FUR Findings: Tinkerbell, an 11 year old intact female pomeranian presented for a superficial palpable mass on the abdomen. What is the diagnosis? Comment below!
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FUR-Y-I: Our pets love to eat and sometimes we can see those recent snacks by ultrasound! Unfortunately, this can make it difficult to evaluate the stomach and other portions of the GI tract. It may be recommended to skip a meal prior to your fur baby’s ultrasound!
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FUR Findings Answer: Rosie bit into a rawhide chew stick, highlighting a reason why rawhide might not be advisable. Larger pieces pose a risk of choking or becoming lodged in various parts of the digestive system. Fortunately, this particular treat didn't pose any issues for Rosie!
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FUR Findings: Rosie, an 11-year-old pomerianian, presented with elevated liver values. She does not have a history of dietary indiscretion. This finding was discovered incidentally during her abdominal ultrasound examination. Comment your diagnosis below, and check back tomorrow for the answer.
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Wishing everyone a wonderful and Happy Thanksgiving!
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FUR Findings: CASE SERIES
Guess the pathology seen in these three different patients:
Patient #1: 7 year old, feline, SF, domestic medium hair presented with multiple episodes of vomiting blood despite normal appetite and elevated globulin.
Patient #2: 11 year old, canine, NM, golden retriever presented with decreased appetite, melena, and decreased hematocrit.
Patient #3: 12 year old, canine, NM, hound mix presented with lethargy, anemia and weight loss.
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FUR Findings: POP QUIZ!
Given the anatomic appearance of this organ, what is the most likely species of animal?
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FUR Findings
FUR Finding: Patient presented with elevated BUN and creatinine. X-ray showed a possible bladder stone.
Answer: Mobile cystolith!
Did you know? On X-ray, many stones show up on an x-ray depending on what they are made of. These stones include struvite and calcium oxalate. However, some stones are radiolucent, and depending on size and number, do not show up on a regular x-ray. This is why ultrasound is a great modality to evaluate patients with urinary issues.
Assessing the mobility of stones on ultrasound is important to prove that they are non-obstructive. Raising the patient's hind legs may “roll” the stone away from the trigone to prove mobility.
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FUR Findings Answer:
Choledocholith seen in the distal CBD causing extra and intrahepatic ductal dilation. Color Doppler is helpful to differentiate ducts and hepatic vasculature. When ductal dilation is present, it is important to document the most distal portion to determine a cause.
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FUR Findings: Patient presenting for icterus and significantly elevated bilirubin and ALP. #furfindings #focusedultrasoundresources #veterinaryultrasound #sonography #veterinarymedicine
As you celebrate Fourth of July this weekend, here are a few tips to keep your FUR family safe during the fireworks.
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FUR Findings Answer: Adrenal tumor with tumor invasion of the renal vein and CVC. Using both color Doppler and pulse wave Doppler is important for proving internal vascularity within suspected thrombus. An arterial signal within the thrombus is indicative of tumor invasion vs. “bland” thrombus caused by venous stasis.
#1: Tumor thrombus seen in left main renal vein
#2: Extension of tumor thrombus into CVC
#3: Adrenal mass showing increased color Doppler flow
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FUR Findings: Patient presented with weight loss despite being on GI diet.
What are your thoughts?
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FUR Findings: Patient presented with weight loss despite being on GI diet.
What are your thoughts?
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FUR-Y-I: Beware of the foxtail plant. This weed-type grass can be inhaled, lodged in the ears, swallowed, or embedded in your pet’s paws.
The ultrasound on the next slide was a puppy with a neck mass. The abscess was a result of the foxtail migrating through the esophagus and into the neck. Luckily, the owners took the pup in for a successful surgery, and he has fully recovered.
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FUR Findings Answer:
Obstructive foreign material (squeaker toy) in the right jejunum.
Video #1: Hard shadowing material is seen in the right jejunum. Shadowing caused by fecal contents in the colon are also shown. It is important to track the small intestine to prove the location of foreign material and differentiate it from the colon.
Image #2: Multiple dilated segments of small bowel are shown indicating an obstruction from the foreign material.
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FUR Finding:
Patient presented for vomiting without improvement on Cerenia.
A previous ultrasound, performed the day prior by a non-ARDMS professional, showed “some empty small intestine loops and some with fluid churning back and forth. Likely enteritis with no obstructing agents seen”.
The ultrasound performed by FUR showed the following sonographic findings.
What are your thoughts?
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FUR FIndings Answer:
Left-to-right shunting ventricular septal defect (VSD). A VSD is a congenital disorder that results from incomplete closure of the ventricular septum during development.
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Fur Finding:
Patient is a female spayed 12 year old Domestic Shorthair.
The patient presented with a heart murmur 4/6, according to the owner this feline has had the murmur her whole life. The patient also had elevated proBNP.
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Fur Findings Answer:
Gallbladder Carcinoma
Note that the mass is non-gravity dependent as it is located on the anterior wall of the gallbladder. There is also internal vascularity present. Using color Doppler is useful for differentiating solid masses from sludge.
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