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- 11 yr old DMH with chronic diarrhea and low grade cardiac murmur
- Labs show: FPL: Abnormal, PCV/TP: 31 %/ 6.8 ( HCT was 39%), Blood Pressure:140/97 (111), 145/97 (113), 155/91 (112), 133/80 (98), UA: usg 1.021,T4: 1.7 (1.5-4.8), Toxoplasma antibody-reflab, Fecal-neg,Felv/FIV/HWT- neg
- Nonresposive to HP diet, Advita SID, Panacur 100 mg/ml, Clindamycin 25 mg/ml- pending toxo antibody panelWhat a
- Abdominal US shows a thickened segment of descening colon (4.0mm) with loss of normal wall layering and an elongated structure of mixed echogenicity that appears to be originating from the colonic wall. The ileal muscularis is thickened, the colic lymph nodes are hypoechoic, rounded, and some slightly enlarged, and echogenic fat is present adjacent to the ICCJ.
- What are your rule outs for this?
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Comments
That hyperechoic area looks
That hyperechoic area looks granulomatous to me along with colitis pattern. Partial colectomy and resect that area may be best here if medical management iisnt imrpving it. carcinoma always possible of course.