Left Atrial Presuure, Pulmonary Edema and its contribution to Pulmonary Hypertension
Dr. Modler was discussing left atrial pressure in relation to pulmonary venous hypertension with left heart failure(LHF), pulmonary vascular hypertension and the degree in which LHF could contribute to pulmonary hypertension. He mentioned that a left atrial pressure of 40mmHg was consistent with pulmonary edema(CHF). I don’t understand why the LAP would need to be…
azotemia and renal cyst
14 year old MN Pomeranian with acute azotemia following general anesthesia last month for cataracts (previous renal values were normal). Ultrasound shows this cystic structure as well as an enlarged and somewhat lobulated/anechoic left adrenal gland (hx of PU/PD and mild intermittent vomiting). Would you drain this cyst and how would you classify it? How…
Inflammatory bowel disease or other intestinal inflammatory disease
A 6-year-old MN Rottweiller was presented with the complain of chronic vomiting. After doing the initial blood test and CPLi, which were normal, the RDVM sent the dog for further evaluation to rule out any infiltrative intestinal disease. All the small intestines were normal. I found thickened rectum and proximal colon. There is a hyperechoic…
ileocolic cyst?
12 year old MN Chihuahua – couple of weeks of lethargy, anorexia and intermittent vomiting. Distended abdomen. Very bizarre cystic structure that appeared to be coming out of the ileocolic region, but I could not find an obvious mass. It had a rounded cranial end starting just caudal to the stomach and left limb of…
Intermittent vomiting and diarrhea, thickened muscularis layer of stomach
7 year old FS French Bulldog with 4 week hx of intermittent vomiting and diarrhea + weight loss and decreased appetite. I was not given blood work, but was told there was a decrease in serum protein that improved on recheck (assuming albumin, but unsure). She does have some mild muscularis thickening in a couple…
Why my MR velocity is not making sense
A 4-year-old male BSH cat was presented for echo. HCM phenostype with SAM was diagnosed. There was MR jet and LVOT obstruction. The MR jet velocity measured approximatel 3m/sec with PG of 25mmHg. My question is that why this MR velocity jet is not making sense. The cat has SAM, which means that the LV…
pancreatitis vs pancreatic mass
Hello this is an older, anorexic, sick cat . Pancreas is hypoechoic, large, irregular with some hyperechoic focci and the fat surrounding the pancreas is hyperechoic . There is scant amount of free fluid and a large liver nodule/ mass . Would these findings suggest more a pancreatic mass with metastasis versus pancreatitis and primary…
U/S biopsies
Hello and Happy New Year to all of you ! In regards to sampling liver was wondering what is the trend inbetween sonographers . Is majority of you still do tru-cut biopsies ( when indicated) or moving more towards surgical biospies ? I ve spoke with few pathologist in my areea and they do prefer…
different echogenicity in between liver lobes
Hello, I ve seen this a few times and I’m not sure how to interpret or if it is significant . Is this called anisotropy? and just an artefact from angle of imaging? or can suggest something ? This is a 6 years old chihuahua with high ALT ( 10 times normal ) Thank you
Question Dr Peter E:A wave
I just finished watching the 5-min with sonopath video of Dr Peter explaining the significance of measuring the mitral inflow profile. I have the following questions: 1. A dog with cough. LA is enlarged but the E wave is less than 1.4m/sec. So the cough is cardiogenic or non cardiogenic or just the enlarged LA…