Treatment for PLE

Treatment for PLE

    – 6 year old MN German Shephard cross presented for diarrhea, decreased appetite and mild weight loss  BCS 3/5

Perforating GB?

– 12 yr old FS Pomerarian – vomting, anorexia, lethargy – increased liver enymes, WBC – ultrasound shows hyperechoic reactive tissue around the periphery of the GB – positive Murphy sign – I’m pretty sure this is a perforating GB mucocele but not a classic kiwi-fruit presentation? – I have recommended that this pet be…

Hyperechoic Liver

– 7 year old MN Collie scheduled for an orthopedic procedure – pre-op bloodwork showed elevated ALP/ALT and mild elevation on pre/post bile acids – pet is clinically normal – liver diffusely hyperechoic, lacks portal markings (isoechoic to the spleen, hyperechoic to falciform fat) – liver biopsy recommended ddx: steroid or vacuolar hepatopathy, CAH, neoplasia…

Pancreatic Mass?

– 7 year old MN Siamese with acute onset of bloody vomit and lethargy – bloodwork showed neutrophilia; biochem normal (no thyroid or fPLI available) – large heteroechoic, cystic-like mass in the region where the left pancreatic limb should live – possible pancreatic duct seen within mass (vessel with no colour flow) – could not…

Pericardial Effusion Case

– 14 year old FS Golden Retriever – 4 day history of diarrhea, lethargy but owner has thought pet has been “slowing” for some time now – bloodwork unremarkable – fecal testing negative for parasites – u/s showed  moderate abdominal effusion (yellowish-clear on tap) and dilated hepatic veins/cvc, pleural and pericardial effusion – no cardiac…

Vomiting dog with bright kidneys, could this be leptospirosis?

Fondue is a 4 y.o. Pomeranian who survived from distemper. He has sudden onset of vomiting, the referrer vet suspected for intestinal intussusception or GI obstruction. I found out that both kidneys have hyperechoic renal cortices but not so sure about liver (was it normal?). The blood tests revealed – WBC = 20.1 x10^3 cells/uL…

Putting it all together

– 7 year old FS Shih Tzu presented to referring vet due to a night of restlessness, pacing – otherwise eating well; no v/d/pu/pd – abdomen painful on palpation when referring vet examined her and x-rays showed multiple stones in the area of the gall bladder – bloodwork 2x’s elevation ALT, ALP normal, mild neutrophilia,…

Is this splenic torsion?

Berm is a 2 year-old French Bulldog with a leucocytosis (WBC around 30,000). The dog seems to be fine. He can walk and eat normally. My associate scan him and found

Ovarian Remnant

– 7 year old FS Australian Cattle dog (same as last liver post but different problem) – being worked up for elevated liver enzymes – was spayed several years ago – owner in passing mentions that pet has been having what looks like heat cycles every 6 months for quite a while but has not…

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