Weight loss in a cat
-12 year old cat -3 pound unexplained weight loss, no real clinical signs -Mesenteric lymphadenopathy, FNA came back as reactive -Dilated bile duct, no obstruction -Generalized hyperechoic liver -I thought I saw something in the caudal thorax, viewed through the liver. Radiographs didn’t show anything so I was likely mistaken. Am I just seeing some…
Young cat weight loss
-1 year old FS DSH -Per owner, has lost 50% of her body weight recently (was 15, now ~5). She is thin but not emaciated, not sure how much to believe the 15 pound figure. Not eating. Has vomited ~3 times. -Elevated amylase, normal globulins. BG ~225. PCV 23%. -Palpable mass like linear object in…
Nodular fibromatosis
7 year old Yorkie -mild recent increase in ALT (~250) -recent histopathology on mass removed was nodular fibromatosis -normal BUN, creatinine, USG 1.040 Two questions: -The kidney changes appear degenerative and chronic, not likely related to the nodular fibromatosis, correct? -The muscularis layer of the stomach appears mildly thickened/prominent to me; do you agree?…
Heart failure?
10 year old DSH -presented for tachypnea, arrhythmia -no other diagnostics done -peripheral pulmonary fluid present on scan of lungs, no pleural effusion present. No abdominal free fluid.
Acute pancreatitis management
-6 year old DSH on chronic (every 5-6 weeks) Depo-medrol injections to control steroid-responsive airway disease -presented for 1 day history of inappetance, subsequently devleoped fever -bloodwork unremarkable, liver enzymes normal (on more than one occasion) -severely lipemic blood -blood glucose has varied from 120 – 305, has significant glucosuria -She has responded well to…
Mass on kidney
-6 – 8 year old FS DSH -recent history of anorexia, fever -bloodwork shows neutrophilic leukocytosis -not azotemic -FIV/FeLV negative -not sure if USG was performed Questions: -What are the most likely ddx for the mass attached to the right kidney? -The left kidney looks like it has adhered fat to the capsule but…
Vomiting dog
-10 year old female spayed chihuahua mix -mildly elevated ALT (~200) and SAP (~350), stable for 3 months -recent history of intermittent vomiting in mornings, not resolved with famotidine and a late night snack -no weight loss or other GI signs -still very bright and alert, good appetite -normal proteins -hepatomegaly with heterogeneous echotexture -unilateral…
Rental Holter monitor?
I am looking to rent a Holter unit for a patient with episodes of syncope. I would like it read by a veterinary cardiologist. The list on VIN is not up-to-date. Any suggestions? Thanks, Suzanne
Cardiac disease
10 year old cat, presented for evaluation of profound weight loss (~6 pounds) despite good appetite. -Briefly anesthetized for FNA of mesenteric lymph nodes -Developed severe tachyarrhythmia after several minutes (presumed a-fib) which spontaneously resolved after 30 minutes with no treatment aside from blow-by oxygen. -FNA were non-diagnostic although I did see 4-5 lymphoblasts among…
Anuric ARF in young cat
-18 month old female spayed Persian presented in acute renal failure. Progressed to anuric renal failure with no response to lasix. -Indoor only, fully vaccinated, no plants in house, no access to garage, no known exposure to toxins. Did get single metacam injection in February associated with OHE. -U/S showed large amount free abdominal and…