Uremic gastropathy? Dilated stomach and thickened pylorus
11 yo MN Golden with acute kidney failure, hx of CKD for 2 years. Anorexia, ptyalism, regurgitating liquid. Severe non regenerative anemia (HCT 15, Hgb 5.8<13) today, HCT was 31 last week. Azotemia improved with IV fluids last week, but came back once patient was home. Lepto PCR negative. 1) dilated stomach with diffusely thickened…
Senior cat, dilated bile ducts, chronic pancreatitis, thickened intestines.
Senior cat, weight loss, chronic V/D, dermatitis R axillary area. Normal chem, mild anemia, leukocytosis with neutrophilia/eosinophilia/basophilia. Treated for the same issues 2 months ago with Depo, got better for a few weeks. U/S: thickened intestines, large jejunal/colic LN (1cm wide), scant ascites, hyperechoic large liver, dilated intrahepatic bile ducts, GB large, dilated CBD (4mm),…
Maltese with a small portal vein
6 yo MN Maltese with chronic diarrhea, and PU (on lasix). Advanced DCM managed by cardiologist since January. On Vetmedin, Enalapril, Lasix, Spironolactone. Diarrhea started with L carnitine supplements. Stopped once off carnitine. Owner restarted them, diarrhea returned, owner stopped carnitine, diarrhea is persisting. Chem: High SDMA (16>14), normal Alb, glu, BUN, etc… Normal cbc/lytes/fecal. …
Pancreatic nodules
10 yo F/S Beagle with mild elevation of liver enzymes, asymptomatic. U/s done while she was under full anesthesia (after dental). Liver: heterogeneous, multiple small hyperechoic nodules (3-5mm), benign hyperplasia vs granuloma vs neoplasia, 1 larger hyperechoic nodule with anechoic borders (1.5cm), benign vs target lesion.
2 yo Great Pyrenees, ptyalism, thickened pylorus?
– 2 yo F/S Great Pyrenees, non stop ptyalism for 3 weeks. – Lethargy, decreased appetite, ptyalism. Appetite and lethargy resolved with Cerenia/Gabapentin last week. No vomiting. – Mild dental tartar, no FB seen in mouth, no swollen LN/salivary glands. – Normal bloodwork.
9 yo cat (my own pet), weight loss, large mesenteric LN
– This is my own cat. – 9 yo MN DSH, weight loss over the last few months, vomiting (hairballs, sometimes food) 2/week, intermittent decreased appetite. – Hx of UO 2 years ago, fed Urinary SO 2 cans BID. Hx heart murmur, normal echo 2 years ago. – Bloodwork done when weight loss first noted…
Large spleen in senior cat
Large spleen in senior cat – 10 yo MN DSH, obese, elevated liver enzymes (ALP 248>59, ALT 419>158) on wellness labwork. T4 pending. – Doing well at home. – Gallop sound, dilated La/AO on echo (I sent the echo to you today), thickened Left ventricular walls, HCM suspected. – Abdo u/s: all WNL except for…
Large septated/cystic colic Lymph Node
Weird septated colic LN. – 10 yo M/N Feline, indoor, BSC 6/9, recent vomiting/diarrhea, started last week. Fed Science diet dry. – Normal bloodwork. Fecal neg Nov 2019. – Trt: Inj B12, Metro. Diarrhea stopped within 48 hrs, appetite a little better, still intermittent Vomiting (food/hair). – U/s: thickened intestines (3.5mm), prominent muscularis, corrugated duodenum,…
Large sepated/cystic colic Lymph Node
Weird septated colic LN. – 10 yo M/N Feline, indoor, BSC 6/9, recent vomiting/diarrhea, started last week. Fed Science diet dry. – Normal bloodwork. Fecal neg Nov 2019. – Trt: Inj B12, Metro. Diarrhea stopped within 48 hrs, appetite a little better, still intermittent Vomiting (food/hair). – U/s: thickened intestines (3.5mm), prominent muscularis, corrugated duodenum,…
Reactive lymph node?
– 11 yo F/S Lab, asymptomatic, mild elevation liver enzymes (ALT 220>121, ALP 213>160). – 1cm hyperechoic nodule in the liver near diaphragm: benign hyperplasia vs granuloma vs abscess vs neoplasia. Liver has normal size/echogenicity. – hypoechoic rounded structure (9mm wide, 1.7cm long) in mid abdomen, in the region of the jejunal LN. Reactive LN…