Value of US in diagnosing the cause of melena/hematochezia
I just want to ask that how much US can be helpful in the diagnosis of Melena. If there is blood in the stomach and intestines, the mucosal lesions can be easitly missed (my opinion only not sure if it is right or not). Or is it an endoscopy diagnosis?.
Hermaphrodite Pyometra
3 years old M/N GSP presented for evaluation to confirm a GI FB . Patient had a non obstructive Gastric FB and suprisingly also a fluid distended uterus. Suspect pyometra. I’ve seen hermaphrodites before but never a pyometra. It means this patient has functional ovaries. Is there any other DDX ? even with hydrometra, hemometra…
Pleural effusion -Heart Failure?
This is a 14 years old cat presented for anorexia; was treated at a different clinic for 3-4 days with supportive treatment, fluids . BW showed mild anemia and mild increase in lymphocytes, monocytes Was referred to us for an abdominal U/S, however on presentation was tachipneic and shortly became dyspneic. We did only a…
Mineralized mass of the spleen
Hello, This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age My…
Mineralized mass of the spleen
Hello, This is a 14 years old M/N Bichon that was diagnosed with an abdominal mass during a routine PE . Patient has CRD, moderate increase in ALKP, dental disease; not symptomatic Patient has a splenic mass, no free fluid ; owner understands malignant vs benign but declined FNA due to old age My question:…
Is it gastric ulcer
Three-year-old female spayed Shih Tzu was presented with acute onset of vomiting at 2AM on Sunday. The dog vomitted about 20 times before presentation. In the last few vomits, the owner observed some fresh blood also. There was no blood in the vomitus initially. Dog was comfortable on abdominal palpation. CRT was nomal and there…
PDA or another vascular anomaly?
3 years old no hemodynamic repercussion At first I thought it was PDA, but the location is different. Does anyone have any ideas? Arteriovenous fistula? Coronary?
Gastric mass?
12 years old M/N cat with severe weight loss, decrease apettite,chronic vomiting. BW – mildy hypoalbuminemia, rest wnl Pylorus is thickened and at the junction with prox duodenum there is severe concentric thickening. To me it suggest neoplasia and less likelly pyloric stenosis ( never seen one in a cat) . Do you agree ?…
distended ureter?
14 years old German pointer Intact, Male presented with recent onset of incontinence . Patient was recently diagnosed with Multicentric Lymphoma, owner decided against Chemo and was placed on Pred . The peripheral LN regressed and still normal in size but now developed incontinence . Noted sand type sediment i n bladder and this anechoic…
Where does the tircuspid valve appear in the apical view
I have purchased the SDEP Echo and I am practicing the echo positions. I am getting confused with the apical view. When Dr Erric shows the apical view technique, the MV appears on the left side of the screen. The book shows tricuspid valve on the left side of the screen and also one of…