Significant weight loss and duodenal pathology in 13yr mn German Shorthair
13 yr mn GSH pointer presented for 12 pound weight loss during the last year, and vomiting every 3-4 days and intermittent diarrhea for the past few months. The patient also has intermittent urinary incontience and occaisional twitching of right front leg. No recent bloodwork performed. Abdominal US shows a thickened duodenal wall with pseudolayering and…
Teaching
I may have posted this a few years back but thought I’d check in again with my fellow advanced PEEPs. Just wanted to get a ballpark range on what other mobile sonographers consider an appropriate fee for teaching basic ultrasound techniques to another clinic and their staff (i.e. FAST course, basic abdomen, etc.). Do you…
Suspect cardiac mass
7 yr old mn Shih Tzu x presented in July with history of cardiomegaly and tx for heart failure at the emergency clinic Echocardiogram shows pericardial effusion with no visible masses Pericardiocentesis was performed and the dog has done well ever since Follow up echocardiogram now shows a possible RV mass on left parasternal transverse…
Very arge lipoma -like mass and 2 smaller complex masses in a 11 yr old Coon Hound
11 yr old mc Coon Hound presented for abdominal distention one year ago, diagnosed with ascites based upon radiographs, but declined abdominal US at that time. Dog presents again today one year later, still asymptomatic, but with severe abdominal distension. Bloodwork is wnl except for ALP=379 U/L. Rads show craniolateral displacement of the intestines and…
8yr old FS DSH with gastrointestinal lymphadenopathy
8 year old FS DSH presented 10d ago for vomiting, anorexia, and lethargy. This cat will ingest FB’s. Vomiting resolved with Cerenia but lethargy and anorexia persist Bloodwork shows mild lymphopenia (0.84K/mcl), Glu=176 mg/dL, BUN=15mg/dL, Glob-5.6g/dL
Cat sedation protocols
I am updating my feline abdominal sedation protocols. I would greatly appreciate it if anyone is willing to share their favorite sedation protocols for abdominal ultrasound exams on cats that are either fractious or just won’t hold still. Thank you!
Two month old kitten with ascites and failure to gain weight
2 month old M Maine Coon X at cat shelter presenting for grade 5/6 holosystolic heart murmur loudest on the right side and chronic constipation currently being managed with lactulose. The kitten has been checked for parasites and dewormed multiple times. He is pot-bellied and not gaining weight. No bloodwork performed yet (although I am…
12 yr old mn sedated Shih Tzu with hypercalcemia
12 year old mn Shih Tzu with iCa=1.7 and PTH in the high normal range. ACTH stim pre=2.2mcg/dL, post=22.6mcg/dL. normal SDMA=10mcg/dL, chems wnl except for Ca=13.0, Na=153, Chol=269. CBC showed thrombocytosis. Abdominal US was wnl except for bilateral loss of renal CM definition. Cervical ultrasound shows an irregularly shaped hypoechoic nodule in the left thyroid…
Post ethanol ablation parathyroid scan
10 year old mc Dachshund was diagnosed with primary hyperparathyroidism, solitary nodule (4.0mm) in the left cranial parathyroid gland. He was treated with ethanol ablation at a referral institution in another state in March of 2019. Pretreatment bloodwork showed iCA=1.78, PTH=6.2, PTHrp wnl. Follow up bloodwork performed at the referral institution later in March showed…
Heartworm positive dog
5 year old FS German Shepherd tested antigen positive twice for HW disease. She is not on preventative. The patient is asymptomatic. No microfilaria seen. Echo shows normal cardiac measurements, no valvular insufficiencies, and normal size right heart. There is a “railroad” echogenic lesion attached to the septal wall, extending into the right ventricular lumen. Is…