– 2 year old FS, 21kg Shephard/Husky X presented for extreme lethargy, decreased appetite
– no vomiting/diarrhea – had been passing normal stool; no history FB ingestion
– pyrexic, dehydrated and pain elicited when cranial abdomen palpated
– bloodwork unremarkable – mild lymphopenia cPLI wnl; urinalysis showed 2+ blood(cysto collection), SG 1,050
– liver, kidneys, adrenals, UB normal on u/s; no enlarged LN’s
– no evidence of GI FB or obstructive patterns
– pain noted when scanning right pancreatic limb
– 2 year old FS, 21kg Shephard/Husky X presented for extreme lethargy, decreased appetite
– no vomiting/diarrhea – had been passing normal stool; no history FB ingestion
– pyrexic, dehydrated and pain elicited when cranial abdomen palpated
– bloodwork unremarkable – mild lymphopenia cPLI wnl; urinalysis showed 2+ blood(cysto collection), SG 1,050
– liver, kidneys, adrenals, UB normal on u/s; no enlarged LN’s
– no evidence of GI FB or obstructive patterns
– pain noted when scanning right pancreatic limb
– duodenum spastic with some effusion noted in the area (see clip)
– left limb pancreas scanning into the body appears to be hypoehoic with mild peripancreatic inflammtion?
Since cPLI is normal, I am not convinced this is pancreatitis. Also no v/d but the ultrasound is suspicious or maybe not? What do you think? Could I be missing something?
Started pet on IV fluids, ampicillin, enrofloxacin and buprenorphine. Second day into treatment she has perked up but fever is staying elevated (waxes and wanes between 39.2-40 C) Fed a small amount of low fat canned diet which she ate well and kept down.
Comments
JP, young dogs tend to
JP, young dogs tend to have very subtle changes in pancreatitis in my experience. If + murphy on the right limb its likely a mild panc as in the video there is subtle swelling and irregulariy in the parenchyma. The stills look unremarkable. The panc may not be the primary issue here. Enterotoxemia here and a little panc????
remember the PLI is only sensitive to acute pancreatitis and 82% SE at that.
Low grade panc gets missed all the time. If you want to be fiscal you can corkscrew fna the right limb looking for inflammatory elements in the pancreas and I would consider that if its a repetitive issue.
JP, young dogs tend to
JP, young dogs tend to have very subtle changes in pancreatitis in my experience. If + murphy on the right limb its likely a mild panc as in the video there is subtle swelling and irregulariy in the parenchyma. The stills look unremarkable. The panc may not be the primary issue here. Enterotoxemia here and a little panc????
remember the PLI is only sensitive to acute pancreatitis and 82% SE at that.
Low grade panc gets missed all the time. If you want to be fiscal you can corkscrew fna the right limb looking for inflammatory elements in the pancreas and I would consider that if its a repetitive issue.