Gall bladder mucocele, cholangiohepatitis in a 6 year old MN Cocker Spaniel dog
A 6-year-old MN Cocker Spaniel dog with history of anxiety was presented for one episode of vomiting, anorexia, decreased drinking, lethargy, tachypnea, and restless behavior. Physical exam found patient painful in the mid-abdomen. Blood chemistry revealed elevated total protein, hyperbilirubinemia, hypercholesterolemia, hyperglobulinemia, elevated Alkaline Phosphatase, elevated ALT, elevated AST and elevated GGTP. CBC found leukocytosis…
Perforating GB mucocele with thickened common bile duct (CBD) and pancreatitis in a 15 year old MN Maltese-Poodle mix dog
A 15-year-old MN Malti-poo was presented for progressive lethargy, anorexia, and weight loss. Physical exam found patient icteric, with a painful cranial abdomen. Blood chemistry revealed mild hyperglycemia, hyperbilirubinemia, hypercholesterolemia, elevated Alkaline Phosphatase, high ALT, high AST, and high GGTP. CBC found leukocytosis, neutrophilia, high bands, monocytosis and high platelet count.
Hepatocutaneous syndrome in a 9 year old FS Yorkshire Terrier with alopecia and crusting foot pads
A 9-year-old FS Yorkshire Terrier was presented for evaluation of a dermatitis characterized by thick crusts involving the pads of all four limbs, as well as the trunk. The crusts were thick and firmly adhered to the underlying dermis. The dog also had hyperkeratosis of the nasal planum, dermatitis of the upper lips and perianal…
Diabetes, pancreatitis, and intestinal adhesions in a 3 year old FS Pomeranian
A 3-year-old FS Pomeranian dog presented at emergency facility for five episodes of acute vomiting, anorexia, and lethargy. Physical exam found the patient to have a slightly tense, painful abdomen. In-house blood chemistry revealed elevated alkaline phosphatase, hyperphosphatemia, hypercholesterolemia, hyperamylasemia, hyperglycemia, and low chloride. CBC found slightly elevated HCT and eosinopenia. The patient had a…
Mass in the neck of the gall bladder extending into the pancreas in a 10 year old MN DSH cat
This 10-year-old MN DSH presented for anorexia and lethargy over the previous two days. The physical exam revealed a mildly painful cranial abdomen and jaundice. The CBC demonstrated a mild leukocytosis with a left shift. The blood chemistry showed moderately elevated ALT, mildly elevated ALP and AST, moderately elevated amylase, and moderately elevated bilirubin. The…
Pancreatic lymphosarcoma in a 12 year old FS DSH cat
This 12-year-old FS DSH cat presented for progressive anorexia, lethargy and weight loss. The physical exam revealed a palpable irregular mid-abdominal mass, mild dehydration, mild fever and poor body condition. The CBC revealed slight anemia with anisocytosis, polychromasia, and moderate nucleated RBCs. Blood chemistry revealed mildly elevated ALT, mildly elevated AST, and mildly elevated total…
Chronic active pancreatitis diagnosed by ultrasound-guided FNA in a 15 year old MN DSH cat
This 15-year-old neutered male DSH cat presented for vague not-doing-right clinical signs. Dysuria, anorexia, and lethargy were described. The physical exam revealed a moderately painful mid-cranial abdomen and mild pyrexia. The first CBC was normal except for mild increased bands. The initial blood chemistry analysis revealed only slight azotemia which normalized during hospitalization. Repeat analysis,…
Neutrophilic pancreatitis, post-hepatic obstruction, and portal hepatitis, diagnosed on FNA, in a 12 year old MN Labrador Retriever
This 12-year-old neutered male chocolate Labrador Retriever dog presented for a history of profound lethargy, occasional vomiting and progressive anorexia. The physical exam revealed moderate dehydration and mild cranial abdominal pain. The CBC revealed mild leukocytosis with a left shift. The blood chemistry demonstrated severely elevated amylase and lipase, severely elevated triglycerides, mildly elevated SAP,…
Pancreatic neutrophilic and macrophagic inflammation in an 11 year old FS DSH cat
This 11-year-old indoor/outdoor FS DSH cat presented for lethargy and anorexia. The physical exam revealed a painful mid cranial abdomen and moderate pyrexia. The CBC revealed moderate neutrophilic leukocytosis with a left shift, while blood chemistry analysis revealed moderately elevated total protein and globulins with severe hyperglycemia. The elevation in total protein and globulins and…
Pancreatic abscessation and pancreatitis in a 10 year old FS Labrador Retriever mixed breed
This 10-year-old FS Labrador cross presented for profound lethargy and anorexia. The physical exam revealed only moderate pyrexia. The CBC and blood chemistry analysis were normal except for slight elevations in glucose and SAP. The patient responded fairly well to 72 hours of IV support and antibiotics and was discharged. The sonogram was performed 1…