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Ascites

This is a 12 year old male neutered dog with a history of PLN and recurrent UTI’s.  He presented for ascites, and the fluid appeared to be a modified transudate.  No evidence of pericardial effusion, but he did have some pleural fluid.  Albumin normal.

Is this possibly carcinomatosis?  or is all that just fibrin?  The last loop is the prostate.  I thought there might be some hypoechoic lesions, but this is not likely to be prostatic neoplasia, right?  

This is a 12 year old male neutered dog with a history of PLN and recurrent UTI’s.  He presented for ascites, and the fluid appeared to be a modified transudate.  No evidence of pericardial effusion, but he did have some pleural fluid.  Albumin normal.

Is this possibly carcinomatosis?  or is all that just fibrin?  The last loop is the prostate.  I thought there might be some hypoechoic lesions, but this is not likely to be prostatic neoplasia, right?  

jas

4 responses to “Ascites”

  1. quick algorythm for

    quick algorythm for ascites.

     

    PCV ? Anemia? consider hemoabdomen causes. Normal ? see below:

    HV/CVC dilation? NO? > problem in abdomen or low oncotic pressure. YES? problem north of diaphragm: pc effusion +/- mass rt chf obstructive caval disease

    Albumin < 1.5 check PLN PLE diffuse liver/failure, addisons (unlikely that low)

    Albumin > 1.5 check hydrostatic complicating causes: cirrhosis LN/lymphatic obstruction

    Whats left?

    Peritonitis, carcinomatosis mastocytosis lympohomatosis > cytospin the fluid and slide ouit sediment immediately after tapping. Cells matter fluid doesnt unless culturing.

     

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