Hamster Cystic Ovary
POCUS in Practice → Hamster Cystic Ovary: A 2- year-old female hamster presented with mild abdominal swelling and bilateral alopecia. No other abnormalities were noted on physical examination. The owner agreed to an abdominal POCUS to assess for any obvious abnormalities.
The video clip is of a cystic ovary on the patient’s left side. Note the swirling pattern where the veterinarian is aspirating the fluid around the cystic ovary.
Hamster Cystic Ovary
POCUS in Practice → Hamster Cystic Ovary: A 2-year-old female hamster presented with mild abdominal swelling and bilateral alopecia. No other abnormalities were noted on physical examination. The owner agreed to an abdominal POCUS to assess for any obvious abnormalities.
The video clip is of a cystic ovary on the patient’s left side.
Hamster Cystic Ovary
POCUS in Practice → Hamster Cystic Ovary: A 2-year-old female hamster presented with mild abdominal swelling and bilateral alopecia. No other abnormalities were noted on physical examination. The owner agreed to an abdominal POCUS to assess for any obvious abnormalities.
The video clip is of a cystic ovary on the patient’s left side.
POCUS in Practice → Feline Gallbladder
POCUS in Practice → Feline Gallbladder
A 12-year-old M/N Siamese presenting for wellness with routine blood work. This owner also elects to have a POCUS exam since their veterinarian offers this service.Thankfully this patient’s blood work and ultrasound look great.
In this cine clip, you can see a bi-lobed appearance to the gallbladder, which is considered an incidental finding in this healthy cat.
POCUS in Practice → Feline Foreign Body
POCUS in Practice → Feline Foreign Body
A 6-month-old F DSH with a history of vomiting after every meal. Patient has been keeping down water and is urinating. On physical exam, this patient has a very enlarged cranial abdomen which is not tense. The veterinarian can palpate gas in the stomach/upper GI but does not appreciate any discomfort when palpating.
The owner agrees to blood work and an abdominal POCUS while the labs are running.
The video below is a good video of a grossly enlarged stomach, filled with fluid and foodstuff.
Based on the history and information obtained from the POCUS scan and radiographs, it was determined that this patient had a foreign body. This patient was taken to surgery where a small piece of a rubber toy was found. She recovered uneventfully.
POCUS in Practice → Feline Foreign Body
POCUS in Practice → Feline Foreign Body
A 6-month-old F DSH with a history of vomiting after every meal. Patient has been keeping down water and is urinating. On physical exam, this patient has a very enlarged cranial abdomen which is not tense. The veterinarian can palpate gas in the stomach/upper GI but does not appreciate any discomfort when palpating.
The owner agrees to blood work and an abdominal POCUS while the labs are running.
The video below demonstrates a scan of the stomach, pylorus and into the proximal duodenum. The left kidney is visible for a few seconds as well.
Based on the history and information obtained from the POCUS scan and radiographs, it was determined that this patient had a foreign body. This patient was taken to surgery where a small piece of a rubber toy was found. She recovered uneventfully.
POCUS in Practice → Nice Canine Pregnancy Videos
POCUS in Practice → Nice Canine Pregnancy Videos
Pregnant Pit Bull Terrier ~ 37-40 days from breeding.
The video is a scan of a fetus. This nice scan reveals two fetuses with good detail of the abdominal and thoracic organs.
POCUS in Practice → Nice Canine Pregnancy Videos
POCUS in Practice → Nice Canine Pregnancy Videos
Pregnant Pit Bull Terrier ~ 37-40 days from breeding.
The video is a scan of a fetus. This is a great top down view revealing the fetus moving as well as a nice cardiac image.
POCUS in Practice → Nice Canine Pregnancy Videos
POCUS in Practice → Nice Canine Pregnancy Videos
Pregnant Pit Bull Terrier ~ 37-40 days from breeding.
The video below is a scan of a fetus. This is a great top down view revealing the fetus moving as well as a nice cardiac image.
POCUS in Practice → Nice Canine Pregnancy Videos
POCUS in Practice → Nice Canine Pregnancy Videos
Pregnant Pit Bull Terrier ~ 37-40 days from breeding.
The video is a scan of a fetus. Notice how visible the skeletal structures are!
POCUS in Practice → Nice Canine Pregnancy Videos
POCUS in Practice → Nice Canine Pregnancy Videos
Pregnant Pit Bull Terrier ~ 37-40 days from breeding.
The video is a scan of a fetus. Note the heart is clearly visible as well as some abdominal and skeletal structures.
POCUS in Practice → Renal Carcinoma
POCUS in Practice → Renal Carcinoma
A 10 year old F/S German Shepherd presenting with gradual malaise, increased thirst, weight loss and anorexia. Initial blood work revealed mildly elevated renal values/markers.
An abdominal POCUS exam was approved to evaluate this patient. While evaluating the left kidney a hyperechoic structure was appreciated near the renal pelvis, not having the expected echogenicity or architecture for that area of the kidney. There appears to be a distinctive space occupying mass in this area.
It was determined that this mass was a renal carcinoma (nephrectomy and histopath).
