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Liver disease

Liver disease

14 year old FN Bichon Frise with inappetance, appearing in pain and previous episode of ataxia Bloods – moderately elevated liver enzymes, no evidence of dysfunction Heterogenous and irregular contour to liver, heterogenous spleen, scarring to pancreas but no pain on exam How would you interpret and describe this liver please?

Cardiomyopathy + CHF in a cat

8 year old FN DSH presented with star gazing, dyspnoea, tachycardia and gallop rhythm Responded to furosemide and 02 Echo shows biatrial enlargement and asymmetriacl LV hypertrophy with areas of thinning and a subjective hyperechoic endocardium. I think there is a restrictive pattern on mitral inflow but difficult to interpret as E and A waves…

DCM Doberman

7 year old male 43kg Doberman presented with dyspnoea following episode of syncopy after slowing down on walk. He had a tachyarrhythmia with pulse deficits, tachypnoea and cyanosis. Bloods unremarkable.  Was treated with O2, IVFT and furosemide prior to me seeing him, was said to be much improved. When I saw him he had a…

Paralumbar abscess

3 year old dog spayed 5 weeks prior presented initially with back pain and then swelling over back. Large abscess drained over lumbar muscles, no bite wounds or FB seen. Scan requested to assess for abdominal involvement. Left retroperitoneal area was inflammed and oedematous with fluid lines. The caudal pole of the left kidney appeared…

Pulmonary oedema following sedation

12 year old YST presented with collapse episode, thought to be neurological with neck pain Had a G 2/6 left apical systolic murmur, normal respiration Was sedated for xrays and subsequently had fluid/froth from nose and was cyanotic Xrays show alveolar pattern I have only seen the dog once when he was clinically normal for…

Acute onset murmur

8 year old ME terrier with no history of murmur but then owner could hear murmur  G 4/6 apical systolic murmur, HR 120, normal respiration Suspect flail tip of posterior leaflet of mitral valve due to cord rupture with moderate eccentric mitral regurgitation Left atrium and ventricle are a normal size, I suspect LA has…

Liver abscess

15 year old Terrier with lethargy, inappetance, vomiting and diarrhoea Is this a liver abscess? Can you rule out underlying neoplasia? The gallbladder had a thickened wall.  Pancreatitis and muscularis hypertrophy was also present along with steatitis and minimal free fluid but the liver seemed to be the primary problem. FNA for cytology/culture declined which…

Liver and splenic lesions

14 year old MN Dachshund with inappetance, vomiting and off form, no weight loss Scan showed pancreatitis and gastric ileus But there was also a subtle liver nodule/mass and the tail of the spleen was irregularly hypoechoic What do you think is causing the liver and splenic pathology and is it of concern? Will hopefully…

Bladder mass

12 year old terrier MN dog with history of 8months + haematuria and pollakiuria, growth on culture and non-responsive to courses of antibiotics Large wide based vascular mass in bladder, seems attached to dorsal/lateral bladder wall. It seems to extend into bladder neck. V mild pelvic dilation of left kidney, right kidney normal. Prostate normal….

Pericardial Effusion

5 year old 35kg (overweight) Collie dog presented 6 months ago with significant pericardial effusion, weakness, ascites.. No underlying cause identified on thoracic/abdominal exam Pericardiocentesis performed (removed 120ml port wine fluid, student entered room near end, dog jumped off table and catheter displaced). A small volume of fluid was left in pericardial sac. Cytology was…