12-year-old dog with bloody urine

Test Results

Results of appropriate testing are shown:

Test (units)

Result

Ref. Range

Complete blood count:

Unremarkable

 

Serum blood chemistry profile:

Glucose (mg/dL)

84

67-132

Creatinine (mg/dL)

0.8

0.5-1.5

Blood urea nitrogen (mg/dL)

23

7-32

Phosphorus

4.5

2.3-7.9

Calcium (mg/dL)

11.9

9.7-12.3

Sodium (mmol/L)

145

138-148

Potassium (mmol/L)

4.9

3.5-5.0

Chloride (mmol/L)

114

105-117

ALT (IU/L)

121

3-69

Alkaline phosphatase (IU/L)

634

20-157

GGT (IU/L)

10

5-16

Total bilirubin (mg/dL)

<0.1

0.10-0.80

Cholesterol (mg/dL)

316

125-301

Urinalysis (naturally voided sample):

 

 

Color

Red-orange

Yellow

Turbidity

Cloudy

Clear

Specific Gravity

1.017

1.010-1.030

pH

7.0

5.0-8.0

Dipstick results:

Protein

2+

 

Glucose

Negative

 

Ketones

Negative

 

Bilirubin

3+

 

Blood

3+

 

Sediment evaluation:

WBC (/hpf)

0-2

 

RBC (/hpf)

TNTC

 

Epithelial cells

50+

 

Bacteria

None

 

Urine culture:

No growth

 


Abdominal ultrasonography results are shown below:

VET

Observations and Impressions:

  • At least 3 florid-like urinary bladder masses are seen in the dorsal and ventral wall. The largest measures 4.3cm x 1.5cm x 2.4cm, with pinpoint hyperechoic specks and marked vascularity on color flow Doppler. This is consistent with primary urinary bladder neoplasia, likely a transitional cell carcinoma (TCC). The proximal urethra and prostate look normal.
  • Hepatic hypoechoic nodules - nodular hyperplasia or extramedullary hematopoiesis or metastatic tumor nodules.
  • Hyperechoic splenic and hepatic nodules - suspect myelolipomas.
  • The medial iliac lymph nodes are normal.
  • The rest of the abdomen is normal.