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gastric foreign body thoughts

gastric foreign body thoughts

12 year old FS Yorkie mix with lethargy and elevated liver values.  Hx of urinary issues with inactive sediment.  Ultrasound findings included this gastric foreign object that was not obstructive, but may be intermittently landing in the pylorus, as well as thickened urinary bladder wall, hyperechoic gall bladder debris without shadowing or evidence of biliary…

cystic lymph node?

Wellness ultrasound on a 10 year old FS Border Collie.  All else looked ok, but this was amongst several other mesenteric lymph nodes.  Does this look like a cyst on a lyph node? Very in the thick of vascularity, so I’m a bit nervous to drain it.  For now, recommending a recheck in 4-8 weeks,…

Small kidneys with significantly thickened cortices

14 yr MN DSH with seizure and nystagmus episode 3 weeks ago.  Echo revealed some pericardial effusion and unclassified cardiomyopathy (reviewed by Dr. Lamy).  Responded to a furosemide trial – no further pericardial effusion and LA size WNL on recheck echo.  Current thoughts for addressing his heart included continuing with furosemide at a low dose…

thickened uterine body in a 1 1/2 year old GSHP

Five days ago, owner noted vaginal swelling and bleeding.  Bleeding lasted 2-3 days, then started having yellowish discharge in “significant amount” (enough to motivate the owner to place a disposable diaper on pet).  Six months ago was pet’s first heat cycle.  She is bright, non-febrile, normal CBC.  Vaginal exam = swollen, I did not find…

suspect prolific bladder tumor vs. polypoid cystitis

14 year old FS DSH.  Initial inappropriate urination and hematuria in October.  Full workup at nearby referral hospital including blood work (mild azotemia), abdominal ultrasound (one proliferative mass appearing region ventral bladder wall 1.8 cm long and two smaller dorsal mass like/proliferative regions dorsal wall to the right in trigone region), and UA (marked hematuria…

suspect prolific bladder tumor vs. polypoid cystitis

14 year old FS DSH.  Initial inappropriate urination and hematuria in October.  Full workup at nearby referral hospital including blood work (mild azotemia), abdominal ultrasound (one proliferative mass appearing region ventral bladder wall 1.8 cm long and two smaller dorsal mass like/proliferative regions dorsal wall to the right in trigone region), and UA (marked hematuria…

duodenal ulcer?

9 year old MN Great Dane, febrile, lethargic.  Does this look like a duodenal ulcer? I did not appreciate much surrounding inflammation.  CBC unremarkable.  albumin 1.9, globulins 5.8.  Some GI stasis and poor motility on rest of ultrasound, but otherwise unremarkable. I have not encountered duodenal ulcers before – any specific treatment recommendations different from…

Aortic anomaly?

Maverick is a 12 year old FS GSP.  She has had an increased urge to urinate, waking owner up at night, but not having accidents.  Per owner, has improved with proin treatment.  Previous UA was WNL.  Blood work has not been performed in over 6 months.  Has a mottled splenic nodule not changing the shape…

continuous incontinence following OHE

5 year old FS Husky who had a pyometra at age 4 and was spayed at that time.  Has had continuous incontinence, not cyclical, since that time.  She is constantly licking.  Did not respond to DES or PPA.  UA’s in the past were unremarkable and no reported blood work abnormalities. On ultrasound, I was able…

4 year old FS Lab x w/ mild azotemia

Intermittent vaginal discharge.  I’m sorry, but don’t have recent UA results other than to know she had a normal UPC.  History of intermittent vaginal discharge and mild azotemia.  Kidneys appear WNL and there is no history of any urinary incontenence, but owners state their carpet is an unusual color and may make it hart to…