Case Details
Nana by pindvm
Weakness And Lethargy
   

Signalment

  • Age: 14 years
  • Sex: female spayed
  • Breed: Cavalier King Charles Spaniel
  • Species: dog

Disease Notes

  • Certainty: tentative
  • Final Status: Deceased from this disease on day 66

Treatment and Outcome


Problem Notes
  • Chronic Allergies: Chronic pododermatitis, thin fur, dry large scale,
  • Chronic Diarrhea: Since chocolate toxicosis 3/2020
  • Systolic Heart Murmur: 5/6 holosystolic

Treatments
Day 24

Notes:  Finished Zhi Bai Di Huang wan, legs are weaker, no coughing. Dragging all 4 paws. Soaking all 4 paws in cold black tea - much less red. O added Mushrooms and sweet potato to diet. Skin still moderate scale, thin hair coat, worse on sides. ( has been bad since chocolate toxicosis 7/2020) Paws were all cold. Could only stand a few seconds on her own. 5/6 holosystolic murmur. No crackles. OU Moderate scleral injection.

Acupuncture points were stimulated

Manipulation or massage was performed


Day 49

Notes:  Much weaker - cannot stand on her own. Feet very cold. very muscle wasted. Abdomen large. Palpable mass R liver. L mandibular and Prescap nodes 0.8 cm firm. no CP all 4. No fur on toes. 5/6 holosystolic murmur. OU mod - severe scleral erythema. Fur thin, mod large scale especially lateral torso and abdomen.

Acupuncture points were stimulated


Day 55

Notes:  Weaker. Obtunded, then rouses. Pulses weak and slow. Seems depressed. Cannot stand on her own. Abdomen seems large. Pleural rubs, 5/6 holosystolic murmur. tongue light pink, limp, moist. Paws cold. Some gasping.

Acupuncture points were stimulated

Manipulation or massage was performed


Day 62

Notes:  Netter for 4-5 days after last visit. Went in a long drive Sunday. Got weaker after that. Eating well. Cannot stand on her own. Barks if she want something. Paws always cold. Tongue pale, limp, white coat, pulse deep sl fast. Pot bellied appearance. Very weak.

Acupuncture points were stimulated

Manipulation or massage was performed


Day 66

Notes:  Owner called. Mana passed about 24 hours after the last treatment. She was fine until she went in to respiratory arrest and passed quickly.