Hermaphrodite Pyometra
3 years old M/N GSP presented for evaluation to confirm a GI FB . Patient had a non obstructive Gastric FB and suprisingly also a fluid distended uterus. Suspect pyometra. I’ve seen hermaphrodites before but never a pyometra. It means this patient has functional ovaries. Is there any other DDX ? even with hydrometra, hemometra…
Pleural effusion -Heart Failure?
This is a 14 years old cat presented for anorexia; was treated at a different clinic for 3-4 days with supportive treatment, fluids . BW showed mild anemia and mild increase in lymphocytes, monocytes Was referred to us for an abdominal U/S, however on presentation was tachipneic and shortly became dyspneic. We did only a…
Mineralized mass of the spleen
Hello, This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age My question:…
Gastric mass?
12 years old M/N cat with severe weight loss, decrease apettite,chronic vomiting. BW – mildy hypoalbuminemia, rest wnl Pylorus is thickened and at the junction with prox duodenum there is severe concentric thickening. To me it suggest neoplasia and less likelly pyloric stenosis ( never seen one in a cat) . Do you agree ?…
distended ureter?
14 years old German pointer Intact, Male presented with recent onset of incontinence . Patient was recently diagnosed with Multicentric Lymphoma, owner decided against Chemo and was placed on Pred . The peripheral LN regressed and still normal in size but now developed incontinence . Noted sand type sediment i n bladder and this anechoic…
Pyloric – duodenal intussusception
6 years old cat, M/N with a chronic history of decrease apettite, vomiting on and off, very thin BW was wnl. AUS : mild mineralization on both kidneys, no pelvic dilation, mild thickening of the stomach wall – 0.48 cm To me it looks like pyloric intussusception- non obstructive . Do you agree?
Pyelonephritis
Hello, !5 years old cat with CRD and secondary anemia . was well managed for 6 months now it stopped eating, lethargic . Right kidney is small, with dystrophic mineralization, missing cranial pole – not sure if functional. Was wondering if the appearance of the left kidney suggest Pyelonephritis due to hyperechoic pelvis, reactive surrounding…
CBD obstruction / mass suspected
this is a 15 years oild icteric cat that was diagnosed with chronic pancreatitis, cholangiohepatitis .despite intensive in clinic treatment for 1 week there is no improvment on liver values/ clinical . The CBD measures 1.55 cm ( was 1.2 cm 10 days ago ) I m wondering if there is actually a mass at…
Cause for ascites ?
Hello, I can use some help with this case . Zoey is a 7 years old lab X that presented for ascites U/S : no macroscopic neoplasia, liver was subjectivelly small but did not looked cyrrhotic to me ( My understanding is that U/S can underestimate early cirrhotic appearance) . No hepatic congestion, no distended…
HCM – how high anesthetic risk
Hello, this is a 5 years old “hands off” cat . Very aggressive even with Gabapentin on board Always had a greade 3/6 heart murmur, no arrhytmias.Clinically doing great but has dental disease and needs some extractions BW results, including BNP is pending- should have results tomorrow We did only a focal limited echo…