SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM CASE 1 • 2.5 YO FS Abbysinian • 1 day history of lethargy, fever, anorexia.
Download ReportTranscript SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM CASE 1 • 2.5 YO FS Abbysinian • 1 day history of lethargy, fever, anorexia.
SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM CASE 1 • 2.5 YO FS Abbysinian • 1 day history of lethargy, fever, anorexia WHAT WOULD YOU RECOMMEND? DIAGNOSTICS/OUTCOME • Thoracic Ultrasound • Pleural Fluid Cytology: Marked suppurative inflammation with bacterial sepsis • BAL: Mild, mixed inflammation • Bilateral chest tube placement • Hospitalized for IV fluids, antibiotics, and chest tube management • Discharged with instructions to continue Clavamox AFTER THERAPY ANOTHER EXAMPLE: PLEURAL EFFUSION • 7 YO FS Bernese • Acute onset of weakness and abdominal distension R L CASE 2 • Adult MI Labrador • Soft cough with exercise WHAT WOULD YOU RECOMMEND? DIAGNOSTICS/OUTCOME • DIAGNOSTICS: • Heartworm test: Positive • Echocardiography: Moderate pulmonary hypertension and moderate right ventricular enlargement. • TREATMENT • Doxycycline 300mg PO BID for Wolbachia burden • Adulticide Melarsomine • Started on preventative ivermectin • RECHECK-- 5 month later • Heartworm Negative • Decreased cardiomegaly and improved pulmonary hypertension RECHECK CASE 3 • 10 YO FS Cavalier King Charles Spaniel • Recent onset of cough and increased respiratory effort WHAT WOULD YOU RECOMMEND? DIAGNOSTICS/OUTCOME • DIAGNOSTICS: • Echocardiogram: • Mitral valve degeneration with severe left atrial enlargement. • Severe left ventricular eccentric hypertrophy • Renal Panel: Within normal limits (BUN 16, Cr 0.7) • TREATMENT: Furosemide, Enalapril, Pimobendin ANOTHER EXAMPLE: LEFT ATRIAL ENLARGEMENT ANOTHER EXAMPLE: LEFT ATRIAL ENLARGEMENT ANOTHER EXAMPLE: LEFT ATRIAL ENLARGEMENT CASE 4 • 14 MO MN Border Collie/GSD Mix • Difficulty rising WHAT WOULD YOU RECOMMEND? DIAGNOSIS/OUTCOME • DIAGNOSIS: Hip Dysplasia • RECOMMENDATIONS: • Weight Management/Exercise • NSAIDS • Glucosamine/chondroitin NORMAL HIPS THANK YOU!! • Questions? • My email is [email protected] • FEEL FREE TO EMAIL ME WITH SUGGESTIONS FOR NEXT TIME