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Thickened colonic wall in 11 year old DMH
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…
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Liver pathology
18 month old Golden Retiever was treated with steroids and azathioprine for MMM. Bloods: significantly elevated ALT, ALP and GGT Seemed to develop hepatotoxicity and pancreatitis secondary to azathioprine (after a couple of weeeks) Also history of GI disease and Giardia, treated and managed with hypoallergenic diet. I saw him for first time for a…
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High velocity tricuspid inflow on 17 yr old cat
17 yr old mn DSH presented for predental anesthetic echocardiogram PE showed 2/6 systolic murmur and 4/4 dental disease, other hx includes loose stool and vomiting controlled with prednisolone, B12 injections, probiotics, and RX diet, 1/4 early kidney disease, proteinuria, and arthritis. Echocardiogram shows mild conentric LV thickening (IVS, LVPW=6.0mm). Doppler studies performed just above the…
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Emerging mucocele
5 year old terrier mix I have been following with concern for emergoing mucocele. Included are pre and 1 hour post prandial images which show some contraction in the right intercostal view post prandial. Post prandial videos also show the material looks less inspisated, so wondering if best to just continue monitoring? Had never seen…
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Shunt hunt on 22 month old Shih Tzu
Surrendered for urinary incontinence. ALT 452, BUN 4, HCT 50 but MCV low. No crystals on UA; pH 8 w/ SpG 1.005-1.025 at different times. No neurologic symptoms specifically noted. Thought I found an area where PV was tortuous extrahepatically, but could not document a shunt on color doppler (lots of sparkles and wondering if…
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Gastric mass
13 year old Boxer with HCT 18%, decreased appetite, off form and darker stool On long term NSAIDs Do you think this is a neoplastic mass or could it be an ulcer?
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Bilateral masses near adrenals and lumbar aorta
12 yo FS 80# lab. Urinary incontinence for years, worse in the last few months, now PUPD, severe weight loss. ALP 296, ALT 197 Diluted urine SG 10.09 U/S: Normal adrenal glands (Left cr. 5.1mm/6.0mm, Right 6.5mm/5.2mm) 2 large anechoic septated nodules present, caudal to each adrenal gland, not attached to the glands, 2cm diameter,…
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possible liver mass
13 yr FS DSH recently dx w/ hyperthryoidism. Also has liver enzyme elevations: ALT 132, ALP 230, T bili 3.9. Poor appetite and losing weight. Difficult time scanning region of left pancreas. Seeing mass effect that communicates with dorsal liver and is mostly dorsal to the portal vein, but have some insecurity that it may…
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Thick submucosal layer in a cat
Chronic vomiting cat that has been on and off of prednisolone. Vomiting and lethargy have been worse lately. Radiographs raised concern for an abdominal mass in the right mid abdomen Bloodwork was unremarkable Abdominal ultrasound shows a thickened, highly echogenic submuscularis layer. There also appears to be echogenic fat adjacent to the gastric wall. The…
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VSD
4 month old 2.8kg YST with a VSD How would you classify it and could it be ameanable to repair/duct occluder? This LV already looks volume over loaded to me. I will ask to rescan again. If progressing what prognosis do you give these cases please?