artifact vs. mucosal pathology
10 year old MN 91 lb pit mix evaluated for vomiting and diarrhea, now all resolving. His jejunum is measuring between 5.2-5.9 mm, which is a bit thicker than normal ranges I’m familiar with, <5 mm. Would you be concerned about these values in such a large dog? I'm also wondering your thoughts on the…
When is a MVD stage B1 a Stage B2?
14Kg KCCS Dog; 3/6 murmur placed on Pimo after rads. Echo(3 wks later) revealed mild mod MV reg, TV reg and AO ins. PG – MV and TV=N. AO PG=N with plateau flow profile. Echo = stage B1 MVD, BP= N.Dog was 5 lbs ovweight. C index adj. to 11.7Kg= N. Improved on pimo (energy…
Prostatitis vs. urethral mass
6 year old MI Goldendoodle owner noticed about 15 drops of blood in the kitchen coming from patient’s penis. He had not been straining to urinate. pcDVM started patient on Enrofloxacin 5 days ago and patient has not had any recurrence. Owner had declined a UA. I’m concerned about prostatitis, but also could not tell…
Duodenum mucosa
7 year old MN Mixed breed, hyporexia with some intermittent vomiting since January. While trying to get him to eat, tried chicken and rice and he developed diarrhea that has resolved. Folate was 6.2 (7.7 is low end normal), so was interested in the duodenum (rest of GI panel WNL). These don’t look like ulcerations…
focal biliary tree choleliths
7 year 9 month old FS Chow with lethargy, vomiting and intermittently dribbling blood tinged urine. CBC WNL. Chem – ALT 773, ALP 389, GGT 31, T bili 0.5. Looks like choleliths in biliary tree, but focal region. No reported fever. Started Ursodiol, Denamarin, and antibiotics for cholangiohepatitis (Clavamox and metrondizadole). Urinary bladder looked unremarkable….
Reverse remodelling versus Mitral Stenosis
How would you diff b/w reverse remodelling and MV stenosis. Presented at recheck with mod severe pulmonary HT. Smll dog treated for chronic MVD stage C. US= LV under loading, FS > 50%, LAE remains significant. M e-vel is consistently 1.5m/s or higher but dec. time and press half time appear normal. E:A ratio around…
Chronic MVD with PHT
Chronic stage C MVD.TID Pimo and Lasix(high dose), ACEi and Spirono. Doing well. Recheck: Idexx GHP= CBC-NSF ,SDMA 15,BUN 14.1mmol/L, Creat 79umol/L. US: Cornell Indx LVd=1.46(prev2.1), LV septal flattening with diastolic dip,LAAO=2.47,Evel1.45m/s, TVregPG-68mmHg,HV distension-mod ascites.LV and LA underloading via diuretics and PHT (mild PHT past).PHT more pre vs post cap based on small LVsize? Consider…
Immune mediated anemia
6 yr MI Lab diagnosed with a regenerative anemia with spherocytes, negative slide agglutination, no hematuria, T bili WNL. Spleen very enlarged and irregular and I could not connect the more dorsal structure to any organs. Did FNA’s on both the spleen and suspected mass. Both came back as extramedullary hematopoeisis. Looked so irregular to…
splenic mass vs. infarction
10 yr FS Shep cross with lethargy, weakness and dec. appetite. Concern for the hypoechoic splenic head. Could see vessels on doppler, but think they were attenuated to those in the body. Patient was not painful during the exam. FNAs of the spleen, irregular liver (nodular) and the hypoechoic cranial abdominal lesion shown in the…
stomach polyps
9 year old FS Shepherd cross losing weight, intermittent vomiting, diarrhea that has been worsening now with blood. Do you think these structures in the stomach lumen could be polyps? So far, planning to recommend endoscopy.