Here is a cine clip of the area of concern.
POCUS in Practice → Renal Carcinoma
POCUS in Practice → Renal Carcinoma
A 10-year-old F/S German Shepherd presenting with gradual malaise, increased thirst, weight loss and anorexia. Initial blood work revealed mildly elevated renal values/markers.
An abdominal POCUS exam was approved to evaluate this patient. While evaluating the left kidney a hyperechoic structure was appreciated near the renal pelvis not having the expected echogenicity or architecture for that area of the kidney. There appears to be a distinctive space occupying mass in this area.
It was determined that this mass was a renal carcinoma (nephrectomy and histopath).
Here is a cine clip of the area of concern.
POCUS in Practice → Adrenomegaly (Left) with color doppler
POCUS in Practice → Adrenomegaly (Left) with color doppler
Below is a great example of an enlarged left adrenal gland with color flow doppler.
Presentation: 11-year-old FS Schnauzer presenting with PU/PD, polyphagia and weight gain.
Based on physical exam findings, hyperadrenocorticism (commonly referred to as Cushing's disease was suspected. Diagnostic bloodwork and urine tests are available to accurately diagnose and differentiate if the source of the disease is pituitary dependent, adrenal dependent or iatrogenic. Ultrasound can be a very useful diagnostic tool to visualize many organs/structures including the adrenal glands.
Here is a great example of an enlarged left adrenal gland with color flow doppler.
POCUS in Practice → Adrenomegaly (Left) without color doppler
POCUS in Practice → Adrenomegaly (Left) without color doppler
An 11-year-old FS Schnauzer presenting with PU/PD, polyphagia and weight gain.
Based on physical exam findings, hyperadrenocorticism (commonly referred to as Cushing's disease) was suspected. Diagnostic bloodwork and urine tests are available to accurately diagnose and differentiate if the source of the disease is pituitary dependent, adrenal dependent or iatrogenic. Ultrasound can be a very useful diagnostic tool to visualize many organs/structures including the adrenal glands.
Here is a great example of an enlarged left adrenal gland without color flow doppler.
POCUS in Practice → Free fluid secondary to splenic tumor
POCUS in Practice → Free fluid secondary to splenic tumor
11-year-old M/N Golden Retriever presented for distended abdomen and acute collapse. His owners reported a similar episode a few weeks prior, where he collapsed and his abdomen appeared swollen, but he quickly returned to normal.
Physical exam revealed pale mucous membranes, weak pulses, and an enlarged abdomen with a fluid wave. Owners approved a workup including bloodwork and a POCUS exam.
The video below is a clip of the major abdominal POCUS finding. You can appreciate abundant free fluid, which was later tapped and confirmed to be blood, and a splenic tumor. There is also considerable fibrin present, suggestive of a prior rupture and possibly related to the earlier event.
POCUS in Practice → Pleural effusion in a feline
POCUS in Practice → Pleural effusion in a feline
A 2-year-old female Persian presented with progressive anorexia and difficulty breathing. On physical exam, the patient was open mouth breathing, a clear sign of respiratory distress. She was immediately placed in an oxygen cage for stabilization. Once deemed stable, thoracic POCUS was performed, as well as the remainder of the physical examination. Lung POCUS revealed bilateral pleural effusion while the cardiac POCUS was normal. A small amount of free fluid was also found in the abdomen. Given the signalment and physical exam findings (including chorioretinitis), FIP was the top differential.
Presentation: Congestive heart failure
Malignant effusion
Chylous effusion
Infectious (bacterial or viral such as FIP)"
POCUS in Practice → Pleural effusion in a feline
POCUS in Practice → Pleural effusion in a feline
A 2-year-old female Persian presented with progressive anorexia and difficulty breathing. On physical exam, the patient was open mouth breathing, a clear sign of respiratory distress. She was immediately placed in an oxygen cage for stabilization. Once deemed stable, thoracic POCUS was performed, as well as the remainder of the physical examination. Lung POCUS revealed bilateral pleural effusion while the cardiac POCUS was normal. A small amount of free fluid was also found in the abdomen. Given the signalment and physical exam findings (including chorioretinitis), FIP was the top differential.
The video clips below are examples of pleural effusion which is the excessive buildup of fluid surrounding the lung tissue or pleura. Pleural effusion can have many differentials and a few are listed below. It is important to classify the effusion via diagnostic and laboratory testing:
Congestive heart failure
Malignant effusion
Chylous effusion
Infectious (bacterial or viral such as FIP)
Maltese ultrasound
This sweet little Maltese presented for anorexia, and his lab work showed his liver values were elevated. However, he was not amenable to standing still for his noninvasive ultrasound evaluation. Luckily with a #calmcozy and #Butterflyiq+vet, his veterinarian was able to obtain a good study of his liver! @calmcozycat
POCUS in Practice → Avian Heart Scans
POCUS in Practice → Avian Heart Scans
One of the many benefits of the iQ+ Vet is the ability to easily scan many different species. Here is another scan of an avian heart from a veterinary colleague who practices exotic medicine: a cine clip of the mushroom POCUS view in a fasted companion psittacine.