Hi All! been away for a while but back in track now!
CAN MN 14Y JAP SPITZ
With no clinical signs except for pyrexia (persistent regardless of pred and abs) ALT 142, ALP 427. rest unremarkable
x rays of chest and abdo unremarkable
Abdo ultrasound only showed mild thickening of gastric wall (normal layering) and emerging mucocele (sediment with shape but still free in the lumen and with mild acoustic shadowing) otherwise all wnl (i can post images but are just unremarkable)
What is the next step? Any comments will be appreciated
Cheers
Veronica
Hi All! been away for a while but back in track now!
CAN MN 14Y JAP SPITZ
With no clinical signs except for pyrexia (persistent regardless of pred and abs) ALT 142, ALP 427. rest unremarkable
x rays of chest and abdo unremarkable
Abdo ultrasound only showed mild thickening of gastric wall (normal layering) and emerging mucocele (sediment with shape but still free in the lumen and with mild acoustic shadowing) otherwise all wnl (i can post images but are just unremarkable)
What is the next step? Any comments will be appreciated
Cheers
Veronica
Comments
What is the hematology and
What is the hematology and urinalysis showing?What dose of preds have been used as generally immume-suppresive doses are required for immune-mediated disease.
Important etiologies are infectious (bacterial/fungal), immune-mediated, and neoplasia. External factors (car journey, environment) also needs to her taken into account. With normal thorax rads and no masses seen on abdominal ultrasound, neoplasia less likely. The emerging mucocele may in fact be secondary to bacterial cholecystitis, which could account for the pyrexia
Further assessment would be urine and blood culture, ANA titer, and infectious disease PCR panel. If finances a problem then treat with a course of antibiotics and see what happens.
What is the hematology and
What is the hematology and urinalysis showing?What dose of preds have been used as generally immume-suppresive doses are required for immune-mediated disease.
Important etiologies are infectious (bacterial/fungal), immune-mediated, and neoplasia. External factors (car journey, environment) also needs to her taken into account. With normal thorax rads and no masses seen on abdominal ultrasound, neoplasia less likely. The emerging mucocele may in fact be secondary to bacterial cholecystitis, which could account for the pyrexia
Further assessment would be urine and blood culture, ANA titer, and infectious disease PCR panel. If finances a problem then treat with a course of antibiotics and see what happens.
Thanks Remo! Ill get the
Thanks Remo! Ill get the blood results from the clinic and post them. At this stage they are going to run blood culture, Ill keep an eye on this case.
The urinalysis was unremarkable.
I ask the vets again and they mentioned they have not used pred, only NSAID and a course of antibiotics without improvement. The dog is still happy as Larry though.
I ll keep updating the post as soon as I get the results.
Thanks Remo! Ill get the
Thanks Remo! Ill get the blood results from the clinic and post them. At this stage they are going to run blood culture, Ill keep an eye on this case.
The urinalysis was unremarkable.
I ask the vets again and they mentioned they have not used pred, only NSAID and a course of antibiotics without improvement. The dog is still happy as Larry though.
I ll keep updating the post as soon as I get the results.