Lymphomegaly and Intestinal Thickening
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Transcript of Lymphomegaly and Intestinal Thickening
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Lymphomegaly and Intestinal Thickening
Presented by: Rebecca McIntosh June 22, 2011 NCSUUltrasound Rotation
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SignalmentCanine 6 year oldEnglish SetterWhite and BlackIntact femaleHunting/breeding
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Presenting ComplaintAnorexia, vomiting
7 days durationDiarrhea, weight loss
6 weeks
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HistoryApril 2011
Had litter of puppies3 survivedTreated with Cephalexin for diarrhea
May 22 Became anorexic
May 24 Began vomiting, hypoalbuminemic on
bloodwork
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HistoryMay 28
Barium study performedShowed mild irregular, rough appearing
mucosa of stomach and SIStarted on Baytril Given Dexamethasone SP
May 30Presented to NCSU SAES
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Physical ExamAbdomen tense on abdominal palpationNo peripheral lymphadenopathyRemainder of PE unremarkableBCS 3/9No melena on rectal
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Diagnostic ImagingLateral abdominal radiograph
Loss of serosal detailMass effect in cranial abdomen
Remainder of radiographs aborted at owner’s requestAbdominal ultrasound strongly recommended
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Differential DiagnosisNeoplasiaGI Foreign BodyInflammation -IBD
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingNormal Bowel
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Diagnostic Imaging
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingAbdominal Ultrasound
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Diagnostic ImagingAbdominal Ultrasound
Normals
40mm
<7.5mm
5-10mm
<25mm
3-4mm
<3mm
5-10mm
<5mm
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Diagnostic ImagingAbdominal Ultrasound
Normals
40mm
<7.5mm
5-10mm
<15mm
5mm
5-10mm
<50mm
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Diagnostic ImagingAbdominal Ultrasound-typical finding
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Differential Diagnosis-revised LymphomaIBD
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DiagnosticsLN Aspirates
Large granular lymphomaMost commonly splenic in origin
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ConclusionOwner elected euthanasia
No necropsy was performed
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Acknowledgements:Dr. PhillipsDr. CampbellDr. DuhadwayAmerican Cancer Society
http://www.cancer.org/Cancer/SmallIntestineCancer/DetailedGuide/small-intestine-cancer
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Questions ?