Suspected liver neoplasia with cystic regions
13 year old FS Australian Shepherd. Two months ago, liver enzymes were markedly elevated -ALT 5737, AST 1680, ALP 4986, GGT 8, T bilirubin 2.6. She was lethargic and anorexic at the time. Potentially had eaten some toxic mushrooms (Lepiota spp). Positive for anaplasma and Lyme on 4DX, positive lepto titer (no convalescent taken) and…
duodenal ulcer? 11/9/23
7 year old FS Catahoula cross. A month ago was vomiting twice per day, hours after eating. Also having diarrhea. The vomiting resolved after about a week. TX A&M panel showed folate 5.4 (7.7-24.4) and cobalamine more towards the low end of normal. Diarrhea has been improving with implementation of a bland diet and folate/B12…
benign liver mass?
10 year old FS Airedale mix presenting for hematuria. We are working up the bladder – very thick walled, but stumbled upon this rounded mass in her mid liver. Blood work = very mild ALP elevation. Considering FNA. Sorry, your browser does not support embedded videos.
ursodiol indicated?
10 year old MN Chihuahua, no reported liver enzyme elevations. Would you consider this an emerging mucocele to merit ursodiol? This is the end of the study, so the debris never settled. Sorry, your browser does not support embedded videos.
duodenal thickening and ulceration?
10 yr. FS DSH chronic vomiting and 1 lb weight loss in last month. Retches and vomits bile, mostly at night. Overall, overweight cat. Blood work unremarkable. 2-4 week trials of ZD and Microbiome have not made a difference. Responded to maropitant. First posted video (7) is in right lateral and mainly looked like mild…
bladder wall diverticulum
12 year old MN Shih Tzu. Has always been PU/PD. ALP in the 500’s. Ultrasound showed normal sized adrenal glands, enlarged liver with a couple of hypoechoic nodules. Wondering if you would call this a diverticulum off of the urinary bladder? Concerns about such a structure? Suspect it could make the patient more susceptible to…
help confirming which liver lobe
13 year old MN Belgian Malinois – concern for irregular liver lobe. FNA pending. I struggle with naming which lobe – quadrate? left middle?
chronic renal changes in a 2 year old cat
2 year old FS DSH, more lethargic lately, some defecation outside the litter box. Did have a previous short episode of vomiting that resolve. Kidney values have been elevated – BUN 47, creat 3.3, phos 4.5, albumin 4.1 HCT 34, Urine SpG 1.047, 2+ protein on dipstick, but inactive sediment and UPC 0.1. Blood pressure…
Lymphoma vs. ureterolith/hydronephrosis
17 year old MN DLH presented for vomiting, lethargy and anorexia. Painful on abdominal palpation. Marked azotemia with mild increase in K initially. Phosphorous elevated and HCT low normal with rehydration. Renal values have been coming down on IVF. No uroliths seen in urinary bladder, one stone appreciated in left renal pelvis, but not obstructive….
chronic leptospirosis?
8 year old MN Shep mix with severely elevated liver values, severely icteric. Previous medical record indicated some elevated Lepto titers, but a convalescent sample had not risen enough to declare and infection (2021). The dog had been on Clavamox, doxy and Denamarin. Could this liver appearance be chronic Lepto infection? I did a FNA,…