intermittent sickness in 4 yo FS Min Schnauzer

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intermittent sickness in 4 yo FS Min Schnauzer

* 4 yo old FS Min Schzauzer with history of intermittent vomiting/Diarrhea and mild weight loss x 10 weeks

* prev DVM treated with cerenia & metronidazole

* 4 yo old FS Min Schzauzer with history of intermittent vomiting/Diarrhea and mild weight loss x 10 weeks

* prev DVM treated with cerenia & metronidazole

* persistent hypoproteinemia (TP 4.9, Alb 3.0, Globulin 1.9 at Antech), all else WNL

* currently on I/D & probiotics (synacore)

* looks like something is happening in SI to cause some of her symptoms – early IBD/ or PLE ?? lymphangiectasia, should I suspect it?

* thinkning about doing surgical biopsies of SI and more if signs are persistent!

 

Any input/suggestions would greatly appreciated! 

Comments

rlobetti
April 8, 2016 at 6:39 pm -

Clinical signs do fit IBD.
Clinical signs do fit IBD. Albumin not really low enough for PLE. Globulins are very low so may have some form of immune deficiency. Would run serum protein electrophoresis and if you can serum immunoglobulin fractions.

drvet83
April 8, 2016 at 8:41 pm -

Thank you! Should I worry

Thank you! Should I worry about the hyperechoic structure (possibly gall stone) in GB? 

EL
April 8, 2016 at 9:07 pm -

I love low albumin… if

I love low albumin… if liver is fine and urine shows minimal to no proteinuria then it has to be Gi or addisons…with rare zebra disease exception.

drvet83
April 8, 2016 at 10:29 pm -

Thank you! No liver issue or

Thank you! No liver issue or renal loss of protein confirmed!

I will consider Addison’s though as R/O

if surgical biopsy is done, do you suppose exploring GB is a good idea?  

randyhermandvm
April 8, 2016 at 10:17 pm -

Are you using the factory

Are you using the factory settings on your Esaote?

May be able to tweak  with some presets.

drvet83
April 8, 2016 at 10:30 pm -

Thanks! Any suggestions?  

Thanks! Any suggestions?  

drvet83
April 8, 2016 at 10:30 pm -

Thanks! Any suggestions?  

Thanks! Any suggestions?  

randyhermandvm
April 8, 2016 at 10:50 pm -

Which probe were you using?

Which probe were you using?

drvet83
April 8, 2016 at 11:09 pm -

convex 5, 6.5, and 8

convex 5, 6.5, and 8 MHz 

linear 8, 10 & 12 MHz 

drvet83
April 8, 2016 at 11:09 pm -

convex 5, 6.5, and 8

convex 5, 6.5, and 8 MHz 

linear 8, 10 & 12 MHz 

randyhermandvm
April 8, 2016 at 11:18 pm -

Give me your e mail and I

Give me your e mail and I will send you my presets

drvet83
April 8, 2016 at 11:25 pm -

It’s

It’s gentledoctor83@gmail.com

thanks!  

EL
April 9, 2016 at 12:08 am -

Th Gb p[olyp or stone is a

Th Gb p[olyp or stone is a non player. They only cause issues if they move downstream to the cystic duct and cbd

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