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different echogenicity in between liver lobes
Hello, I ve seen this a few times and I’m not sure how to interpret or if it is significant . Is this called anisotropy? and just an artefact from angle of imaging? or can suggest something ? This is a 6 years old chihuahua with high ALT ( 10 times normal ) Thank you
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Question Dr Peter E:A wave
I just finished watching the 5-min with sonopath video of Dr Peter explaining the significance of measuring the mitral inflow profile. I have the following questions: 1. A dog with cough. LA is enlarged but the E wave is less than 1.4m/sec. So the cough is cardiogenic or non cardiogenic or just the enlarged LA…
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GB sludge. when do you start sAME?
just curious, when you find moderate GB sludge with mild increase in ALKP only, do you recommend sAME/ mild thistle /etc? or you just monitor liver enzymes ? find this a lot and see some of these dogs progressing in months or years to choleliths. Thank you
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Maine coon HCM with Sam?
This is a 8 years old Mine coon diagnosed 8 months ago with HCM . he does have SAM now based on “V” shaped regurg jets and not so clean MMode . Can you confirm ? . Also is there a reference for maineCoons LA size . His LA/AO is 1.9 Thank you
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Significance of this splenic structure
A 3-year-old male neutered cat was presented with the complain of diarrhea. This splenic structure was noticed as an incidental finding. Doesn’t seem significant, but it is disrupting the normal curvilinear capsule. What it could be?
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Measurement discepancy
This is the M-mode from a cat, suspected to be HCM. There is discrepancy in my IVS measurements and LVP wall measurements. I heard in the lectures that IVS and LVP measurements should be same. How to fix this issue. Thanks
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Chronic vomiting and weight loss progressing to anorexia in a 6 year old FS Standard Poodle
3 month history of vomiting at least several times daily, usually associated with food, but timing not consistent. Bowel movements small, but formed. Multiple diets have been tried. Blood work is WNL including an ACTH stim. In last several days, has stopped eating and drinking. Maropitant was started last week and that did subside the…
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HCM or not? Systolic anterior motion
One-year 6-month old scottish fold male was presented for lameness examination of the hind limb. Grade 2 parasternal heart murmur was heard. The cats seems to have HCM phenotype, probably just the beginning. There seems to be systolic anterior motion also. Can you please confirm if there is SAM and this cat has HCM phenotype? …
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Right Adrenal Tumor or Nor
A 12-year-old female neutered pug was presented with the complain of chromic hematurina. Blood test was normal. During the exam, I found some mass effect in the right adrenal gland and probably a nodule in the right adrenal. The hypoechoic circular structure in the video doesn’t seem to be attached to the right adrenal and…
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Right Adrenal Tumor or Not
A 12-year-old female neutered pug was presented with the complain of chromic hematurina. Blood test was normal. During the exam, I found some mass effect in the right adrenal gland and probably a nodule in the right adrenal. The hypoechoic circular structure in the video doesn’t seem to be attached to the right adrenal and…