7 year old pit bull with three brief seizures over the last 3 days no previous szs
lethargic pu/pd poor appetite temp 102.9
Hct 34% platelets 23,000 usg 1.005 remainder of bloodwork and u/a normal
spleen prominent on abdominal rad
The spleen seemed large to me on ultrasound, kept runnung into it around the right kidney. Any thoughts?
[videoembed id=7638] [videoembed id=7639]
7 year old pit bull with three brief seizures over the last 3 days no previous szs
lethargic pu/pd poor appetite temp 102.9
Hct 34% platelets 23,000 usg 1.005 remainder of bloodwork and u/a normal
spleen prominent on abdominal rad
The spleen seemed large to me on ultrasound, kept runnung into it around the right kidney. Any thoughts?
[videoembed id=7638] [videoembed id=7639]
Comments
Spleen looks diffusely
Spleen looks diffusely hyperechoic and with the anemia and thrombocytopenia would consider an infectious etiology (splenits, vectore-borne disease) and possibly hypersplenism. In addition the PuPd and pyrexia would support an infectious etiology but would not exlude neoplasia. Seizures may be related to infectious/neoplastic etiology
Consider doing an FNA cytology of the spleen with a 23G needle after ruling out vector-borne disease
Spleen looks diffusely
Spleen looks diffusely hyperechoic and with the anemia and thrombocytopenia would consider an infectious etiology (splenits, vectore-borne disease) and possibly hypersplenism. In addition the PuPd and pyrexia would support an infectious etiology but would not exlude neoplasia. Seizures may be related to infectious/neoplastic etiology
Consider doing an FNA cytology of the spleen with a 23G needle after ruling out vector-borne disease
Spleen looks uniform to me
Spleen looks uniform to me but a little swollen like hypersplenism. No scalloping of the capsule so neoplasia unlikely but I agree fna best here to rule out early mct or similar and ensure hyperplasia.
7 year old pit with a slightly subnormal HCT I always take a quick peek at the heart ensure no pc effusion/cardiac mass.
Cbc path review to ensure no babesia. Pits are predisposed and the only babesia I have ever seen in NJ has been in pits.
Evans syndrome also possible.
Spleen looks uniform to me
Spleen looks uniform to me but a little swollen like hypersplenism. No scalloping of the capsule so neoplasia unlikely but I agree fna best here to rule out early mct or similar and ensure hyperplasia.
7 year old pit with a slightly subnormal HCT I always take a quick peek at the heart ensure no pc effusion/cardiac mass.
Cbc path review to ensure no babesia. Pits are predisposed and the only babesia I have ever seen in NJ has been in pits.
Evans syndrome also possible.