True cut core biopsy?
Hello, This is a 13 years old daschund that has very high liver enzymes : marked ALP elevation, extreme GGT elevation and moderate ALT . Dog is not clinical. AUS : mixed echoic mass that measures 4.5 cm in diameter situated at the cranial and left aspect of the liver . We suspect Benign…
HCM? limited echo
Hello, This is a fractious cat that has a grade 3-4 / 6 heart murmur.BP was 140 systolic . No clinical signs of heart disease. Unfortunatelly due to high stress ( open mouth breathing during restraining) was not able to do a full echo ( no doppler, no velocities). Would you agree that…
Pericardial effusion cause?
Hello, Niebla is a ~ 5 years old F/S GSP X rescued from Dominican Rep. 2 years ago Presented for anorexia, distended abdomen Had muffled heart and abdominal fluid wave on PE Pericardiocentesis performed, removed 400 ml of clear fluid- Transudate Large amount of peritoneal fluid as well BW was wnl except…
Cholestasis
Hello, Nikki is a 12 years old papillon F/S that presented for anorexia for the last 3 days and vomiting.She was Icteric on presentation, She has heart murmur, she is on Pimobendan and Butorphanol for collapsing tracheea. Her heart condition is compensated BW : severly increased all liver enzymes with ALT and ALKP at 5000. …
Pyelonephritis ?
Millie is a 2 years old Pug that initially presented for straining to urinate, blocked on October 2017. She was diagnosed with bladder stones and had a cystotomy done .According to owner she is incontinent ever since the surgery; she is still urinating with a good stream but also dribbling urine ( wearing a diaper..)…
linear FB
Hello, Jack is a 11 months old Male lab that likes to chew his stuff toy and rope toys. His bloodwork was wnl, X-rays showed fluid filled intestines but no definitive obstruction pattern AUS was normal except this linear FB in the mid duodenum. Can this be an artefact? It looks to me that is…
PREGNANCY TOXEMIA
this is a 5 years old chihuahua that developed preganancy toxemia and had an emergency C-section at ~ 59-60 days of pregnancy. Pups are preterm but doing good. She doesn’t have enough milk to nurse and barelly eating. Not really improving after 3 days post C-section despite being treated (dextrose fluids, ampicillin sulbactum, metoclopramide, mirtazipine,…
Sonographic findings for Lepto
I have another case that is highly suspect of acute Lepto. PCR pending. Main findings are : perinephric fluid, hyperechoic renal cortices, periportal lymphadenopathy.
La/AO = CHF
Hello, In an ER setting is it correct to simplify, diagnose CHF on cats if LA/AO considerably high # ( like > 2.5-3) and significant rocket lines ( as for pulmonary edema)? Is it enough? I’m asking because to me it is so much easier to obtain a LA/AO in a cat that is in…
Lepto
This is a 7 years old Cocker that presented icteric, has history of chronic pancreatitis Liver is heterogenous with multiple ill defined hypoechoic nodules, distended CBD with no definitive mass or urolith seen and hypoechoic pancreas – body. All liver enzymes are markedly increased ( 6000 for ALT) I suspected round cell neoplasia but couldn’t…