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What Is Your Diagnosis?

机译:您的诊断是什么?

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摘要

A 1-year-old sexually intact male mixed-breed dog was evaluated within an hour of being hit by an automobile. On physical examination, the rectal temperature was 38.5°C (101.2°F), the heart rate was 160 beats/min, and the respiratory rate was 60 breaths/min. Femoral pulses were weak and mucous membranes tacky. The dog was alert and responsive; both pupils were miotic, and conjunctival hemorrhage was detected in the right eye. Direct and indirect pupillary light reflexes were absent in the right eye. Several small lacerations were detected on the head, and a contusion was detected on the lateral side of the left stifle joint. The dog was nonambulatory and unable to move both hind limbs. Signs of deep pain were detected in all limbs. A catheter wasplaced in a lateral saphenous vein, and fentanyl (4.4 mug/kg [2 mug/lb], IV bolus) was administered. The dog also received standard treatment for shock. No abnormalities were detected on abdominal and thoracic radiographs. Fluids were administered IV and the dog received antimicrobials and analgesics during the night.
机译:在被汽车撞到后的一个小时内,对一只1岁,性完整无缺的雄性混合犬进行了评估。身体检查时,直肠温度为38.5°C(101.2°F),心率为160次/分钟,呼吸率为60次/分钟。股脉微弱,粘膜发粘。那只狗机敏,反应灵敏。两个瞳孔均为瞳孔缩小,右眼发现结膜出血。右眼不存在直接和间接的瞳孔光反射。在头部发现了几处小裂痕,在左脚踝关节的外侧发现了挫伤。这只狗不能走动,不能移动后肢。在所有四肢中都发现了深痛的迹象。将导管放置在大隐静脉的外侧,并给予芬太尼(4.4杯/千克[2杯/磅],静脉推注)。这只狗还接受了休克的标准治疗。在腹部和胸部X光片上未发现异常。静脉输液,该犬在夜间接受了抗微生物药和止痛药。

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