Case Of the Month
Diagnosing a Shunt on Sonogram
An 8-year-old FS Maltese was presented for evaluation for severely elevated pre and post-prandial bile acids and mild ALT elevations and subnormal BUN. In addition, the patient was positive for Rocky Mountain spotted fever. Seizure activity was present in the history.
December 2, 2013
Cranial Abdomen Mass
A 16-year-old FS DSH cat with history of diabetes and hyperthyroidism was presented due to vomiting, diarrhea, and anorexia. Physical exam found poor body condition and weight loss. Urinalysis showed SG of 1.017, proteinuria, and hematuria. A coagulation panel was mildly elevated.
November 4, 2013
Abdominal Distension
An intact male mixed breed dog was presented for evaluation of 4-5 days of progressive abdominal distension. Abnormalities on laboratory work were heartworm positive and anemia. Survey radiographs showed cardiomegaly and a possible abdominal mass.
September 30, 2013
Pheochromocytoma in a 8 year old FS mixed breed dog.
An 8-year-old FS mixed breed dog was referred for partial anorexia and mild lethargy. Mild painful cranial abdomen was noted on physical exam. CBC and chemistry panel were unremarkable. Urinalysis revealed 3+ proteinuria with isosthenuria. Blood pressure was 220 mm Hg.
September 3, 2013
GI Tract and Abdominal Mass
The patient is a canine Boxer, NM, 5 years of age presented to the clinic by a rescue organization. The patient was emaciated, vomiting and anorexic. Bloodwork was unremarkable. Physical exam revealed a mid abdominal thickening potentially of intestinal origin. Lateral radiograph revealed a mid cranial abdominal mass with mass effect upon the intestinal tract…
August 4, 2013
Adrenal Mass
The patient is a 12-year-old spayed female Jack Russell Terrier. The abdomen was progressively swollen on presentation. Only minor anemia was present with otherwise normal blood work. Chest radiographs reveal normal heart size and normal lung fields. 1-2 liters of ascites had been drained from this patient weekly after abdominal tap revealed modified transudate fluid….
July 6, 2013
Case Study of the Month June 2013
Imaging by Lindquist DMV, DABVP, Cert. IVUSS. Sonogram (Thorax): Snowy A 13-year-old hyperthyroid SF DSH was presented for “not doing right” and anorexia. Abnormalities on CBC and serum biochemistry were left shift leukocytosis and elevated ALT activity (698). The patient was treated symptomatically with Cerenia, Covenia, Enrofloxacin, and Buprenex.
June 4, 2013
Ultrasound-Machine Adjustments Made Easy
This first installment has to do with ultrasound machine adjustments made easy There are several key factors in creating good, interpretable images. Patient prep, physics, physical mechanics (yours and the patient’s). And did I mention physics? But it is at times difficult to keep those factors in mind when your patient is, well, impatient; or…
June 3, 2013
The Importance of a Proper Diagnosis
Phil Zeltzman, DVM, DACVS, CVJ and Scott Fausel, VMD Ally, a 10 year old female spayed DSH, had been hiding under the bed. She was presented with a 3 day history of vomiting, anorexia and lethargy. Her physical exam was within normal limits (including rectal temperature) except for a tense abdomen. Blood work revealed increased…