Case Of the Month
Which one is the gall bladder?
This 7-year-old MN DSH cat presented for progressive anorexia and moderate SAP, ALT, and bilirubin elevations. Dehydration, poor body score, and icterus was noted on the physical exam. The portal hepatis presentation shows a distended viscous with a large amount of debris adjacent to a relatively normal appearing gall bladder. Other structures include the stomach…
June 1, 2013
Intraoperative Ultrasound
We developed this technique to be used on any abdominal organ but is especially effective in case of infiltrative, focal and multifocal GI lesions. The problem is that the surgeon cannot often see what the clinical sonographer is observing from a transabdominal sonographic perspective. If the organ serosa is not visibly affected, the surgeon will…
May 31, 2013
Intamural Ectopic Ureter
7-month-old FS Labrador Retriever presented with persistent dysuria and incontinence. The UA revealed UTI with E. coli on culture.
UGELAB (Ureter Obstruction)
This is an ultrasound-guided endoscopic diode laser ablation (UGELAB) of a transitional cell carcinoma in the uirinary bladder of a 10-year-old FS Beagle. There were many polyps in the trigone and urethra that were ablated as well. Rosie is doing well 12 months post UGELAB. This procedure was performed by Dr Dean Cerf (Laser/scope) and…
UGELAB (TCC)
This is an ultrasound-guided endoscopic diode laser ablation (UGELAB) of a transitional cell carcinoma in the uirinary bladder of a 10-year-old FS Beagle. There were many polyps in the trigone and urethra that were ablated as well. Rosie is doing well 12 months post UGELAB. This procedure was performed by Dr Dean Cerf (Laser/scope) and…
Diagnosing Anorexia and Weight Loss
This 17-year-old FS DSH presented for anorexia and weight loss. The physical exam revealed palpably thickened small intestine and mild dehydration. The original CBC revealed moderate leukocytosis with a left shift and mild anemia and the patient was treated with broad spectrum antibiotics. Ten days later the cat exhibited mild persistence of signs and recheck…
May 30, 2013
Lymphatic Obstruction
Sonograms aren’t just for the belly and chest. If we don’t know what it is, we put a probe on it, sample it, treat it, and put it on a slide. See this poor Labrador with an impressive swelling in the hind limb of unknown origin in the May, 2013 SonoPath case of the month….
May 7, 2013
Gastro-Enteritis
Surprise, surprise, surprise! After 2 months of GI foreign bodies on ultrasound, take a look at this foreign body that was not in the stomach and this is no April fools trick. Sonogram (Pancreas): Gunner (Name changed to protect the innocent 🙂 History: A 3-year-old, NM Pointer cross was presented for vomiting/diarrhea. Endoscopy of the…
April 11, 2013
Endocarditis
A 9-year-old castrated male cat was presented for evaluation of progressive weight loss with reduced activity and appetite. Four months prior to presentation the cat had been diagnosed with severe stomatitis and dental disease that had been managed by dental scaling and extractions, which had resulted in complete resolution of the stomatitis. Three days prior…
March 12, 2013
Listen Up- Don’t Overlook Client Diagnosis’
A 3 year-old M/C Beagle is presented for a surgery consultation because of unusual neurological signs. The owner describes difficulty lifting the tail, and sometimes pain moving/wagging it. There may be difficulty defecating and sometimes urinating. Occasionally, the dog will chew or bite the right hind leg. He sometimes has muscle spasms, the owner is…