Left Adrenal Mass

Left Adrenal Mass

-13 year old FS Shih Tzu– presented for some mild vomiting– bloodwork showed marked elevation on ALP and mild elevation ALT, cPLI normal– slight pot belly– owner does not think pet is pu/pd– enlarged left adrenal gland with a mass in the cranial pole– right adrenal gland normal– small non-obstructive renolith in left kidney, liver…

Fatty liver vs Fat Cat Liver

Can you tell the difference between true fatty liver in a cat (pathological) vs just a fat infiltrated liver in a fat cat? Is there a difference? I recently performed a cancer screen in a hypercalcemic cat who was otherwise clinically doing well but had an elevated ionzied Ca2+ and normal PTH and no other…

GI Ultrasound

5 yr old DSH MN ADR with two day history anorexia – not passing urine or stool; goes outside – no v/d -pyrexic at 39.3C and no evidence of cat bites wounds or scars -abdomen tense and painful – urinary bladder palpable but not blocked – bloodwork unremarkable other than low K+ – fPLI normal…

SAM Questions

I have a couple of questions regarding SAM in HCM cats: 1. Do you grade the degree of SAM seen ie. mild vs severe and if so how do you do this – by the aortic max velocity and PG? 2. At what stage is atenolol indicated? 3. What changes would be expected to be…

Mylab 30 and IVRT

I have a Mylab 30 (not gold). I’ve been only just started trying to measure IVRT, but can not find an area in the measurement menu to do this. Does anyone using the Mylab know where I may find this? Thanks, Karen

Breed specific tables echocardiography

Hi, I was just wondering if anyone knows if there are Labrador retriever specific values/tables for echocardiography. m-mode, etc…. June Boon’s book has tables for many breeds (includeing Golden Retrievers), but not for Labs. If there are not values for Labs, would you use the “general” tables and go by weight? That’s what I’ve been…

Gall Bladder Ultrasound

This is a repeat ultrasound of the gall bladder that I did in the previous post “emerging mucocele” It is funny how looking at the GB from a different angle changes things. – there is mobile sludge present seen with repositioning however also adherent sludge at the periphery in little mounds that wave back and…

Emerging Mucocele

This is a 10year FS Boston Terrier – just diagnosed with PDH – pot-belly, PU/PD, lower energy levels but otherwise eating well and happy – ALP mildly elevated ALT 3x’s normal limit – other parameters normal – the adrenals were plump but no evidence of tumors – LDDST consistent with hyperadrenocortism – I am concerned…

Dog renal cysts

13 year old FS Shih Tzu presented for lethargy, disorientation and concern of poor quality of life – several year history of pu/pd (owners have been very tolerable!) – bloodwork in the past has been supportive of persistent hypercalcemia and primary hyperparathyroidism (malignancy of hypercalcemia panel was run) – long history of elevated ALP –…

Euthanasia with Sedation?

One practice that I relief  in never sedates their patients (cats/dogs) for euthanasia which does not always go over well for the patient. Everything I’ve read agrees that a light sedation is the humane way to go. I’ve been in practices where they use Ketamine, Valium or Telazol, even our local SPCA sedate prior to euthanasia. Do…

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