Specialty Exam:


Clin Path
Glucose is elevated.
Alkaline phosphate is elevated.
Both sodium and chloride levels are decreased slightly.
Hematocrit is severely decreased.
There is a trace of blood in the urine.
There are bilirubin and bilirubin crystals noted in the sample.
The total protein, albumin, and globulin are at the high end of the normal range.
The data demonstrates a relative leukocyte count and can not be used to interpretate the 
data.  The total white cell count is needed to produce the absolute leukocyte count.  The 
absolute leukocyte count is used the interpretate the date.  Since the total count was not 
given, interpretation of these percentages may falsely diagnosis a problem or overlook a 
severe inflammatory condition.  
Some abnormalities in the urine sample may be with in normal limits depending on how 
the sample was collected.  The trace of blood would be normal if the sample was voided 
or catheterized.  

Radiographs
The lateral views of the left femur demonstrate a complete fracture in the mid-diaphyseal  
region.  Both the coxofemoral and the stifle joint appear normal.  The spinal column 
findings are unremarkable.  The pelvis appears normal in this view.  There are several 
large bone fragments and the fracture is classified as comminuted.  The type of fracture  
may influence the therapeutic plan, rate of healing, prognosis, and possible 
complications.   
The craniocaudal view  of tibia demonstrates a complete mid-distal diaphyseal fracture of 
the tibia and fibula.  There appears to be no penetrating bone fragments into the joints.  
There are several fragments and this fracture is also classified as comminuted.  
The lateral view supports the findings of the craniocaudal veiw.   This view allows a 
closer look at the joints and there appears to be no trauma to the joints.