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.
BPH vs. prostatitis in an 8 month old MI Bernese Mountain dog?
This pup initially was passing sticks he had eaten and was crying during defecation. He no longer has access to sticks, but continues to cry during/after defecation most times (bowel movements now soft). Has been going on several weeks. Only ultrasound abnormality was his prostate was very hyperechoic. It was homogenous, no cystic regions and…
linear foreign body in ileum?
4.5 month old MI Golden vomiting for 2 days, still wants to eat. Diarrhea with small amount of blood. Has been dewormed and fully vaccinated. Toddler in home. Corrugated ileum, thickened. Not 100% convinced there is linear material within the lumen. Rest of bowel looks ok other than thickened, empty descending colon. There is a…
residual ectopic ureter?
9 year old FS Husky mix current UTI and non-regenerative disease. Unremarkable ultrasound other than finding this distended left ureter. Was thinking it is an ectopic ureter, but pcDVM later found out pet has had surgery for this with the ureter having been attached to the lateral blad wall. I would love some input on…
renal dysplasia in a 7 month old Golden?
7 month old FI Golden without clinical symptoms. Pre-spay blood work showed mild anemia, Bun 43, creat 1.5, K 5.5, SpG on first morning sample 1.014. Kidneys did not look concerning to me, but would love your input and also recommendations on what you would do next for this adorable pup.