SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM

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SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM. Case 1. 7 year old FS DSH Acute onset vomiting. L. R. What would you recommend?. Ultrasound. ultrasound. Diagnosis/outcome. Perforated duodenal mass Patient was euthanized due to poor prognosis. Case 2. 6 year old MN DSH - PowerPoint PPT Presentation

Transcript of SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM

SMALL ANIMAL RADIOLOGY CASE DISCUSSIONSSarah Jones, DVM

CASE 1

• 7 year old FS DSH

• Acute onset vomiting

L

R

WHAT WOULD YOU RECOMMEND?

ULTRASOUND

ULTRASOUND

DIAGNOSIS/OUTCOME

• Perforated duodenal mass

• Patient was euthanized due to poor prognosis

CASE 2

• 6 year old MN DSH

• Vomiting

WHAT WOULD YOU RECOMMEND?

ULTRASOUND

DIAGNOSIS

• Presumptive IBD/enteritis

• Presumptive pancreatitis

CASE 3

• 11 year old FS Border Collie

• 3-4 week history of lethargy and anorexia

WHAT WOULD YOU RECOMMEND?

THORACIC ULTRASOUND

THORACIC ULTRASOUND

DIAGNOSIS/OUTCOME

• Mediastinal mass

• CYTOLOGY:

• MASS: Anaplastic adenocarcinoma

• PLEURAL FLUID: Modified transudate with hemorrhage and mesothelial reactivity

CASE 4

• 7 year old FS Miniature Pinscher

• Vomited up a piece of blanket

WHAT WOULD YOU RECOMMEND?

ULTRASOUND

ULTRASOUND

ULTRASOUND

DIAGNOSIS/OUTCOME

• Ultrasound:

• Multiple, fluid dilated intestinal loops

• Hard shadowing material

• Hyperechoic mesentery

• Surgery:

• Large portion of jejunum was dilated and ischemic

• Histopathology

• Severe transmural congestion and hemorrhage with multifocal villous blunting and necrosis

CASE 5

• 3 month old F Husky

• Patient jumped out of a truck, and was acutely lame

CASE 5

• 12 year old FS DMH

• Chronic cough

WHAT WOULD YOU RECOMMEND?

THORACIC ULTRASOUND

DIAGNOSIS/OUTCOME

• Thoracic ultrasound:

• Non-aerated right middle lung with multifocal angular mineralization

• Bronchoscopy:

• Inflammation, airway collapse, and mucus in the airways

• Cytology:

• Moderate to marked mixed, primarily neutrophilic and eosinophilic inflammation with mild macrophage reactivity was seen

• Findings consistent with eosinophilic disease such as feline asthma.

• Treatment: Prednisolone, Doxycycline pending Mycoplasma culture

CASE 6

• 4 month old MN German Shepherd

• Chronic regurgitation, thin body condition

DIAGNOSIS/OUTCOME• Hospitalization for IV fluid therapy, Nebulization

• Amoxicillin, Baytril

• Frequent, small, elevated feedings

• Acetylcholine receptor antibody titers: Negative

• Cortisol levels: Normal

THANK YOU!!• Questions?

• My email is srjones@ucdavis.edu

• FEEL FREE TO EMAIL ME WITH SUGGESTIONS FOR NEXT TIME