Chronic renal failure dog
– 11 yr od MN Dandi Dinmont Terrier with history of pu/pd but clinically well – no renal azotemia yet, urine SG 1.012, urine culture negative – Cushings ruled-out on hormonal testing; adrenals normal on US – proteinuria and hypertension (systolic BP 220-230) – both kidneys have thick, hyperechoic renal cortices with renal cysts; capsule…
Differentials for liver mass
– 11 yr old FS Golden Ret presented for an acute onset of epistaxis; no other symptoms – bloodwork ALP 921 (5-160), ALT 200 (18-121) all else including CBC and platelet count wnl; LDDST wnl – PT/PTT pending – left liver lobe (lateral lobe?) mass on u/s which is hypoechoic to the rest of the…
Unusal UB lesion
– 7 year old FS German Shephard with history of IBD presented with bloody diarrhea and an intermittent history of urinary incontinence; has been under the care of a Holistic DVM – an unusal “puckering” for lack of better word was found in the dorsal aspect of the urinary bladder wall best seen in saggital…
Cardiac vs non-cardiac disease
I would like to refer to a post that I made on June 29, 2016 https://sonopath.com/forum/non-cardiogenic-pulmonary-edema-0 I continued to treat Gnosi with a relatively low dose of furosemide. He stayed stable but his RRR never really dipped much below the high 30’s and most of the time was in the 40’s. I repeated X-rays and…
Pyelonephritis puppy
– 7 month old, F Lab Ret with hisotry of recurrent UTI’s – has had two, two week courses of antibiotics (Clavamox and then Baytril in evening) after cullture (E. Coli); does great when on meds (not dribbling as in ecotopic ureters) – after finishing last round of Baytril, started stranguria and repeat culture showed…
Shunt Hunt
* Cuddles is a 4 1/2 year old DSH with a history of hematuria, dysuria, poilakuria * Exam: very small cat with ? vision and mentition/vision- which I believe to be central. No seizure activity * Labs mostly normal except for a mildly low Albumin and elevated pre and post SBA (post prandial 128) *…
Tumour vs muscle hemorrhage
– 7 yr old FS Lab presented w 5 wk history of bruising and a swelling in inner L thigh – o thought this was an injury and would go away on its own – blood work: low platelet count (9), moderate anemia, 4 Dx -ve, biochem bilirubin only 1 point above normal – abd….
Right-sided heart failure?
– 9 year old MN Havenese presented for poor appetite – x-rays showed an enlarged liver, and enlarged left heart; bloodwork mild anemia, mild hypoalbuminemia, other parameters normal – u/s diffuse hepatomegaly, rounded capsular margins and ascites; hepatic vein and cvc distension – “quick” echo with abdominal probe ruled-out pericardial effusion however there is severe …
Fair to assume DCM?
– 5 year old FS Great Dane presented for ADR, weight loss and increased resp. rate and tachyardia – chest rads consistent with pulmonary edema – my ultrasound machine is down and away for repair in the US so had to use an old machine I have with no cardiac package (no m-mode, no Doppler,…
Fair to assume DCM?
– 5 year old FS Great Dane presented for ADR, weight loss and increased resp. rate and tachyardia – chest rads consistent with pulmonary edema – my ultrasound machine is down and away for repair in the US so had to use an old machine I have with no cardiac package (no m-mode, no Doppler,…