Annie is a 10 yr FS Affenpinscher X presented for diarrhea and vomiting this week – she was depressed on presentation and dehydrated – elevated ALP (moderate) and mild elevations in ALT and bilirubin – cPLI elevated (moderate) – CBC showed mild elevation in HCT, otherwise normal – she does not tend to eat FB’s at home but this can’t be ruled out – she was given cerenia and SQ fluids pending bloodwork, then was hospitalized with IV fluids, famotidine, ampicillin, butorphanol and NPO DDX: pancreatitis – she is brighter today but I performed x-rays and ultrasound which then worried me: – her s

Annie is a 10 yr FS Affenpinscher X presented for diarrhea and vomiting this week – she was depressed on presentation and dehydrated – elevated ALP (moderate) and mild elevations in ALT and bilirubin – cPLI elevated (moderate) – CBC showed mild elevation in HCT, otherwise normal – she does not tend to eat FB’s at home but this can’t be ruled out – she was given cerenia and SQ fluids pending bloodwork, then was hospitalized with IV fluids, famotidine, ampicillin, butorphanol and NPO DDX: pancreatitis – she is brighter today but I performed x-rays and ultrasound which then worried me: – her stomach is dilated and furiously contracting while her duodenum appeared very still and slightly corrugated – there appears to be alot of hyperechoic fat around the stomach – there is a hyperechoic liver mass in the left liver – the rest of the GI was normal – to me, the left and right pancreas did not look too abnormal- mild hyperechoic fat – we fed her this morning, and she ate ravenously – started her on randitine and waiting to see if food stays down (no Cerenia on board) Should I be worried about an obstruction – nothing specific could be indentified? Could this be pancreatitis? My plan, if all goes well, to rescan tomorrow then plan to biopsy the liver mass which I don’t think is the primary problem here