Gastrointestinal change

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Gastrointestinal change

  • 1 year old Australian Labradoodle, failure to thrive, fussy appetite, intermittent diarrhoea
  • No evidence of PSS. Mesenteric LNs enlarged.
  • Would you say there are gastrointestinal striations?
  • What is this out pouching of intestine on image and videos please?

  • 1 year old Australian Labradoodle, failure to thrive, fussy appetite, intermittent diarrhoea
  • No evidence of PSS. Mesenteric LNs enlarged.
  • Would you say there are gastrointestinal striations?
  • What is this out pouching of intestine on image and videos please?

Comments

EL
May 9, 2018 at 7:27 am -

Not sure what thew

Not sure what thew outpouching is maybe spasm but all curvilinear so likely not an issue. There is hyperperistalsis and mucosal speckling suggestive for inflammation. Check parasites and food intollerance/IBD and maybe screen for addisons given the breed and I often sneak up on addisons when tough non resolvable Gi cases start to frustrate me or my client especially iof adrenals are flat and tough to locate.

bhylands77
May 9, 2018 at 2:50 pm -

When looking for signs of

When looking for signs of Addison’s disease, I look to see if the overall thickness of the gland is less then the diameter of the phrenicoabdominal vein. It is not substantiated in the journals but simply a personal observation. It has been bang on each time we have confirmed the diagnosis so there may be something to it.

On the second video you will see the hyperechoic changes are limited to the villi portion of the mucosa layering. The crypts are unaffected. Food hypersensitivity would, as per Eric, also be on my list of rule outs. If the resting cortisol is normal then possibly consider the Hemopet Nutriscan testing for food sensitivity IgE testing.

veteurope1
May 12, 2018 at 10:22 am -

Thanks for the tips. The

Thanks for the tips. The adrenals looked ok. The next step is BAST and clotting times. This patient has had diet trials and worming but is a very fussy eater so difficult. Resting bile acid was 50 and apparently he bled quite a bit after a clean stick blood sample. Maybe there are two issues going on. I will let you know the results for interest sake. 

Pankatz
May 12, 2018 at 1:19 pm -

I think the outpouching in

I think the outpouching in the SI is a Peyer’s patch and normal – sometimes called a pseudo ulcer sign.

veteurope1
May 13, 2018 at 6:48 pm -

Thank you.

Thank you.

bhylands77
May 14, 2018 at 1:38 pm -

Jacquie, I agree that this is

Jacquie, I agree that this is in fact a Peyer’s patch, Bob.

randyhermandvm
May 27, 2018 at 7:28 pm -

Here is a poor reproduction

Here is a poor reproduction of pyers patches in the duodenum from Nyland and Matoon. Images are better here.

 

EL
May 28, 2018 at 7:19 am -

Bob on the addisonian

Bob on the addisonian adrenals your observations match ours and is substanciated by our stuyd see ACVIM 2013

https://sonopath.com/resources/research-publications

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