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HCM – how high anesthetic risk

HCM – how high anesthetic risk

Hello,  this is a 5 years old “hands off” cat . Very aggressive even with Gabapentin on board  Always had a greade 3/6 heart murmur, no arrhytmias.Clinically doing great but has dental disease and needs some extractions    BW results, including BNP is pending- should have results tomorrow  We did only a focal limited echo…

True cut core biopsy?

Hello,   This is a 13 years old daschund that has very high liver enzymes : marked ALP elevation, extreme GGT elevation and moderate ALT . Dog is not clinical.  AUS : mixed echoic mass that measures 4.5 cm in diameter situated at the cranial and left aspect of the liver . We suspect Benign…

Aortic invasion?

– 11 year MN old lab Lab Retriever chronic intermittent history vomiting, diarrhea now with severe weight loss, intermittent trembling, anxious episodes and weakness mixed with hyperactivity – HR 210, one time BP 154/80 taken with butorphanol on board – left adrenal mass on ultrasound with tumour thrmobus in the CVC ddx: pheo, adenocarcinoma –…

Pericardial effusion cause?

Hello, Niebla is a ~ 5 years old F/S GSP X rescued from Dominican Rep. 2 years ago Presented for anorexia, distended abdomen   Had muffled heart and abdominal fluid wave on PE  Pericardiocentesis performed, removed 400 ml of clear fluid- Transudate   Large amount of peritoneal fluid as well   BW was wnl except…

What us this?

 – 1 year old DSH present for three day history of vomiting and not eating – owner also thought that the patient may have been coughing a so rDVM thought maybe the cat may having been coughing leading to vomiting – history not clear – bloodwork including FIV/FeLeuk Negative  T-39.4C – x-rays show an approx….

Interesting GI tumour

– 11 year old MN Boston Terrier with history of weight loss, decreased appetite and bloody diarrhea – interesting mass found on ultrasound in the jejunum which looks like it is intra-luminal and perhaps coming from the mucosa or submucosa layer at a focal region as I can see it sliding against what looks like…

Start atenolol?

– 2 year old overweight MN DSH diagnosed with a new heart murmur – was not happy during echo so was given 0.2 mg/kg butorphanol IV which helped facilitate the exam – I am seeing uneven thickening of the IVS measuring up to 8mm in diastole, hypertrophied papillary muscles that almost obliterate the LV cavity…

Feline Murmur/ PVC’s

Meeko is a 11 month old DSH with a history of a grade 2 murmur on the L side. He was neutered in 12/17 at 7 months of age and was showing PVC’s while monitoring under anesthesia.  My associate asked me to take a quick look at the heart. At the time I thought there…

Pyelonephritis ?

Millie is a 2 years old Pug that initially presented for straining to urinate, blocked on October 2017. She was diagnosed with bladder stones and had a cystotomy done .According to owner she is incontinent ever since the surgery; she is still urinating with a good stream but also dribbling urine ( wearing a diaper..)…

Pyelonephritis?

Millie is a 2 years old Pug that initially presented for straining to urinate, blocked on October 2017. She was diagnosed with bladder stones and had a cystotomy done .According to owner she is incontinent ever since the surgery; she is still urinating with a good stream but also dribbling urine ( wearing a diaper..)…