duodenal ulcer? 11/9/23
7 year old FS Catahoula cross. A month ago was vomiting twice per day, hours after eating. Also having diarrhea. The vomiting resolved after about a week. TX A&M panel showed folate 5.4 (7.7-24.4) and cobalamine more towards the low end of normal. Diarrhea has been improving with implementation of a bland diet and folate/B12…
By the numbers
Thank you! I’m not sure if I posed the question properly regarding objective values with ultrasound in the vegetative endocarditis post. Many cardiac drugs have a dosage range and alternative dosing frequencies. Some drugs have different modes of action with similar effect (ACE blockers versus inhibitors). Can you judge the efficacy of cardiac therapies with…
Vegetative endocarditis
7 year old female spayed CKCS we were monitoring for MVD. In April of 2023, Ginger was staged at B1 MVD with trivial TV regurgitation. MV murmur=3/6 In early September – fever of unknown origin, ocular pain and increased respiratory rate. Blood work revealed a leukocytosis with normal serology. Chest radiographs showed mild cardiomegaly with…
benign liver mass?
10 year old FS Airedale mix presenting for hematuria. We are working up the bladder – very thick walled, but stumbled upon this rounded mass in her mid liver. Blood work = very mild ALP elevation. Considering FNA. Sorry, your browser does not support embedded videos.
ursodiol indicated?
10 year old MN Chihuahua, no reported liver enzyme elevations. Would you consider this an emerging mucocele to merit ursodiol? This is the end of the study, so the debris never settled. Sorry, your browser does not support embedded videos.
bladder wall diverticulum
12 year old MN Shih Tzu. Has always been PU/PD. ALP in the 500’s. Ultrasound showed normal sized adrenal glands, enlarged liver with a couple of hypoechoic nodules. Wondering if you would call this a diverticulum off of the urinary bladder? Concerns about such a structure? Suspect it could make the patient more susceptible to…
How to do right adrenal FNA/Biopsy
I always wonder how right adrenal FNA or biopsy can be done? It is strictly adhered to vena cava and hwo to avoid vena cava to prick the gland? Also, someitmes it gets difficult to moe the renal artery out of the way to FNA the left adrena; any tips?
Pancreatic FNA/Biopsy
Just a simple question: While doing pancreatic FNA or biopsy, do we really need to take care to not hit the pancreatic duct? It seems challenging to avoid it. Will it cause some severe complication if the duct is hit during either FNA or tructu biopsy?
Feline HCM
History -Clinically normal two-and-a-half-year-old male neutered DMH cat with a 3/6 murmur. – NT pro-BNP was 1500 pmols/L. – Feline was stressed and also sedated with midazolam and butorphanol. Echo Findings -Stage B1 HCM (phenotype) -Generalized LV hypertrophy, systolic LV chamber obliteration – Mitral SAM with eccentric jet of mitral regurgitation. -Papillary muscles where enlarged…
help confirming which liver lobe
13 year old MN Belgian Malinois – concern for irregular liver lobe. FNA pending. I struggle with naming which lobe – quadrate? left middle?