This is from a 1.5 year old shih tzu who has had frequent episodes of pain that no one has been able to localize. I really think the pain is more likely spinal in origin but was asked to look at the pancreas/GI tract to make sure another cause cannot be identified. The pancreas looks great and I don’t find any definitive cause for pain. My 2 areas of slight hesitation were the stomach and the kidneys.
This is from a 1.5 year old shih tzu who has had frequent episodes of pain that no one has been able to localize. I really think the pain is more likely spinal in origin but was asked to look at the pancreas/GI tract to make sure another cause cannot be identified. The pancreas looks great and I don’t find any definitive cause for pain. My 2 areas of slight hesitation were the stomach and the kidneys.
I am still getting used to how my new machine looks and I find I see a lot more “mineralization” than I used to. I think it may just be the bright interfaces between the interlobar vessels and other densities within the kidney but I struggle with when I see real lesions if they are subtle. This dog’s kidney medulla seems grainier and brighter than I am used to, besides what looks like a medullary rim sign. Just want to make sure that these are not concerning. Also, I attempted an RI just for practice. I realize my alignment is not great but just wanted to check the technique for when I need it.
Thanks for your help!
Suzanne
Comments
The one still the left limb
The one still the left limb of the pancreas looks a bit hypoechoic but no overt inflammatory fat pattern. Any video on that one? If that was the ste of pain you should have gotten a + murphy sign there… I spread out the scanning hand pressure and guage the body wall tension against my fingers and referred back pain gives superficial tension while visceral pain is deeper… tough to describe but you will know what I mean when you run across examples of both if you haven’t already wiht this concept in mind.
The one still the left limb
The one still the left limb of the pancreas looks a bit hypoechoic but no overt inflammatory fat pattern. Any video on that one? If that was the ste of pain you should have gotten a + murphy sign there… I spread out the scanning hand pressure and guage the body wall tension against my fingers and referred back pain gives superficial tension while visceral pain is deeper… tough to describe but you will know what I mean when you run across examples of both if you haven’t already wiht this concept in mind.
Breed and age fits more with
Breed and age fits more with a spinal lesion, especially with the relative normal abdominal ultrasound.
No Murphy sign on this one
No Murphy sign on this one and the pancreas was very boring. Thanks for looking.
Suzanne
Breed and age fits more with
Breed and age fits more with a spinal lesion, especially with the relative normal abdominal ultrasound.
No Murphy sign on this one
No Murphy sign on this one and the pancreas was very boring. Thanks for looking.
Suzanne