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

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

3. Signalment

4. History - 2008 Hit by car rDVM –abdominal exploratory NCSU CVM –Thoracic rads –Abdominal exploratory –Postoperative Complications

5. History - 2008 Abdominal Exploratory –Bile duct rupture –Bile peritonitis –Cholecystoduodenostomy –G-tube

6. History - 2008 Post-operative Complications –Vomiting –Anorexia –Pyrexia –Lethargy –Ongoing bile peritonitis

7. History - 2010 Problem list –Anorexia –Vomiting –Lethargy –Pyrexia –Heart murmur

8. Additional Diagnostics CBC/Reticulocyte count Chemistry panel Coagulation panel Bile acids Urinalysis Abdominal ultrasound Cytology Culture Abdominal Radiographs Echocardiogram

9. Additional Problems Non-regenerative anemia Inflammatory leukogram Azotemia Hypoalbuminemia Elevated liver enzymes Elevated pre & post-prandial bile acids Abnormal coagulation panel Thrombocytopenia Bilirubinuria

10. Imaging Results

22. Cytology and Culture Splenic aspirates Liver aspirates Urine

23. Differential Diagnoses Cholangiohepatitis –Sepsis –DIC

24. Plan - Options Re-assess stoma size Cholecystectomy

25. Questions?