Acute hematuria
6 yr FS DSH acute onset hematuria. Ua just showed blood (obtained yesterday via cysto). Blood work pending. Also having soft stool. Ultrasound shows some mild effusion near the urinary bladder and the hyperechoic areas on the ventral floor that do not change with gravity. Plump caudal mesenteric lymph nodes/hyperechoic mesentery. What are my rule…
cholangiohepatitis
4 yr MN DSH, indoor only, acute anorexia. ALT 4700 (now 1100), T bili started at 1.8 (now 5.8). On ursodiol, GI support, eating a small amount now. Plan to perform coags and ultrasound guided parenchyma aspirate and cholecentesis for cytology and C&S (aerobic and anaerobic?). I know you recommend going through parenchyma for the…
Liver nodules and weight loss
16 year old MN DSH hx of mild azotemia, intermittent V&D that improved on dry hydrolyzed diet, diabetes mellitus with insulin change from NPH to glargine in the fall, ALP has been increasing and he has been steadily losing weight. Ultrasound 2 months ago showed 1 liver nodule and a hyperechoic, enlarged liver. Now three…
Splenic mineralization
Hello, This 5 years old cat presented for FUS, also had fever and responded well to treatment. Is this splenic mineralized nodule an incidental finding- dystrophic mineralization in your opinion? or should I follow up and possibly try to sample it ?
Double Chamber Left Ventricle
5 yr MN cat; vomiting, resp. distress, lameness front limb. Rads: pul edema with atypical presentation and possible cardiomegaly. SNAP pro BNP abnormal. Echo: sever LV hypertrophy, severe LA enlargement, restrictive MV inflow pattern. Ridge of tissue extending from the LVPW to the septal base creating a double chamber effect. PG was 68mmHg (large CW…
hyperechoic enlarged kidneys
10 yr FS DSH with diarrhea and mild azotemia. Ultrasound a few months ago showed plump mesenteric lymph nodes and mild kidney enlargement with hyperechoic cortices. The kidneys have increased in size on today’s exam and are both 4.8/4.9 cm in diameter. What differentials should I be including?
Pleural Effusion Ascites and ghosts
8 yr FS cat, PE and ascites. Blood wk=NSF, Alb= normal. US; normal cardiac structure and function, slight increased right ventricular size. Ghost noted on tilted brick just cranial to heart base and above ventricle at level of R atrium on RSA view. Fluid sample obtained from abdomen consistent with mild chylous effusion (no inflammation,…
Kitten Echo Ratios and Numbers
12-week kitten. Hx of possible seizure episodes. Presented for dyspnea. Rads heavy dorsal caudal interstitial lung pattern with interstitial/alveolar pattern CV. Brief US. RSA LA size was at cut off limit for adults (Ao may be measured a bit small), LAD was WNL( slightly rounded). SNAP NT-pro BNP was abnormal (Blue dot darker than control))….
stone passage and infarctions?
5 yr indoor only MN DSH with renal azotemia, normal HCT and low normal K. The right kidney looks like infarctions (BP on very spicy cat under sedation was 170 systolic initially, so started amlodipine) and the left appears hydronephrosis. Could trace the ureter until just cranial to bladder. No visible stone other than the…
Feline DCRV
6 yr FS cat ,4/6 new murmur. Clinically fine! LV, M mode measures normal. Hypertrophy of septal base. Flow at septal base was 1.5m/s, slightly restrictive near end systole.Normal flow past AO valve. Mild aliasing of LV outflow resolved with increasing CF PRF. Early diastolic dysfunction noted from mitral inflow and IVRT. Left atrial size…