HistoryAn approximately 2.5-year-old sexually intact female bearded dragon (Pogona vitticeps) was evaluated for acute onset of listlessness, weakness, and pallor of the entire integument. On initial examination, the bearded dragon was lethargic, pale, and subjectively dehydrated. A serum biochemical analysis revealed a glucose concentration of 502 mg/dL (reference range, 149 to 253 mg/dL) and a uric acid concentration of 10.3 mg/dL (reference range, 1.8 to 7.0 mg/dL). A CBC revealed an Hct of 18% (reference range, 24% to 36%). The bearded dragon was hospitalized overnight and given enteral fluid therapy by gavage tube; the bearded dragon was also soaked in tepid water for 10 minutes. The following day, the bearded dragon was more alert and less pale and was discharged with instructions to soak daily and repeat the serum biochemical analysis in 1 week.Four days later, the bearded dragon was admitted for a marked decrease in appetite and continued lethargy and pallor since discharge. Physical examination findings were unchanged from those found at the time of initial admission. A follow-up serum biochemical analysis revealed resolution of hyperglycemia (glucose, 196 mg/dL) and hyperuricemia (uric acid, 1.8 mg/dL). Survey radiographs of the whole body were obtained (Figure 1).Determine whether additional imaging studies are required, or make your diagnosis from Figure 1-then turn the page →
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