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Intra-abdominal lymphadenopathy, hemoptysis, and melena in a 7 yr old MI Lab

Intra-abdominal lymphadenopathy, hemoptysis, and melena in a 7 yr old MI Lab

7 yr MI Lab Ret presented for inappetance and vomiting on 7/16/2020. Diagnosed w/ pancreatitis, r/o fb, toxin ingestion, stomach ulcer, neoplasia. Returned today with copious amount of hematemesis – digested blood. Severely lethargic. Abdomen distended and painful. CBC and chem prof were wnl in the morning.  PT/PTT was also wnl.

cecum irregularity

12 yr FS DS presents for one week hx anorexia and 1 lb weight loss.  No vomiting and energy still ok.  Blood work at rDVM ALT 1188, T bili 9.4, ALP 208, gluc 82, CBC unremarkable.   Other findings on US were thickened submucosa and a gall bladder wall 2.4 mm thick (normal contents).  Liver parenchyma…