ureteral papilla?
14y FS Rat Terrier. PUPD since March, now urinating q2h, often small amounts. Blood work in June showed mild renal azotemia with WBCs present on UA (rDVM lab work – can’t determine if they saw bacteria). Normal CBC. Did not respond to a trial of Baytril. Ultrasound limited to urinary system due to finances. The…
Mature Beagle with elevated liver values and micro hepatica
Thirteen year old FS Beagle presented for vomiting and anorexia of 5 days duration. Six months ago, ALT was mid 200’s. At that time, bile acids were mildly elevated (pre 8.9, post 15.2) and an abdominal ultrasound showed micro hepatica. Today, ALT was too elevated for rDVM analyst to read (diluting sample now), ALP 1800,…
Renaly dysplasia
2 yr MN Shepherd mix, previously healthy until one week ago when became anorexic and lethergic. Unclear if may have previously had any PU/PD symptoms. Current on vaccines including two years of annual Lepto vaccine. Blood work = creat 12, BUN 238, Phos 24, TP 9, WBC 19,000, HCT 31.8. UA = SpG 1.015, occasional…
Liver lesion, history of osteosarcoma
13y FS Lab w/ forelimb amputation due to osteosarcoma 3 months ago. Not clinical. Owner is a do everything client. Met check is WNL. Would like to FNA this solitary lesion in the liver, but seeing a decent amount of flow on both color and power doppler. This dog has consistently had an ALP >1000….
DCM + small to moderate pericardial effusion in a small breed dog
10 yr FS Schnoodle with hx of syncopal episodes, vomiting and lethargy. Radiographs showed an enlarged heart, normal vasculature and lungs. Echo showed a markedly dilated left ventricle and moderate left atrial enlargement (minimal right heart enlargement). There was also a relatively small amount of pericardial effusion, but enough that I did appreciate some tamponade…
8 months post cholecystectomy
I’ve attached the video version of the stills provided in a previous thread – 8 month post cholycystectomy for mucocel, presented painful cranial abdomen and vomiting. Pancreas region looks ok. ALT 330, ALP >4000.
early mucocele treatment recommendations
Faith is a 10 yr FS Poodle, non-clinical for waxing/waining liver values (highest= ALT 211, ALP 142). On pred for presumed IMHA (5 mg daily). Ultrasound on 12/27 revealed early mucocele appearance in GB (last image). No other abnormalities. GB contents same or slightly worsened despite adding ursodiol and Denamarin. NO antibiotics yet. Any thoughts…
prostatitis + BPH vs. neoplasia
Cooper is an 11 yr MI Lab who’s initial presentation did include some blood from the penis, but no difficulty urinating (presented for other reasons). Rectal exam revealed smooth, non-painful prostate. UA consistent with a UTI and hematuria. Blood work unremarkable. Ultrasound of prostate revealed very enlarged prostate (5 cm) with mottling, some smaller cystic…
pancreatitis vs. mass
11 yr MN Rat terrier w/ acute onset vomiting, bloating and abdominal pain over 9 days ago. Serial ultrasounds initially showed possible abscess appearance of the body/left limb but not encapsulated. Began just appearing more hypoechoic. Slightly less thick than initial measurements and minimal effusion that was initially present gone. Right limb prominent and stable…