Estrus with elevated WBC
8 month old FI Golden with no clinical symptoms. pcDVM did wellness blood work one week ago- WBC was 35,000 with all cell lines elevated. Two weeks ago, owners notes some vaginal bleeding (mild). One week ago (when blood work run), vaginal discharge became more clear (still mild) and behaviorally, the male neutered dog in…
Lung mass, choleliths
10 yr FS Boxer cross presented for coughing which seems to have resolved per owner. Please comment on attached thoracic radiographs. I was unable to find a discrete mass 1 week later, but have attached a video of all I could see of more consolidated lung adjacent to the heart. pcDVM actually captured the other…
renal dysplasia Corgi
7 month old FS Welsh Pembroke Corgi. Pre-anesthetic blood work BUN 63, SDMA 16, creat 1.5, SpG 1.015, manual UA did not show evidence of infection. Collected urine today for C&S. Asymptomatic. Grossly, would you have concerns for renal dysplasia?
acute abdomen
5 yr FI Lab acute lethargy, pale gums, strange breathing sounds. Chest rads WNL. Abdominal pain. BW- mild neutrophilia, UA SpG – 1.014 inactive sediment, C&S neg, Lepto Witness neg. Will eat now>18h. Owners declined abdominocentesis with fluid analysis. The attached videos are the only abnormality on ultrasound – hyperechoic mesentery around both kidneys, R>L…
urinary incontinece
7 month old FS Shepherd cross with urinary incontinence – owners have just had the dog since March. Blood work showed mild azoemia with isosthenuria. Inactive sediment. Urinary bladder imaging WNL. Has not had a Lepto vaccine, lives in CO, no known toxin exposure. Thinking renal dysplasia most likely vs. toxin
Acute hematuria
6 yr FS DSH acute onset hematuria. Ua just showed blood (obtained yesterday via cysto). Blood work pending. Also having soft stool. Ultrasound shows some mild effusion near the urinary bladder and the hyperechoic areas on the ventral floor that do not change with gravity. Plump caudal mesenteric lymph nodes/hyperechoic mesentery. What are my rule…
cholangiohepatitis
4 yr MN DSH, indoor only, acute anorexia. ALT 4700 (now 1100), T bili started at 1.8 (now 5.8). On ursodiol, GI support, eating a small amount now. Plan to perform coags and ultrasound guided parenchyma aspirate and cholecentesis for cytology and C&S (aerobic and anaerobic?). I know you recommend going through parenchyma for the…
Irregular spleen
Senior Chihuahua with chronic renal enzyme elevation. Have recommended splenic aspirates – based on appearance, what would you consider most likely?
Liver nodules and weight loss
16 year old MN DSH hx of mild azotemia, intermittent V&D that improved on dry hydrolyzed diet, diabetes mellitus with insulin change from NPH to glargine in the fall, ALP has been increasing and he has been steadily losing weight. Ultrasound 2 months ago showed 1 liver nodule and a hyperechoic, enlarged liver. Now three…
bilateral very enlarged and irregular adrenal glands
11 yr FS Mixed breed dog – per owner not PUPD, but persistent elevations in ALP and amylase/lipase + proteinuria and borderline hypertension. These adrenals look so irregular – is pituitary dependent hyperadrenocorticism still most likely? ACTH stim pending.