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…
focal enteritis?
11 month old FS DLH with acute vomiting and abdominal pain. Thought this loop of jejunum had some muscularis layer thickening and overall thickness at upper end with plump ileocolic lymph nodes. Rest of small bowel unremarkable other than some gas in the lumen. Please comment on the jejunum appearance and any next steps you…
Yellow cat – now doing fine
1-year-old SF cat presented with jaundice and mild anemia. RDVM prescribed doxy, prednisolone, and referred for abdominal US. US showed mild-moderate CBD dilation and inflamed duodenal papilla. 10 days later, repeated US showed similar findings but resolved bilirubinemia. Patient eating well and gaining weight. Unclear cause of DPap inflammation, but patient doing well. Any chance…
SAM
4-month-old male cat.Grey zone LVH m mode, some 2D measures exceeding 0.6mm.SAM present with MV regurge. Ischemia/fibrosis in RSA view with a couple B lines I don’t think significant? LAD=normal,RSALA:AO= mild increase.Brief follow up echo to complete with cat fasted and sedated. Similar findings; increased HR and more significant LVH(0.7cm) than earlier study. Mitral E:A…
Diastolic dysfunction and heart rate
2 1/2-year-old spayed cat. Required butorphenol sedation. It had a mild effect. Heart rate rarely went below 200bpm. Cardiac measures were WNL. Mitral inflow was evaluated with pulsed Doppler, with the sweep speed increased to discern the E and A waves. The heart rate noted on the ECG is not correct on that picture. IVRT…
Is a HCM phenotype diagnosis warranted?
Provided are some pics of an 8kg, 11 year old female spayed DMH presented for ultrasound. Pre-surgical blood work revealed a blood glucose of 15.1 with normal renal values. ECG suggested widening of the QRS complex and right axis deviation possibly normal variation. A SNAP pro BNP was abnormal. A thyroid test was not performed….
duodenal thickening and ulceration?
10 yr. FS DSH chronic vomiting and 1 lb weight loss in last month. Retches and vomits bile, mostly at night. Overall, overweight cat. Blood work unremarkable. 2-4 week trials of ZD and Microbiome have not made a difference. Responded to maropitant. First posted video (7) is in right lateral and mainly looked like mild…
HCM with dynamic outflow tract obstruction
This is a 7-year-old male neutered DSH cat presented for bought’ of open mouth breathing following exercise. A 2/6 systolic murmur and an abnormal SNAP pro BNP was noted. Blood work was normal, BCS is 7/9. Ultrasound revealed mild to moderate hypertrophy of the left ventricle with a prominent septal base along with SAM. Dynamic…
Splenocaval shunt in cat
15-month old female DSH presented with stunted growth, partial seizures and blindess. Because of high-degree of suspicion of a PSS, abdominal ultrasound was done. PV can be seen draining in the CVC. Is it a splenocaval shunt?
duodenal submucosal thickening in a chronically vomiting cat
14 year old FS Tonkinese with chronic vomiting 1-2 months, weight loss and normal blood work. The submucosal of the duodenum is particularly prominent. Her stomach was full – possible hair balls? Recommending a 24h fast and recheck ultrasound after 3-4 weeks of famotidine, maropitant and hairball remedy unless owner decides to proceed with intestinal…