Cause for ascites ?
Hello, I can use some help with this case . Zoey is a 7 years old lab X that presented for ascites U/S : no macroscopic neoplasia, liver was subjectivelly small but did not looked cyrrhotic to me ( My understanding is that U/S can underestimate early cirrhotic appearance) . No hepatic congestion, no distended…
Severe hepatomegaly, bilateral adrenal enlargement, cardiac dilation and AI without significant decrease in function
Beatrice is a 34 lb. FS mixed breed with reduced appetite and lethargy. Intermittent murmur heard throughout time owner has had her (musical). Organomegally. Had HW ds, was treated and retested negative. No residual PH evidence. Does have ventricle dilation with AI and still has adequate function. Dr. Lamy thinks main reason for dog feeling…
Small liver, possible extra-hepatic liver Shunt on a 11 yo Shepherd mix.
Is there an extra-hepatic shunt? Abnormal vessel caudal to the spleen? – 11 yo F/S Shepherd mix, 52# with chronic elevation of liver enzymes and intermittent Vomiting/diarrhea for years. Responds to metro/cerenia/probiotics. – Last bloodwork in April 2020: ALT 875, ALP 959, GGT 34, Bil 0.3>0.1, no BA done. Lymphopenia 758, u/a WNL SG 10.14,…
Suspect feline IBD or lymphoma
Eight year old indoor only DSH with chronic vomiting. Now anorexia and diarrhea. Rounded and enlarged mesenteric lymph nodes, so concerned about lymphoma over IBD. Can you comment on the stomach – looks like diffuse muscularis thickening here as well, but want to be sure I’m not overinterpreting since seems like the muscularis layering in…
crazy hepatomegally in a 9 year old DSH
Severely distended abdomen, weight loss and anorexia. I just can’t get over how large this liver is. Unfortunately, very financially limited owner, so no FNA, but would lymphoma be top of your list?
Fused kidneys
Hope someone has seen this before. In fact, I did a search for fused kidneys and found another entry, but that cat has had a renal transplant, so not quite my patient. This is a young cat, gradual onset, unwell, pyrexia and abdo pain. A mass was palpated in dorso-caudal abdomen. Scan shows fused kidneys?…
Retroperitoneal pathology
Another case with similar retroperitoneal pathology – 12 year old FN collie Had an external rectal mass – image attached And a very large similar mass of similar appearance in caudal abdomen, suspect SL LN mets The left side of the retroperitoneal space was also very abnormal and I think the left adrenal was severely…
Severe cystitis and reblocking in a 3.5 year old MN DLH
Hi All, Dr. Hylands discussed eosinophilic cystitis at the Sonopath Clean Up lab in December, but I can’t recall exactly what his thoughts were. 6 year old MN Maine Coon cat, blocked Sunday this week. I saw him in GP but sent him to the EC for unblocking (as it was sunday and we were…
HCM – how high anesthetic risk
Hello, this is a 5 years old “hands off” cat . Very aggressive even with Gabapentin on board Always had a greade 3/6 heart murmur, no arrhytmias.Clinically doing great but has dental disease and needs some extractions BW results, including BNP is pending- should have results tomorrow We did only a focal limited echo…
chronic renal failure?
Kirby is a 7 1/2 year old in tact male Shiloh Shepherd. On presurgical blood work before a dental, revealed signficant azotemia (BUN 80/creat 5.5, PCV/TP 29/7.4, normal K, mild elevation in Phos, UA SpG 1.016 w/ 1 + protein and an inactive sediment). Not current on Lepto vx. Lepto PCR was negative. Urine culture…