VMB 976A Small Animal Ultrasound Caron Baugher NCSU CVM Class of 2010

Smokey Cadell Signalment History Diagnostics Ultrasound and radiology findings Differential diagnoses Plan

Signalment

History Hit by car rDVM –abdominal exploratory NCSU CVM –Thoracic rads –Abdominal exploratory –Postoperative Complications

History Abdominal Exploratory –Bile duct rupture –Bile peritonitis –Cholecystoduodenostomy –G-tube

History Post-operative Complications –Vomiting –Anorexia –Pyrexia –Lethargy –Ongoing bile peritonitis

History 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

Cytology and Culture Splenic aspirates Liver aspirates Urine

Differential Diagnoses Cholangiohepatitis –Sepsis –DIC

Plan - Options Re-assess stoma size Cholecystectomy

Questions?