SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM
CASE 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
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 is FEEL FREE TO ME WITH SUGGESTIONS FOR NEXT TIME