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Published byAlbert Rice Modified over 9 years ago
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SMALL ANIMAL RADIOLOGY CASE DISCUSSIONS Sarah Jones, DVM
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CASE 1 2.5 YO FS Abbysinian 1 day history of lethargy, fever, anorexia
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WHAT WOULD YOU RECOMMEND?
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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
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AFTER THERAPY
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ANOTHER EXAMPLE: PLEURAL EFFUSION 7 YO FS Bernese Acute onset of weakness and abdominal distension
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R
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L
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CASE 2 Adult MI Labrador Soft cough with exercise
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WHAT WOULD YOU RECOMMEND?
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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
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RECHECK
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CASE 3 10 YO FS Cavalier King Charles Spaniel Recent onset of cough and increased respiratory effort
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WHAT WOULD YOU RECOMMEND?
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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
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ANOTHER EXAMPLE: LEFT ATRIAL ENLARGEMENT
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CASE 4 14 MO MN Border Collie/GSD Mix Difficulty rising
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WHAT WOULD YOU RECOMMEND?
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DIAGNOSIS/OUTCOME DIAGNOSIS: Hip Dysplasia RECOMMENDATIONS: Weight Management/Exercise NSAIDS Glucosamine/chondroitin
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NORMAL HIPS
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THANK YOU!! Questions? My email is srjones@ucdavis.edusrjones@ucdavis.edu FEEL FREE TO EMAIL ME WITH SUGGESTIONS FOR NEXT TIME
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