Pancreatic Abscess in a 13-year-old, MN, Maine Coon Cat
Anorexic, vomiting one day prior, lethargic. PE: Firm mass palpated mid abdomen cranial to bladder. Seems uncomfortable on palpation. Given Cerenia, Convenia, Buprenorphine. Radiographs: 3-view rads showed circular mid-abdominal mass with soft tissue opacity. Both kidneys visualized independently from the mass. Loss of serosal detail cranial/ventral abdomen (effusion?)
Post Hepatic Obstruction/Common Bile Duct Mass in a 11-year-old MN, DSH Cat
On presentation: anorexia of one week duration, jaundice, elevated liver enzymes, some vomiting, weight loss, lethargy. Painful on abdominal palpation. Rads NSF. Abnormal BW on presentation: ALT 535, ALKP 208. GGT 39, Tbili 1.8. CBC normal. Treated with cerenia, SQ fluids, clavamox, mirataz. 7 days later repeat BW ALT 591, ALKP 278, GGT 21, Tbili…
Right adrenal mass in a 12-year-old, FS, DSH cat
Decreased appetite, concern for abdominal mass on rads. Lethargy, severe hypokalemia. Hx of diabetes mellitus, hypothyroidism, asthma. Meds inclde methimazole 2.5 mg transdermal BID, glargine 0.5 units QD. Abnormal labwork: K+ 2.3, SDMA 19 (high), TT4 6.9, glucose 181, platelets decreased but clumping noted. urine glucose neg, ketones neg.
Microhepatica in a 7yr old, FS, Shih Tzu with a splenoazygos shunt
A 7-year-old SF Shih Tzu with a history of a porto-caval PSS shunt that was well managed with medical therapy was presented for evaluation of with lethargy and decreased appetite.
Swollen kidneys and splenozaygos shunt in a 6yr old, FS, DSH.
A 6-year-old FS DSH with a history of a long-term liver shunt that was maintained on occasional metronidazole and subcutaneous fluids was presented for evaluation of weight loss, hyporexia, and vomiting. CBC was within normal limits whereas serum biochemistry showed mildly elevated ALT activity, normal creatinine, and low urea.
Splenic nodule in a 17 yr old, FS, DSH
A 17-year-old SF DSH was presented for evaluation of weight loss, reduced appetite, lethargy, and pain. Current therapy was methimazole and gabapentin. On survey radiographs, a ureterolith was evident.
Galbladder mucocele in a 9yr old, MN Beagle
A 9-year-old MN Beagle was presented for evaluation of acute onset vomiting and anorexia. Physical examination and urinalysis were unremarkable. Abnormalities on CBC and serum biochemistry were leukocytosis, and elevated liver enzyme activity (ALT 183, ALP 1516, GGT 23).
Pancreatitis in a 6 year old FS Golden Retriever
A 6-year-old FS Golden retriever with a history of eating a plastic toy a few days prior was presented for evaluation of vomiting, anorexia, and lethargy. Serial radiographs were not indicative of intestinal obstruction.
Pancreatic necrosis in a 10 yrs old MN mixed breed dog
A 10-year-old NM mixed dog breed was presented for evaluation of acute onset vomiting, anorexia, and hemorrhagic diarrhea. Additional history was that the signs had started shortly after a camping trip.
Portostystemic shunt in a 5yr old, MN DSH
A 5-year-old MN DSH with a history of portosystemic shunt that had been diagnosed 3 years ago and was doing well with medical management was presented for evaluation of hyporexia and diarrhea over the last month. Elevated ALT was present on serum biochemistry.