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BRAF testing and bladder masses. Don’t trust the negative BRAF
Just read this one out on telemed this am. I remember someone asking about the SE and SP of BRAF testing for TCC. Classic TCC and the patient was BRAF negative. Just put a probe on it. Save the owner some money and the patient a missed dx. I’ve seen this repetitively in the field…
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BRAF testing and bladder masses. Don’t trust the negative BRAF
Just read this one out on telemed this am. I remember someone asking about the SE and SP of BRAF testing for TCC. Classic TCC and the patient was BRAF negative. Just put a probe on it. Save the owner some money and the patient a missed dx. I’ve seen this repetitively in the field…
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GI Linear Fb with Intussusception in 12 yr Boston
Just did this case on telemed and thought I would post it as another thread was talking about intussusception. This is a 2 for one GI linear fb and intussusception at the distal jejunal attachment in a 12 year old Boston Terrier. Note the onion layering that defines the intussusception. This one is likely reduceable…
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Why is this not a shunt?
A telemed client on a shunt hunt in a terrier with a BA of 60 was confused on why I didnt call this curved vessel an EHPSS. I thought the explanation may help as this is a common error especially with microhepoatica all the key vessel entries such as the gdv(pdv) and splenic vein connections…
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Feline Pancreatitis & Post Hepatic Obstruction Pre & Post Dexemeth Injection
Cool case i read out and followed the other day of a cat with pancreatitis and cholangitis. You can see the dilated cbd and ill-defined fuzzy fat involving the surrounding pancreas and the cbd. The cat had a bili of 11, ALt 780 and SAP of 309. This was of course a money case and…
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GI Neoplastic Transition, Gastric Mass Greyhoumd
A telemed client asked me to confirm this was a gastric mass and why so I figured I would share the annotation. This is the reason why when interpreting the sonogram I live by the curvilinear theory to differentiate normal from abnormal. You can see how the mural layering transitions right into the undifferentiated tissue…
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Gall Bladder Motility Study — no scalpel
So this is a barely emerging mucocele terrier where we have been watching it and the owner wanted to know if she should just remove it. Well let’s see if it works or not…Positions 11 and 12 SDEP protocol. Turns out GB does change in size post prandial at 15 and 30 min. Grnated this…
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GI Worm Burden on Ultrasound
Be careful not to get burned on an obstructive GI pattern that looks like this especially in young dogs… run a fecal first:)
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Logic E Next Gen How Many Probes Do I Need ?
Thought i would post this conversation with permission form Dr Kelly Romero asking me this question as she is purchasing a Logic e next gen (R7 in Canada) and has done our SDEP echo and abdomen courses: Dr Romero: Can I get by with a 6s probe and not the 3s for cardiac on the…
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Yellow cat… yellow cat… what is ailing you??:) Biliary Obstruction or Parenchymal Disease?
