– 7 year old FS Great Dane w gradual weight loss and inappetance starting back in July
– bloodwork shows elevation in ALP, ALT (900’s) and severe elevation in bilirubin
– pet is clinically jaundiced (sclera, mm)
– CBC, TP, albumin and other paramaters wnl
– liver small on x-ray
– had to scan between the ribs on both sides to even see the liver on u/s – diffusely nodular, irregular scalloped capsule
– trace effusion is present; rest of scan normal – no lymphadenopathy
– 7 year old FS Great Dane w gradual weight loss and inappetance starting back in July
– bloodwork shows elevation in ALP, ALT (900’s) and severe elevation in bilirubin
– pet is clinically jaundiced (sclera, mm)
– CBC, TP, albumin and other paramaters wnl
– liver small on x-ray
– had to scan between the ribs on both sides to even see the liver on u/s – diffusely nodular, irregular scalloped capsule
– trace effusion is present; rest of scan normal – no lymphadenopathy
What do you think of the GB clip – I think there is a skim of effusion around it? Do the walls look abnormal?
Biopsy or not at this stage? Cirrhosis?
Comments
Gb is emerging mucocele but
Gb is emerging mucocele but unless it has leaked and collapsed I think its only part of it. I can make round cell neoplasia out of the parechyma but cirrhosis can do this as well. Fna to get quick screen and sample the fluid if it increases, stabilize and make your move tomorrow based on cyto findings in case bile leak needs sx vs hepatic neoaplsia (lsa or similar) vs CAH/cirrhosis that will be mixed non informative on fna. Cover for lepto wiht IV ampicillin while stabilizing and I like plasma in these guys and consider K injections too.
Gb is emerging mucocele but
Gb is emerging mucocele but unless it has leaked and collapsed I think its only part of it. I can make round cell neoplasia out of the parechyma but cirrhosis can do this as well. Fna to get quick screen and sample the fluid if it increases, stabilize and make your move tomorrow based on cyto findings in case bile leak needs sx vs hepatic neoaplsia (lsa or similar) vs CAH/cirrhosis that will be mixed non informative on fna. Cover for lepto wiht IV ampicillin while stabilizing and I like plasma in these guys and consider K injections too.