Patient is a 9 yr, FS, Pug, 14.69#. Pet is a diabetic and has developing icterus, vomiting and lethargy. Has an elevated ALT, ALP and t bili of 7.1 and elevated WBC. Pet does seem painful with pressure over the gall bladder and right cranial abdomen. A snap PLI was normal. Liver is small on radiographs.
Patient is a 9 yr, FS, Pug, 14.69#. Pet is a diabetic and has developing icterus, vomiting and lethargy. Has an elevated ALT, ALP and t bili of 7.1 and elevated WBC. Pet does seem painful with pressure over the gall bladder and right cranial abdomen. A snap PLI was normal. Liver is small on radiographs.
Comments
This is a hot pancreatitis
This is a hot pancreatitis extrahepatic biliary duct obstruction and cholangitis cholecystitis. This may be managed medically but the gallbladder May need to be removed as well because the wall appears fibrosed. Maybe scan again on Monday as long as the patient is showing positive progress and then reassess for potential surgical cholecystectomy in common bile duct lavage. You can see some duodenal spasming as well and see how the cbd is fuzzy? Thats a friable cbd so if going in surgically it could be like wet tissue paper. Best to medically stabilize then plumbing job in a few days for long term management.
This is a hot pancreatitis
This is a hot pancreatitis extrahepatic biliary duct obstruction and cholangitis cholecystitis. This may be managed medically but the gallbladder May need to be removed as well because the wall appears fibrosed. Maybe scan again on Monday as long as the patient is showing positive progress and then reassess for potential surgical cholecystectomy in common bile duct lavage. You can see some duodenal spasming as well and see how the cbd is fuzzy? Thats a friable cbd so if going in surgically it could be like wet tissue paper. Best to medically stabilize then plumbing job in a few days for long term management.