Pericardial effusion, right atrial mass and gastric stasis

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Pericardial effusion, right atrial mass and gastric stasis

  • 13 year old, 15lb, FS terrierX
  • Acute onset anorexia and abdominal pain
  • CBC shows a mild neutrophilia, Chem profile shows a mildly increased BUN
  • Abdominal rads show a caudally displaced spleen
  • Abdominal ultrasound shows a markedly distended stomach with no visible foreign body or outflow obstruction, caudal displacement of the spleen by the stomach, splenomegaly, dilated hepatic veins, and a double gall bladder wall
  • Echocardiogram shows pericardial effusion, right atrial wall mass extending into the right ventricle wall

    • 13 year old, 15lb, FS terrierX
    • Acute onset anorexia and abdominal pain
    • CBC shows a mild neutrophilia, Chem profile shows a mildly increased BUN
    • Abdominal rads show a caudally displaced spleen
    • Abdominal ultrasound shows a markedly distended stomach with no visible foreign body or outflow obstruction, caudal displacement of the spleen by the stomach, splenomegaly, dilated hepatic veins, and a double gall bladder wall
    • Echocardiogram shows pericardial effusion, right atrial wall mass extending into the right ventricle wall
    • The dog is not tachcardic (HR=108) but she is also on morphine for pain
    • Should I be tapping the pericardial sac even thought the dog is not tachycardic? Could the profound gastric distension be due to poor venous return? poor perfusion?  ATE?

     

Comments

EL
March 19, 2014 at 7:10 am -

 
 
I tap the pc when there

 
 

I tap the pc when there is hepatic vein and cvc dilation and its safe to do so wiht an adequate angle. The GI is a shock organ hence passive congestion and hypoxia theoretically could cause Gi stasis as does anything that causes general malaise. I believe morophine causes Gi stasis as well so may be playing a role. the pylorus is clear wiht a bit of partially digetsed soft food sitting on top so no obstruction in that image.

see this post as well for more insight

http://sonopath.com/forum/ascites-affecting-cardiac-scan

 
EL
March 19, 2014 at 7:10 am -

 
 
I tap the pc when there

 
 

I tap the pc when there is hepatic vein and cvc dilation and its safe to do so wiht an adequate angle. The GI is a shock organ hence passive congestion and hypoxia theoretically could cause Gi stasis as does anything that causes general malaise. I believe morophine causes Gi stasis as well so may be playing a role. the pylorus is clear wiht a bit of partially digetsed soft food sitting on top so no obstruction in that image.

see this post as well for more insight

http://sonopath.com/forum/ascites-affecting-cardiac-scan

 
Electrocute
March 24, 2014 at 4:38 pm -

Thanks Eric.  The links on

Thanks Eric.  The links on the post are very helpful.  On the ultrasound guided centesis and pericardiocentesis posts, I am unable to see the videos.  My computer shows “Flash Videos Not Found”.  Are the links no longer active or is there some other app that I need for my computer? 

 

Electrocute
March 24, 2014 at 4:38 pm -

Thanks Eric.  The links on

Thanks Eric.  The links on the post are very helpful.  On the ultrasound guided centesis and pericardiocentesis posts, I am unable to see the videos.  My computer shows “Flash Videos Not Found”.  Are the links no longer active or is there some other app that I need for my computer? 

 

EL
March 24, 2014 at 6:36 pm -

We will check into it you

We will check into it you should see them… stay tuned thx for bringing it to my attention

EL
March 24, 2014 at 6:36 pm -

We will check into it you

We will check into it you should see them… stay tuned thx for bringing it to my attention

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