Jessie is a 10 year old Lab cross that belongs to one of my assistants. Came in with a history of acute vomiting. The owners report that he vomited up “something” the owners said looked like the inner lining of the stomach. I am not certain it was not something he got into recently. There has been some weight loss.
Labs are pending.
X-rays were done and were equivocal. My associate asked me to do an ultrasound.
Jessie is a 10 year old Lab cross that belongs to one of my assistants. Came in with a history of acute vomiting. The owners report that he vomited up “something” the owners said looked like the inner lining of the stomach. I am not certain it was not something he got into recently. There has been some weight loss.
Labs are pending.
X-rays were done and were equivocal. My associate asked me to do an ultrasound.
This was one of the hardest I have done for many reasons. Jesse should have been sedated and most of her abdominal organs were intercostal and difficult to immage. I am posting 4 cines of the stomach for your feedback.
In the meantime we are treating him with Pepcid, Cerenia, Sucralfate and diet.
3 responses to “Vomiting”
Large amount of gas without
Large amount of gas without any clean shadowing and wall looks normal. Think acute gastritis – toxins, dietary indiscretion but foreign body always possible. See response to treatment and would repeat the US in 12-24 hours.
Hi Randy,
Nice posts. I
Hi Randy,
Nice posts. I performed an abdominal US on a semi-cooperative 110lb obese lab yesterday who also needed his stomach evaluated. I scanned him in a V-trough on the floor which eliminated the battle of keeping him on the table. You probably do this, too, but I also like to scan the stomach again with the patient standing just to increase my chances of finding something (and to better reassure myself that there is nothing there).
-M
Try posiiton 12 and 13 right
Try posiiton 12 and 13 right intercostal sdep protocol and the bigger th edog the more dorsal you slide to get the pylorus
https://sonopath.com/products/downloadable
The material int he stomach is similar to grass or chyme or cowpies:). hyperperistalsis suggests gastroenteritis but things are moving into the small intestine so all medical from what i can see.