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Chronic diarrhea

Chronic diarrhea

– 9 year old FS DSH history of chronic diarrhea unresponsive to metronidazole, hypoallergneic diet – bloodwork unremarkable and fecal sample negative for parasites – now losing weight – ultrasound showed a single section of bowel that had a thickened submucosal layer and slightly thickened muscularis – rest of loops look normal. – trace effusion…

Another kidney case

– 5 year old shelter adopted cat severe azotemia, anemia, Feleuk/FIV negative, corono virus positive (I know not helpful) – no history of toxin ingestion – thick, hyperechoic renal cortices – no lymphadenopathy and rest of scan unremarkable lymphoma, FIP, chronic nephritis? – patient will likely be euthanized due to clinical status but would you…

2 yr old Boxer renal failure

– 2 year old Boxer FS with history of azotemia diagnosed at the time of spay (about 6 months of age) – presented with 5 day history of anorexia, BCS=1, severe azotemia, cPLI positive, anemia – kidneys barely recognizable as kidneys on ultrasound-at least I think these structures are kidneys as normal ones could not…

Core liver biopsy question

Today I perfromed an u/s guided liver core biospy on a 10 year old Havenese with elevated liver enzymes and bile acids. PT/PTT was normal prior to biopsy and the pet is otherwise clinically normal. We used morphine and propofol for sedation and I used an 16 gauge EZ-core type biospy needle. After each sample…

arrhythmia

– 10 year old MN Cockapoo with a very irregular arrhythmia on auscultation found on routine wellness exam – no clinical signs of heart disease, no murmur, not unwell at all – bloodwork pending – echo – pretty normal except for mild- moderate TR with max vel. 2 m/s; normal LA, normal LV, right heart…

stranguria cat

– 6 year MN DSH BCS 4/5 presented for an acute onset of dysuria, stranguria – on physical exam he was stable, hydrated but had large, hard palpable urinary bladder (felt blocked) – he had urinated on the owner on the way to the clinic and passed urine after I palpated the bladder but not…

7 yr old F German Shepherd vomiting on and off for several weeks.

Dog presented for otitis externa. History included on and off vomiting- mainly food and bile for several weeks. Ususally at least once daily. Slight decrease in appetite (dog food), but will still eat human food (chicken etc.)

What’s causing hydronephrosis?

– 14 year old FS DSH presented for anorexia and dehydration – urine (SG 1.015) and bloodwork consistent with renal failure, low normal HCT, Ca wnl, phos elevated – urine culture pending – left kidney hydronephrosis, right kidney small and degenerate – the left ureter (confirmed on colour Doppler) could be seen and followed distally…

Lung Disease

– 14 year old MN DLH history of wheezing according to the referring DVM – was treated for bronchial airway disease with, antibitoics steroids and bronchodilators but not responding –  rDVM did chest rads and worried about subtle changes in the lungs but x-rays very poor quality – scan showed a “target-like” hypoechoic nodule under…

Emerging mucocele?

– 9 year old MN Lhasa Apso asymptomatic with history of increasing ALP and mild elevation in ALT (200) – pre/post bile acids pending u/s shows a gall bladder that is developing a stellate appearance but also areas where there is some gravity dependent biliary sludge (the second clip of the GB is taken from…