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,…
metritis?
1 year old FI Golden. First estrus cycle started beginning of April and lasted 3 weeks. Has been anorexic since this time. Some intermittent diarrhea and vomiting that has resolved. Does the uterus look more thickened than would expect it to be this far out from estrus? Metritis?
Hyperechoic, punctate opacitites throughout spleen and cortices in Cushinoid canine
12 year old FS Chihuahua with hx of hyperadrenocorticism, hypertension and proteinuria. Decreased appetite. Meds include benazapril, amlodipine, telmesartan and trilostane. Blood pressure still not controlled. Adrenals bilaterally enlarged and not infiltrating surrounding structures. Planning to recheck ACTH stim and adjust BP meds. Two questions: should we still consider a pheochromocytoma? How would you describe…
ectopic ureters in a 6 year old female Doodle
Recently adopted, was told she was spayed, but no spay scar has been identified. Seeing more uterine tissue than would expect and possible ovarian tissue behind RK (no follicle)-did not include that image. Patient is reportedly not incontinent, but owner did mention she does have accidents when excited to see owner. Male dog was recently…