which statement is correct?

A. Initial therapy includes prednisolone at immunosuppressive doses
B. Vincristine will decrease hospitalization time
C. Human immunoglobulin infusion is considered the standard of care in severe thrombocytopenic patients at risk of bleeding- Less bleeding episodes ad shorter hospitalization than vincristine
D. Thromboprophylaxis (clopidegral or asprin) is generally started on day three of IMTP therapy

Answer 4

C. Human immunoglobulin infusion is considered the standard of care in severe thrombocytopenic patients at risk of bleeding- Less bleeding episodes ad shorter hospitalization than vincristine

Question 5

A doge presents with respiratory distress due to hemothorax. Which of the following etiologies is incorrect?

A. Warfarin Toxicity
B. Hemophilia
C. Angiostrongylus vasorum-French heartworm
D. Thrombocytopenia

Answer 5

D. Thrombocytopenia

Question 6

A border collie presents to your clinic due to inappetence and anorexia. You detect fever, with petechiation on the buccal MM and ventrum. The most likely differential diagnosis is?

A. Rodenticide
B. Thrombocytopathy
C. Immune mediated thrombocytopenia
D. von Willebrands’ disease

Answer 6

C. Immune mediated thrombocytopenia

Border collies are prone to IMTP