– 8 yr old MN Minature Schnauzer w history of waxing and waning hyperglycemia, weight loss and periods of grass eating (picca)
– bloodwork on presentation to rDVM: marked hyperglycemia, ALT 200’s, ALP 2000’s, +ve cPLI, urine SG 1.030, urine pro:cre ratio 1.94 (TP, albumin and other parameters were not run)
– u/s shows a diffusely hyperechoic liver but normal in size, GB normal, hyperechoic renal cortices and trace abdominal effusion
– the pancreas is hyperechoic and maybe a bit larger than normal? There is no evidence of acute pancreatic disease
– 8 yr old MN Minature Schnauzer w history of waxing and waning hyperglycemia, weight loss and periods of grass eating (picca)
– bloodwork on presentation to rDVM: marked hyperglycemia, ALT 200’s, ALP 2000’s, +ve cPLI, urine SG 1.030, urine pro:cre ratio 1.94 (TP, albumin and other parameters were not run)
– u/s shows a diffusely hyperechoic liver but normal in size, GB normal, hyperechoic renal cortices and trace abdominal effusion
– the pancreas is hyperechoic and maybe a bit larger than normal? There is no evidence of acute pancreatic disease
– abdomen does not appear to be painful
Does this look like a chronic or chronic active pancreatitis presentation? Effusion bothers me – maybe from pancreatitis? I have recommended a check of protein levels to rule out a possible PLN.
One response to “Chronic Active Pancreatitis?”
Im seeing minor echodenic
Im seeing minor echodenic pancreatic remodeling or amyloid but maintained contour and uniform linearity and no evidence of edema. I don’t see the panc as a primary player here.