Amos an 8 yr old m/n lab has had an ongoing problem lasting > 6 mnths. In summary, Initially the owners reported episodic pain with movement,he went to rehab,he went to neurologist and had MRI. Nothing was found.On exam he was normal with some restricted movement in shoulder some days. Rads found mineralized infraspinatous. shortly after MRI owner brought video of an “episode”to us. In the video the dog appeared to have abdominal pain. couldn’t get comfortable up/down once on his elbows etc.
Amos an 8 yr old m/n lab has had an ongoing problem lasting > 6 mnths. In summary, Initially the owners reported episodic pain with movement,he went to rehab,he went to neurologist and had MRI. Nothing was found.On exam he was normal with some restricted movement in shoulder some days. Rads found mineralized infraspinatous. shortly after MRI owner brought video of an “episode”to us. In the video the dog appeared to have abdominal pain. couldn’t get comfortable up/down once on his elbows etc. He would have episodes about weekly they lasted hours.did rads ,intial scan some intestinal variations ,gb slightly irregular wall no significant sediment or ductal changes. started prilosec ,sucralfate, metronidazole episodes decreased in frequency and duration. images today are those where i am still lost. I feel like we should have more liver, i am not clear on what i’m seeing in near field that shadows. The rest of his study is normal.Bloodwork unremarkable. Help!
Comments
The ?? you are reffering
The ?? you are reffering to is the costochondral junction (shordowing and artifact) and body wall. The liver is a little small but this is more of a confomration issue in labs you have to scan the liver 10-13 right and left intercostal in the bottom third of the rib cage. Spread out the manual pressure so you aren’t stickim him in the ribs then you should see th eliver and diaphragmatic interface. I don’t see anything wrong wiht the sm intestine or liver itself here.
Regading the clinical asigns orthopedic and agstritis would explain it especially if he has been treated wiht nsaids but just a shot in the dark here on that.
Hope this helps
If you have video to uplaod it would be more descriptive too.
The ?? you are reffering
The ?? you are reffering to is the costochondral junction (shordowing and artifact) and body wall. The liver is a little small but this is more of a confomration issue in labs you have to scan the liver 10-13 right and left intercostal in the bottom third of the rib cage. Spread out the manual pressure so you aren’t stickim him in the ribs then you should see th eliver and diaphragmatic interface. I don’t see anything wrong wiht the sm intestine or liver itself here.
Regading the clinical asigns orthopedic and agstritis would explain it especially if he has been treated wiht nsaids but just a shot in the dark here on that.
Hope this helps
If you have video to uplaod it would be more descriptive too.
Sorry don’t have video. Yes I
Sorry don’t have video. Yes I can get the liver better with the intercostal view but yet seemed alittle small. Thought the shadows were ribs –I’m trying to find something in this guy to explain symptoms! Probably needs to be scoped to further our diagnosis.He has recently developed two areas on buccal surface adjacent to molars that are distinctly reddened yet not ulcerated he is fussing at those as well. I have had other patients with lympho-plasmacytic disease who where similar,I have no biopsy yet. Nsaids,PT,laser helped with his movement but did nothing for the episodes.Other images are normal. Thanks for your input.
Sorry don’t have video. Yes I
Sorry don’t have video. Yes I can get the liver better with the intercostal view but yet seemed alittle small. Thought the shadows were ribs –I’m trying to find something in this guy to explain symptoms! Probably needs to be scoped to further our diagnosis.He has recently developed two areas on buccal surface adjacent to molars that are distinctly reddened yet not ulcerated he is fussing at those as well. I have had other patients with lympho-plasmacytic disease who where similar,I have no biopsy yet. Nsaids,PT,laser helped with his movement but did nothing for the episodes.Other images are normal. Thanks for your input.
You bet, this is one of those
You bet, this is one of those rule out cases with a normal sonopgram so either microulcerative disease or something else occult. I have an adage for “ADR” cases and the sonogram: “If its not in the abdomen, not in the chest, its metabolic, orthopedic or in the CNS. 🙂 Infectious too but it messes with the rhythm LOL.
You bet, this is one of those
You bet, this is one of those rule out cases with a normal sonopgram so either microulcerative disease or something else occult. I have an adage for “ADR” cases and the sonogram: “If its not in the abdomen, not in the chest, its metabolic, orthopedic or in the CNS. 🙂 Infectious too but it messes with the rhythm LOL.
Too funny— I hope I’m not
Too funny— I hope I’m not singing that all day ! 🙂
Too funny— I hope I’m not
Too funny— I hope I’m not singing that all day ! 🙂