cholelith
11 yr FS Papillon. Hx hypothyroidism and intermittent GI symptoms. Rest of ultrasound unremarkable. Is it reasonable to try ursodiol and amoxicillin and recheck an ultrasound in 2-3 months as long as asymptomatic? Or should we be recommending surgery? Any special diet recommendations?
gastric wall thickening and left limb pancreatitis
Acute onset of lethargy, anorexia, one episode of vomiting, mild liver enzyme elevation, BUN is 5, normal PCV/TP. I’m concerned about how thickened the gastric wall of the dorsal fundus and body look. There was no increase in blood flow. Could this just be redundent gastric folds and some gastritis? The mesentery is very inflamed…
GI stricture – suspect neoplasia?
Anorexia, weight loss and hypoalbuminemia and intermittent vomiting and diarrhea. Bowel orad was very fluid distended and he has been eating some bones. Tapering was odd to me and thought looked a little bunched as might see with a linear FB, but didn’t see anything extend all the way through. Wall looks abnormal, but not…
mineralized kidneys
This dog had acute onset vomiting and marked renal azotemia that has responded to fluid therapy very well. Inactive sediment. Lepto snap negative. How would you describe these kidneys?
chronic renal failure?
Kirby is a 7 1/2 year old in tact male Shiloh Shepherd. On presurgical blood work before a dental, revealed signficant azotemia (BUN 80/creat 5.5, PCV/TP 29/7.4, normal K, mild elevation in Phos, UA SpG 1.016 w/ 1 + protein and an inactive sediment). Not current on Lepto vx. Lepto PCR was negative. Urine culture…
chronic renal failure?
Kirby is a 7 1/2 year old in tact male Shiloh Shepherd. On presurgical blood work before a dental, revealed signficant azotemia (BUN 80/creat 5.5, PCV/TP 29/7.4, normal K, mild elevation in Phos, UA SpG 1.016 w/ 1 + protein and an inactive sediment). Not current on Lepto vx. Lepto PCR was negative. Urine culture…
chronic stone passer?
9 year old MN Siamese 3 days anorexia and vomiting, hiding. Blood work shows severe azotemia. INitially unable to get urine, now UA pending (small bladder, urine appears dilute). Left kidney large, bright with surrounding edema and some minerlized areas that look like uroliths without causing renal pelvis obstruction; right kidnye atrophied w/ minimal blood…
possible pancreatic cyst? colon?
10 year old MN doodle cross having diarrhea and one episode of vomiting with evidence of signficant enteritis and colitis on ultrasound. I am having a hard time identifying the cystic looking structure between the stomach, colon and portal vein. With the curvilinear probe, I was concerned it might be a pancreatic cyst, but using…
loss of normal small bowel layering
14 year old MN diabetic who presented for hypoglycemia 10 days ago. Insulin dosage was decreased, but he has not been eating well. One episode of vomiting and having some diarrhea. Blood work unremarkable other than mild inc. in BUN and creat. Concern for hyperechoic/edematous mesentery with early loss of wall layering noted in multiple…
Hypercalcemia, rule out primary hyperparathyroidism, treatment advice?
7 year old FS Golden Retriever with 4 weeks hyporexia and weight loss. Hypercalcemia on rDVM blood work and confirmed today with iCa (1.8). Previous abdominal ultrasound reportedly WNL. Normal thoracic rads and rectal exam today. Parathyroid gland measures 2.7 mm, so slightly enlarged and prominent on ultrasound. Sending out PTH today. Do you do…