Post-Hepatic Obstruction By A Duodenal Papilla Calculus In A 9-Year-Old FS DSH Cat: Our Case Of the Month

History of a sewing needle stuck in the caudal aspect of hard palate a month prior. 24 inches of string was attached and removed (without resistance) under sedation. The patient then presented almost one month later for anorexia, vomiting and hiding. Blood chemistry found ALT >1000, glucose 223, T. Bili. 2.3, TP 9.4, Glob. 6.1….

July 2, 2019

Adrenal mass in a 12yr old, MN, DSH

12-year-old MN DSH with a history uncontrolled diabetes mellitus was presented for evaluation of ravenous appetite, shaking, and restlessness. Current therapy was 9 IU PZI SQ BID.  Urinalysis showed SG of 1.024 and glycosuria. CBC was within reference range. Abnormalities on serum biochemistry were hyperglycemia, elevated ALT and ALP activity, and hypokalemia. T4 was within…

June 24, 2019

Left Adrenal mass in an 11 year old, MN, Maltese

An 11-year-old MN Maltese mix was presented for evaluation of progressive elevation of liver enzyme activity. Blood work showed elevated ALT (530) and ALP (1255) activity and mildly elevated cholesterol.

Bilateral pheochromocytoma in a 13yr old, MN Pit Bull Terrier

A 13-year-old MN Pit Bull terrier was presented for evaluation of vomiting, diarrhea, lethargic, and weight loss.  Abnormalities on physical examination were dental tartar and possibly a heart murmur.

Left Adrenal Mass in a 16yr old, MN, Havanese

A 16-year-old MN Havenese with a history of an adrenal tumor was presented for evaluation of chronic intermittent vomiting for the past 4 weeks. Current therapy was Lysodren, famotidine, carafate, enalapril, amlodipine, and tramadol 50mg ¼ BID.

June 19, 2019

: Our Case Of the Month July 2019

The patient was presented for history of not eating and 3 episodes of vomiting, Owner is positive he did not get into anything. Medications: atenolol, thyroid, pentosan, Galliprant. The patient has a tense abdomen upon palpation and is vomiting bile with a foul odor, he is dehdrated. Previous history of a grade 5/6 murmur. Palpable…

June 11, 2019

Emphysematous hepatitis in a 10 yr old FS Australian Shepherd

A 10-year-old FS Australian Shepherd was presented for evaluation of acute hematemesis, vomiting, diarrhea, and lethargy.  Abnormalities on physical examination were lateral recumbence, dehydration, and pyrexia (106.8).  Blood work showed thrombocytopenia and elevated ALT (655) activity. On survey radiographs possible mass in mid abdomen and hepatomegaly was evident.

Large Hepatic mass in a 11yr old, FS, Corgi/Pomeranian

Corgi/Pomeranian Mix, FS, 11 years. Elevated hepatic enzymes, decreased detail in cranial abdomen on radiographs. History of chronic bronchitis- stable on prednisone 5mg EOD. Suspect acute CCL injury 3 days ago- started on tramadol.  Medications: Prednisone 5mg SID-EOD, tramadol 50mg 1 PO TID PRN.

May 31, 2019

Aldosterone Secreting Adrenal Tumor in an 11-Year-Old FS DSH Cat: Our Case Of the Month June 2019

The patient was presented for annual exam with a 1-2 month history of decreased appetite. Blood chemistry and CBC found a potassium low at 3.2, chloride low 113, AST high 70, monocytes high 684, and T4/fPL both normal. Repeat bloodwork a month later showed potassium even lower at 2.6. The patient was started on Renacare potassium…

May 7, 2019

COM- VSD in an 8-Month-Old DSH Cat; SDEP™ ECHO Attendee SonoPodcast: Case Of the Month May 2019

The patient was found as a stray. Loud heart murmur, left chest wall flattened inward (likely congenital). Large reducible umbilical hernia. Unable to do any ultrasound on kitten without sedation. Sedated with Alfaxolan, Midazolam and Butorphanol IM. Physical exam: flattened left chest wall, right side normal. Heart: 4-5/6 holosystolic murmur loudest on the Rt side….

April 2, 2019