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