2y4m, 5kg Mini Schnauzer, chronic on and off V+ and D+. Appears dietary/stress related.
>>US: stomach prominent muscularis, echogenic mucosa. Wall thickness WNL. Generalized mesenteric LN enlargement (0.6-0.7cm transv). Peyer Patch visualized in DD. No relevant amount of speckling in DD nor SI.
>>Can this be a gastric ulcer? I cant see a clear thining of the mucosa, but there is shadowing. I cant decide whether it is ulcer or ingesta remains. I’d suggest gastric protectants anyway. Just curious what you think?
2y4m, 5kg Mini Schnauzer, chronic on and off V+ and D+. Appears dietary/stress related.
>>US: stomach prominent muscularis, echogenic mucosa. Wall thickness WNL. Generalized mesenteric LN enlargement (0.6-0.7cm transv). Peyer Patch visualized in DD. No relevant amount of speckling in DD nor SI.
>>Can this be a gastric ulcer? I cant see a clear thining of the mucosa, but there is shadowing. I cant decide whether it is ulcer or ingesta remains. I’d suggest gastric protectants anyway. Just curious what you think?
Comments
Good thought but its
Good thought but its echogenic mucus or similar lying on the mucosa interfacing wiht the anechoic luminal fluid.
True ulcers will cause defects in the tissue and penetrate mucosae and potentially submucosa to mucularis and further.
Here is a verified gastric ulcer from the sonopath archive and atlas dvd (https://sonopath.com/products/cd). See how the echogenic changes penetrate the mucosae and submucosae here and compare to your case…. which could still have gastritis and microulceration but nothing obvious sonographically.
http://sonopath.com/resources/cases-month/gastric-ulcer
Thanks!! Good to have a super
Thanks!! Good to have a super quick reassuring answer:)
You caught me in front of the
You caught me in front of the computer reading stat telemed cases:) We try to get to everything on the forum within 24 hours as a policy but this time was within 24 minutes:)