vmb 976a small animal ultrasound caron baugher ncsu cvm class of 2010
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VMB 976ASmall Animal Ultrasound
Caron BaugherNCSU CVM Class of 2010
Smokey Cadell
• Signalment• History• Diagnostics• Ultrasound and radiology findings• Differential diagnoses• Plan
Signalment
History - 2008
• Hit by car• rDVM
– abdominal exploratory
• NCSU CVM– Thoracic rads– Abdominal exploratory– Postoperative Complications
History - 2008
• Abdominal Exploratory– Bile duct rupture– Bile peritonitis– Cholecystoduodenostomy– G-tube
History - 2008
• Post-operative Complications– Vomiting– Anorexia– Pyrexia– Lethargy– Ongoing bile peritonitis
History - 2010
• Problem list– Anorexia– Vomiting– Lethargy– Pyrexia– Heart murmur
Additional Diagnostics
• CBC/Reticulocyte count• Chemistry panel• Coagulation panel• Bile acids• Urinalysis• Abdominal ultrasound• Cytology• Culture• Abdominal Radiographs• Echocardiogram
Additional Problems
• Non-regenerative anemia• Inflammatory leukogram• Azotemia• Hypoalbuminemia• Elevated liver enzymes• Elevated pre & post-prandial bile acids• Abnormal coagulation panel• Thrombocytopenia• Bilirubinuria
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Imaging Results
Cytology and Culture
• Splenic aspirates
• Liver aspirates
• Urine
Differential Diagnoses
• Cholangiohepatitis– Sepsis– DIC
Plan - Options
• Re-assess stoma size
• Cholecystectomy
Questions?
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