15y FS Standard Poodle with hx of vomiting bile throughout the day over last 3 weeks. Blood work shows elevated globulins (historic) and UA revealed UTI – has completed a course of antibiotics. Found an area of thickness left ventral fundus through left ICS images + nearby gastric lymph node and inflammation. Inflammation in region of left limb of pancreas as well (pt had a hx of pancreatitis in the past). Do you agree based on provided images?
15y FS Standard Poodle with hx of vomiting bile throughout the day over last 3 weeks. Blood work shows elevated globulins (historic) and UA revealed UTI – has completed a course of antibiotics. Found an area of thickness left ventral fundus through left ICS images + nearby gastric lymph node and inflammation. Inflammation in region of left limb of pancreas as well (pt had a hx of pancreatitis in the past). Do you agree based on provided images? Owner not interested in scoping or surgical bx. Have discussed course of helicobacter treatment and blood testing for hypoadrenocorticism and TX A&M GI panel. Thoughts?
Comments
either a hot gastritis or an
either a hot gastritis or an emergings lsa. i never like rounded nodes around the stomach and a wall that has serosal inflammation (fuzzy fat) as you have in video 2 in the near field. You cantx helicobacter protocol and monitor next 5 days or so or best full thickness IOP ultrasound ideally get the wall and nodes. i dont think a scope would give the whole pciture here.
Thank you for the input and
Thank you for the input and comment regarding scoping.
You bet.. I watched
You bet.. I watched endoscopists miss mural pathology over and over again throughout the years so I like scope only when I know a representative pathology is truly luminal/mucosal otherwise they are just in the pathology cave and can’t see the badness in the walls around them. Scan first then decide the sampling modality.