Marvin is a 7 year old Black Lab with a history of 36 hours vomiting multiple times.
Blood work was WNL. X-rays revealed segmental areas of ilius- but no obvious obstructions or FB.
Per his owners he is not the type of dog to eat things- even though he is a lab.
Since labs were normal I must assume we are dealing with a primary GI issue here.
I did a stat evaluation of the stomach from SDEP position 11 and 12 intercostal.
I felt the pyolurs was fine but I have some concern about a soft tissue mass.
Marvin is a 7 year old Black Lab with a history of 36 hours vomiting multiple times.
Blood work was WNL. X-rays revealed segmental areas of ilius- but no obvious obstructions or FB.
Per his owners he is not the type of dog to eat things- even though he is a lab.
Since labs were normal I must assume we are dealing with a primary GI issue here.
I did a stat evaluation of the stomach from SDEP position 11 and 12 intercostal.
I felt the pyolurs was fine but I have some concern about a soft tissue mass.
Any feedback would be appreciated in this case. I may have to do a complet ultrasound on Monday.
Thanks
Comments
Were you able to put CF
Were you able to put CF Doppler on it or was there too much patient movement?
Great dog- I just forgot.
Do
Great dog- I just forgot.
Do you see the possibility of a mass?
The abnormal tissue seems
The abnormal tissue seems limited to the mucosa and its echogenic and heterogenous in the last video its seen the best. The submucosal muscularis and serosal layers are in tact which is good. This is a scope case non invasively as this lesion will be quite visible as the scope approaches the pylorus. Empricially I have had good luck with canned bid feedings hydrolysed or hypoallergenic diet and a 3 week helocobacter protocol and monitor sonographically if they dont want to sample which would be the best idea here. Likely hypertrophied mucosae and chronic gastritis possible epithelial based tumor. Regarding the doppler you have to really cone down your sector around the lesion and use the liver as a window cranial to caudal here intercostal left or right approach (position 9 or 12/13 SDEP) to avoid motion artifact.
Thanks. I may submit this as
Thanks. I may submit this as a full telemedicin consult. Lots of gas throught the bowel and colon making pathology furhter down the GI tract likely.
If I do a complete ultrasound I will try to cone down. Some sedation may be needed here.
Thanks for the feed back