Immune mediated anemia
6 yr MI Lab diagnosed with a regenerative anemia with spherocytes, negative slide agglutination, no hematuria, T bili WNL. Spleen very enlarged and irregular and I could not connect the more dorsal structure to any organs. Did FNA’s on both the spleen and suspected mass. Both came back as extramedullary hematopoeisis. Looked so irregular to…
splenic mass vs. infarction
10 yr FS Shep cross with lethargy, weakness and dec. appetite. Concern for the hypoechoic splenic head. Could see vessels on doppler, but think they were attenuated to those in the body. Patient was not painful during the exam. FNAs of the spleen, irregular liver (nodular) and the hypoechoic cranial abdominal lesion shown in the…
stomach polyps
9 year old FS Shepherd cross losing weight, intermittent vomiting, diarrhea that has been worsening now with blood. Do you think these structures in the stomach lumen could be polyps? So far, planning to recommend endoscopy.
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…