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?)
Intrahepatic Shunt, suspect Central Divisional or Right Divisional, in a 8-month-old, Intact Male, DSH Cat
Presented for drooling, lethargy, ataxia/falling over. Marked bile acid (pre- and post-prandial) elevation. PE: Occasional tremors in exam room, O notes ataxia at home. Occasionally falls over on side and can’t get up but seems mentally aware. Rads: Microhepatica, Loss of serosal detail, Large amount of feces in colon Labwork: Bile acids Preprandial: 110 H…
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.
Severe pancreatic necrosis in a 6 yr old, FS Pug
Pug, FS, 6 years. Sudden onset vomiting and PU/PD and lethargy. The patient is on Vetsulin, Humulin R, Cefoazolin, Famotidine, Cerenia, Baytril, Furosemide, Metronidazole. Glucose 638-745, Sodium 124, potassium 3.2, Creatinine 6.2, WBC 23K, BUN 83. Radiograph Findings: hepatomegaly
Severe pancreatic necrosis in a 6 yr old, FS Pug
Pug, FS, 6 years. Sudden onset vomiting and PU/PD and lethargy. The patient is on Vetsulin, Humulin R, Cefoazolin, Famotidine, Cerenia, Baytril, Furosemide, Metronidazole. Glucose 638-745, Sodium 124, potassium 3.2, Creatinine 6.2, WBC 23K, BUN 83. Radiograph Findings: hepatomegaly
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.
Emphysematous hepatitis in a 10yr old, FS Australian Shepherd
A 10-year-old FS Australian Shepherd was presented for evaluation of acute hematemesis, vomiting, diarrhea, and lethargy. Abnormalities on physical examination were lateral recumbence, dehydration, and pyrexia (106.8). Blood work showed thrombocytopenia and elevated ALT (655) activity. On survey radiographs possible mass in mid abdomen and hepatomegaly was evident.
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.