RADS – Mass Effect, Peritoneal Effusion or Peritonitis in a 11 year old Border Collie dog

Case Study

RADS – Mass Effect, Peritoneal Effusion or Peritonitis in a 11 year old Border Collie dog

Presenting Clinical Signs: Possible seizure activity at home. “stargazing”. Today had episode of inability to get up, urinated on self, weak, not responsive to owner.

PE: Obtunded on presentations.  Oxygen therapy, blood glucose( 579) PCV ( 31) and total protein 3.8. Now PCV 19 and TP 2.1 after 1 L + and 250ml Vetastarch.

Presenting Clinical Signs: Possible seizure activity at home. “stargazing”. Today had episode of inability to get up, urinated on self, weak, not responsive to owner.

PE: Obtunded on presentations.  Oxygen therapy, blood glucose( 579) PCV ( 31) and total protein 3.8. Now PCV 19 and TP 2.1 after 1 L + and 250ml Vetastarch.

DX

The reduced peritoneal detail may be a function of an abdominal mass effect, crowding of the intestine, peritoneal effusion or peritonitis. The radiographs of the thorax confirmed a hypovolemic state of the patient.

Image Interpretation

left lateral and VD abdomen, right lateral thorax: Osseous structures:
Mild degenerative changes were associated with the axial skeleton including mild to moderate Spondylosis deformans T3/4 and T4/5 respectively.
Intraabdominal structures:
The central and caudal abdominal detail was mildly reduced dminishing the delineation of the intestine and urinary bladder. The cranial margin of the urinary blader was especially not assessable. The retroperitoneal detail was preserved. A possible mass effect was noted in the caudal abdomen in the region of the urinary bladder. Liver, spleen and kidneys were normal for size, shape and opacity.
Intrathoracic structures:
There was microcardia and underperfusion of the lung as a function of hypovolemia. There was no mediastinal widening. The course of the trachea was normal. The cardiac silhouette was normal for shape. The pulmonary parenchyma was within normal limits.

Comments

Abdominal ultrasound is recommeded to verify and further define the potential changes. 

Patient Information

Patient Name : Megan Blackstone, Critical Care Vet
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Clinical Signs

  • "Not Doing Right"
  • Inappropriate Urination
  • Seizures
  • Weakness

Exam Finding

  • Depression
  • Lethargy
  • Weakness

Images

bildschirmfoto_2015-09-11_um_14

Blood Chemistry

  • Glucose, High
  • Total Protein, Low

CBC

  • Hematocrit, Low

Clinical Signs

  • "Not Doing Right"
  • Inappropriate Urination
  • Seizures
  • Weakness
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