https://www.vetsurgeon.org/f/clinical-questions/17967/persistently-pyrexic-dog The patient is an eight month old entire male cocker spaniel. He was seen by one of my colleagues on 23/12/13 having had a few epsidoes of head tremors, each one only lasting a few seconds. Otherwise he had been completely normal at home. He had a temperatureen-USTelligent Community 10https://www.vetsurgeon.org/thread/109556?ContentTypeID=1Tue, 04 Mar 2014 11:35:59 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:38c14981-f3bf-453f-9a89-efdae1692c88Rory Bell<p>Good plan!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/109548?ContentTypeID=1Tue, 04 Mar 2014 10:50:31 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:56dd5a13-749d-411f-9771-77f683f0f9f1Thomas Johnson<p>The dog&#39;s owner has checked its temperature at home 3 times a day for the past 4 days, and all the readings have been between 37.7 and 38.7C, so I am going to leave well alone now!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/109121?ContentTypeID=1Fri, 28 Feb 2014 08:44:39 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:be701cc9-a6f3-4e19-9f16-443d8de48bceThomas Johnson<p>[quote user=&quot;Rory Bell&quot;] <p>Sorry - to clarify, usually, I start to pay attention to CRP when the circulating concentrations are more than 2 fold increased above the normal range. Very minor foci of inflammation (and therefore those of dubious clinical significance) can cause small increases in CRP concentrations.&nbsp;</p> <div style="CLEAR:both;"></div> [/quote]</p> <p>Thank you. I have sent the dog&#39;s owner home with a thermometer to measure its temperature a few times a day over the weekend.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/109044?ContentTypeID=1Thu, 27 Feb 2014 14:51:05 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:6f4f510d-808f-46eb-bc4e-ade681493870Rory Bell<p>Sorry - to clarify, usually, I start to pay attention to CRP when the circulating concentrations are more than 2 fold increased above the normal range. Very minor foci of inflammation (and therefore those of dubious clinical significance) can cause small increases in CRP concentrations.&nbsp;</p> <p>&nbsp;</p> <p>rb</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/109043?ContentTypeID=1Thu, 27 Feb 2014 14:48:34 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f310d19d-4b63-43e9-a997-260a385c8bfdRory Bell<p>HI Thomas</p> <p>Nope, thats a totally insignificant variation - to all intents and purposes that CRP result is &#39;normal&#39;. Frustrating that the dog&#39;s temp was normal at the time, be interesting to see what the CRP was doing when he was pyrexic!</p> <p>&nbsp;</p> <p>cheers</p> <p>rb</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/109030?ContentTypeID=1Thu, 27 Feb 2014 13:00:14 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:e4dab1fb-f940-438f-a8e6-7ee449eea6b9Thomas Johnson<p>Thank you for your suggestions, I examined the dog again on Monday, and his temperature was 38.6C. I repeated the blood tests and added in C Reactive Protein:</p> <p>Red cells&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 7.62&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^12/L&nbsp;&nbsp; 5.50 - 8.50&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Haemoglobin&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 18.8&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; g/dL&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 12.0 - 18.0&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; <br />Hct&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0.542&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; l/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0.380- 0.570&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />MCV&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 71.1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; fL&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 61.0 - 80.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />MCH&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 24.7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; pg&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 20.0 - 26.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />MCHC&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 34.7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; g/dL&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 30.0 - 36.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Absolute retic. count&nbsp;&nbsp;&nbsp;&nbsp; 51.8&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />White Cells&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 17.4&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp; 6.0&nbsp; - 15.0&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; <br />Neutrophils&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 70%&nbsp;&nbsp; 12.18&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp; 2.50 - 12.50&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Lymphocytes&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 21%&nbsp;&nbsp; 3.65&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp; 1.40 - 4.90&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Monocytes&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 6%&nbsp;&nbsp;&nbsp; 1.04&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; <br />Eosinophils&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3%&nbsp;&nbsp;&nbsp; 0.52&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp; 0.00 - 1.60&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Platelet count&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 211&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 10^9/L&nbsp;&nbsp;&nbsp; 150&nbsp; - 450&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Analyser ID&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Results generated by SYSMEX XT2000<br />Morphological Assessment&nbsp; No abnormal cells seen.<br />Total Protein&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 55.1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; g/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 54.9 - 75.3&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Albumin&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 33.6&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; g/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 26.3 - 38.2&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Globulin&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 21.5&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; g/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 23.4 - 42.2&nbsp;&nbsp;&nbsp; Low&nbsp;&nbsp;&nbsp;&nbsp; <br />AG Ratio&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1.56&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0.70 - 1.40&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; <br />Urea&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 5.1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 3.1&nbsp; - 10.1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Creatinine&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 62.7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; umol/L&nbsp;&nbsp;&nbsp; 20.0 - 144.5&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />ALT (SGPT) 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 38.8&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 19.8 - 124.