WAVE: We Are Veterinary Education

WAVE: We Are Veterinary Education The best in veterinary education. Raising the level of veterinary care through quality education.

Our mission is to help raise the level of veterinary care through quality education, and to treat our customers, teaching staff, and animals with kindness and respect. The purpose behind our Classes is to give you the building blocks necessary to gain confidence and proficiency in creating diagnostic scans. We offer group didactic and hands on continuing education, private in clinic instruction, small group in clinic instruction and can customize education programs to suit your needs.

Soft Tissue Case of the Month: • 4 year old German Shepherd M/N• Presented for lethargy, anorexia, abdominal pain• Abdom...
09/17/2025

Soft Tissue Case of the Month:
 
• 4 year old German Shepherd M/N
• Presented for lethargy, anorexia, abdominal pain
• Abdominal radiographs are suspicious for an abdominal mass in the region of the spleen.
 
What is your diagnosis?
 
Abdominal ultrasound showed abnormalities of the spleen.
The spleen is enlarged and hypoechoic, with diffuse dilated sinusoid, creating a “lacy” appearance.  No blood flow is noted on color Doppler evaluation (small flashes of color superimposed over the spleen are from motion rather than true vasculature in the splenic parenchyma
 
These changes are consistent with a splenic torsion.  In this condition, the spleen rotates on its vascular pedicle.  The thin-walled splenic vein becomes occluded while the thicker walled splenic artery may still allow some blood to enter.  Blood enters the spleen but cannot leave, causing splenic congestion and splenomegaly.  On ultrasound the dilated splenic sinusoids result in an enlarged, congested, and hypoechoic spleen with minimal to no vascular flow. Doppler ultrasound is key in making this diagnosis.  

Foreign body in small intestinal segment. Interested in learning ultrasound or fine tuning your skills? We offer both in...
09/05/2025

Foreign body in small intestinal segment.

Interested in learning ultrasound or fine tuning your skills?
We offer both in person and online courses!
For more information and to register, visit www.waveveted.com



Interested in learning ultrasound or fine tuning your skills? We offer both in person and online courses! For more info...
09/01/2025

Interested in learning ultrasound or fine tuning your skills?
We offer both in person and online courses!
For more information and to register, visit www.waveveted.com


Interested in learning ultrasound or fine tuning your skills? For more information and to register, visit www.waveveted....
08/27/2025

Interested in learning
ultrasound or fine tuning your skills? For more information and to register, visit www.waveveted.com


Interested in learning ultrasound or fine tuning your skills? For more information and to register, visit www.waveveted....
08/22/2025

Interested in learning
ultrasound or fine tuning your skills? For more information and to register, visit www.waveveted.com


Soft Tissue Images of the Month: An 11 year old canine mix, M/N, presented for vomiting and possible pancreatitis. Sagit...
08/18/2025

Soft Tissue Images of the Month:

An 11 year old canine mix, M/N, presented for vomiting and possible pancreatitis. Sagittal images of the gallbladder, with and without color Doppler are included.

An irregular, lobular mass is present extending into the lumen of the gallbladder. The presence of a color Doppler signal within the mass confirms that it is a true mass and not organized sludge.
Gallbladder tumors are rare, with most having a discrete sessile shape. Occasionally gallbladder neoplasia presents as diffuse or focal wall thickening. Neuroendocrine carcinomas are most common, followed by leiomyoma. Lymphoma, adenoma have also been reported.

Echo Images of the Month: A grade V/VI left heart base systolic murmur was heard upon presentation for vaccinations in t...
08/15/2025

Echo Images of the Month:
 
A grade V/VI left heart base systolic murmur was heard upon presentation for vaccinations in this 3-month-old intact female mixed breed puppy.  
She was asymptomatic.
 
Shown are selected images from the echo.  

Questions:
 
1. There is right ventricular hypertrophy.  What are causes of RVH?
 
Pulmonary stenosis is most likely but pulmonary hypertension should be on the list of differentials.
 
2. The pulmonary artery flow velocity shows two profiles layered over each other.  What does this represent?
 
There is a dagger shaped (dynamic flow profile) layered on the higher flow parabolicshaped flow profile.  The highest parabolic shaped profile representing a discrete stenosis (valvular) has a velocity of 4.05m/s and a pressure gradient of 66 mmHg.  The dynamic flow profile within this image is consistent with a dynamic obstruction as part of the pulmonary stenosis.  It may be part of the primary problem or secondary to hypertrophy from the valvular pulmonary stenosis. Significant subvalvularhypertrophy and dynamic obstruction may create continued problems after a balloon valvuloplasty but often resolves over the next few months.  A stent can be placed if the subvalvular component does not resolve.

Happening now!SMALL ANIMAL SOFT TISSUE IMMERSION CLASS The objective of this program is for the attendee to become a pro...
08/06/2025

Happening now!
SMALL ANIMAL SOFT TISSUE IMMERSION CLASS

The objective of this program is for the attendee to become a proficient, confident soft tissue sonographer, by immersing them in soft tissue ultrasound over a 3 month period. The student will be with us for 4 days in session 1, and 3 days in sessions 2 and 3.
Each session is approximately 1 month apart. Each session will build upon the prior session.
K***s, measurements, labeling, scan technique of the abdomen, scanning protocol, artifacts, normal and abnormals, disease processes, and aspirate and biopsy technique will be taught.

Learn more at www.waveveted.com

Echo Images of the Month:Aliasing is a phenomenon that occurs when the color flow velocity exceeds the Nyquist limit (nu...
07/18/2025

Echo Images of the Month:

Aliasing is a phenomenon that occurs when the color flow velocity exceeds the Nyquist limit (number on each side of the color bar). Color starts to wrap around the bar and gives the impression of reversed flow where none exists. This is like seeing wheels on a car rotate backwards on TV or in a movie. The frame rate of the film cannot keep up with the rotations of the wheel.
The image below shows an aliased signal during systolic pulmonary artery flow. The aliasing velocity (Nyquist Limit) is 77 cm/s so any flow that exceeds that limit will start to wrap color and alias. Verify normal flow by obtaining PW Doppler of the flow.

The image shows color flow aliasing in pulmonary stenosis. The aliased signal of turbulent abnormal flow is typically more mixed and speckled vs the layered look seen in aliasing not associated with turbulence (see image above). Spectral Doppler will confirm the high flow velocity.

Soft Tissue Images of the Month:An ultrasound exam was performed on an 8 year old F/S Labrador Retriever that presented ...
07/16/2025

Soft Tissue Images of the Month:

An ultrasound exam was performed on an 8 year old F/S Labrador Retriever that presented for draining skin lesions around the mouth, eyes, and footpads. Liver enzymes were elevated.

Sagittal and transverse images of the liver.
Variably sized hypoechoic nodules are seen diffusely in all liver lobes (honeycomb pattern). The liver is normal in size. Together with the skin lesions, this appearance is consistent with hepatocutaneous syndrome with necrolytic dermatitis. This is a rare disorder in dogs, associated with hypoaminoacidemia. The prognosis is guarded to poor, although some long-term remissions have been reported.

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Our mission is to help raise the level of veterinary care through quality education, and to treat our customers, teaching staff, and animals with kindness and respect. The purpose behind our Classes is to give you the building blocks necessary to gain confidence and proficiency in creating diagnostic scans. We offer group didactic and hands on continuing education, private in clinic instruction, small group in clinic instruction and can customize education programs to suit your needs.