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…
GB sludge. when do you start sAME?
just curious, when you find moderate GB sludge with mild increase in ALKP only, do you recommend sAME/ mild thistle /etc? or you just monitor liver enzymes ? find this a lot and see some of these dogs progressing in months or years to choleliths. Thank you
Maine coon HCM with Sam?
This is a 8 years old Mine coon diagnosed 8 months ago with HCM . he does have SAM now based on “V” shaped regurg jets and not so clean MMode . Can you confirm ? . Also is there a reference for maineCoons LA size . His LA/AO is 1.9 Thank you
Significance of this splenic structure
A 3-year-old male neutered cat was presented with the complain of diarrhea. This splenic structure was noticed as an incidental finding. Doesn’t seem significant, but it is disrupting the normal curvilinear capsule. What it could be?
Measurement discepancy
This is the M-mode from a cat, suspected to be HCM. There is discrepancy in my IVS measurements and LVP wall measurements. I heard in the lectures that IVS and LVP measurements should be same. How to fix this issue. Thanks