1. HYPERTROPHIC OSTEODYSTROPHY IN A FIVE MONTH OLD FEMALE ALSATIANBY
OLUSA T.A

2. CASE HISTORY SIGNALMENT: Specie: CANINE Breed: ALSATIAN Sex: FEMALE
Age: FIVE MONTHS
Weight:I2 kilograms
Colour: Black/Tan

3. CASE HISTORY
PREVIOUS ILLNESS AND MEDICATIONS:
DHLPP VACCINATIONS WAS ADMINISTERED THREE DAYS BEFORE PRESENTATION. a

4. CASE HISTORY CONT”D. Present complaints: DULLNESS ANOREXIA
INABILITY TO WALK.
DIARRHOEA

5. CLINICAL EXAMINATION. Physiological Parameters.
Temperature:40.6°C( ).
Heart Rate:160 beats/minute(70-140).
Pulse Rate: 168 beats/minute( ) Respiratory rates:44breaths/minute(18-34)

6. CLINICAL EXAMINATION CONT”D.
Physical findings.
MODERATE MUCOPURULLENT OCULAR DISCHARGE.
ENLARGED LYMPH NODES
DIARRHOEA.
PAIN ON HIND LIMB PALPATION.

7. TENTATIVE DIAGNOSIS VACCINAL REACTION. CANINE DYSTEMPER. BABESIOSIS
HYPOCALCEMIA.

8. MANAGEMENT BLOOD OBTAINED FOR FBC.
BLOOD OBTAINED FOR SERUM CA/P ANALYSIS.

9. LABORATORY FINDINGS. Parameters Dog Normal values PCV(%) 34 37-55
MCHC (%)
MCV (fl)
WBC (109/L)
Differentials:
Neutrophils: Monocytes :1.4
Lymphocytes: Basophils : NIL
Eosinophils:1.4

10. SERUM BIOCHEMISTRY FINDINGS
CALCIUM (mg/dl) (9-11)
PHOSPHORUS (mg/dl) (4-8)

11. LABORATORY FINDINGS INTERPRETATION.
NEUTROPHILIC LEUKOCYTOSIS
LYMPHOCYTOSIS
HYPO-PHOSPHATEMIA

12. TREATMENT AMPICLOX INJECTION 250mg i.m T.i.d.
5% DEXTROSE SALINE 500mls i.v
HYOSCINE INJECTION 1ml i.m
VITAMIN C 500mg per os.

13. REMARKS DIARRHOEA STOPPED A DAY AFTER COMMENCEMENT OF TREATMENT.
APPETITE RESUMED BY THE SECOND DAY OF TREATMENT.
PUPPY RESUMED WALKING BY THE FOURTH DAY OF TREATMENT.
HOWEVER PUPPY RELAPSED INTO THE SAME CONDTION TWO WEEKS LATER.

14. REMARKS CONTINUED
RECOVERY AND FREQUENT RELAPSES WAS OBSERVED IN THE NEXT 6 WEEKS OF MANAGEMENT.
BILATERAL FIRM MASSES WERE OBSERVED ON THE ELBOWS.
SIMILAR SWELLING WAS OBSERVED ON THE STIFLE

15. PUPPY WITH BILATERAL SWELLING OF THE ELBOW

16. FURTHER MANAGEMENT
ANTERO-POSTERIOR RADIOGRAPHS OF THE ELBOW WAS OBTAINED

17. RADIOGRAPHIC FINDINGS
VARYING DEGREE OF MINERALIZATION OF THE PROXIMAL AND DISTAL METAPHYSIS
THICKENED METAPHYSIS WITH IRREGULAR RADIOLUSCENT ZONE SEPERATING IT FROM THE PHYSIS
OSTEOID INFILTERATION INTO THE SOFT TISSUE AND MARROW

18. A/P VIEW OF THE FORE ARM

19. DIAGNOSIS OSTEOSARCOMA CHONDROSARCOMA HYPERTROPHIC OSTEODYSTROPHY
PAN-OSTEITIS

20. CONCLUSION
OWING TO FREQUENT RELAPSES AND MULTIPLE BONE INVOLVEMENT, PUPPY WAS EUTHANISED.
PATHOLOGY REVEALED MARKEDLY ENLARGED RADIO-ULNAR AND TIBIO-FIBULA BONES AND THICKENED PERIOSTEAL TISSUE.
HISTOPATHOLOGY REVEALED IMPACTION OF THE TRABECULAE .

21. THANK YOU FOR
LISTENING.