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Alk. Phosphatase 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 61.7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Gamma GT 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4.4&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.5&nbsp; - 10.6&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Total Bilirubin&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; umol/L&nbsp;&nbsp;&nbsp; 0.1&nbsp; - 4.2&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />CK (CPK) 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 162.6&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 20.0 - 225.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Bile Acids (fasting)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; umol/L&nbsp;&nbsp;&nbsp; 0.1&nbsp; - 5.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Cholesterol&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4.20&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 3.20 - 6.20&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Triglycerides&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0.54&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 0.30 - 1.20&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Amylase. 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1188.5&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 100.0- 1200.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Lipase 37C&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 63.6&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; U/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 0.1&nbsp; - 200.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Sodium&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 149.3&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 135.0- 155.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Potassium&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 5.10&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 3.60 - 5.60&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Sodium/Potassium ratio&nbsp;&nbsp;&nbsp; 29.27&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 28.80- 40.00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Chloride&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 111.3&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 100.0- 116.0&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Inorganic phosphorus&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.45&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 0.80 - 1.60&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; <br />Calcium&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.66&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 2.36 - 2.84&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br />Glucose&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 5.6&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mmol/L&nbsp;&nbsp;&nbsp; 3.6&nbsp; - 7.0</p> <p><br />C Reactive Protein&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 12.3&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; mg/L&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &lt;=10&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; High&nbsp;&nbsp;&nbsp; </p> <p>Is this a significant elevation in C Reactive Protein?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/108252?ContentTypeID=1Tue, 18 Feb 2014 16:12:12 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:b53e5f42-73ce-4d6a-8e7a-2adf1ea72276Rory Bell<p>Hi Thomas</p> <p>&nbsp;</p> <p>I&#39;d agree that the hyperphosphatemia is likely due to his age. I&#39;d also agree with Evelyn&#39;s suggestion regarding acute phase proteins; they are far more sensitive markers of inflammation than a leucocytosis and the same cytokines (interleukin 1, 6 and tumour necrosis factor alpha) involved in their production are the same cytokines that generate a fever. Acute phase proteins are non specific and therefore although an increased concentration indicated inflammation, it won&#39;t tell you where, or what, the inflammatory focus is.&nbsp;</p> <p>Apologies if you have already considered this, but would it be worthwhile having the owners measure his temperature at home to make sure this is a true fever rather then physiological hyperthermia? Might be worth considering, especially if the APP concentrations are normal.</p> <p>cheers</p> <p>rory</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/108248?ContentTypeID=1Tue, 18 Feb 2014 15:32:32 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:1476e7e8-97b0-4f8b-bd0d-5c47cdda7e06Evelyn Barbour-Hill<p>[quote user=&quot;Thomas Johnson&quot;]Am I missing something or does this dog just have a normal temperature significantly higher than the average?[/quote]</p> <p>I am quite sure that some do &ndash; apparently, anyway, when measured by conventional means in conventional circumstances.</p> <p>Repeat the white cell counts for comparison?</p> <p>Acute phase proteins might be informative?.&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/108246?ContentTypeID=1Tue, 18 Feb 2014 15:07:55 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:eb6f58b3-be58-4b07-b27d-c5eb0659e918Thomas Johnson<p>[quote user=&quot;Julian Earl&quot;] <p>A couple of things to check maybe: urinalysis? Also any signs of pain, especially neck pain? I assume from your notes that his anal glands are okay? I&#39;ve been caught out by a wolfhound with a persistent 106 degF and no classical anal discomfort but wfrom hich one huge abscess eventually burst out one embarrassing week later! </p> <div style="CLEAR:both;"></div> [/quote]</p> <p>No signs of pain, I&#39;ve pulled his head around quite a lot as I was thinking meningitis when I first saw him, and anal glands are okay. Urinalysis is a good idea.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/108243?ContentTypeID=1Tue, 18 Feb 2014 14:19:31 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:24c9bf28-e794-42a0-9c56-d2d14d95e52fJulian Earl<p>A couple of things to check maybe: urinalysis? Also any signs of pain, especially neck pain? I assume from your notes that his anal glands are okay? I&#39;ve been caught out by a wolfhound with a persistent 106 degF and no classical anal discomfort but wfrom hich one huge abscess eventually burst out one embarrassing week later! </p><div style="clear:both;"></div>