Post on 14-Feb-2016
description
Small Animal Ultrasound
Patient ID: 157581
Lauren BlockJune 23, 2011
“Brinkley” Keifer◦ 10 years old, male, castrated long-haired
dachshund◦ Presented to the NCSU Small Animal Emergency
service on Monday, June 13th 2011 Lateral recumbency Labored breathing
Signalment
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Previously diagnosed by rDVM in May 2011◦ Aortic thrombus◦ Hyperadrenocorticism
Current medications: ◦ Famotidine (10 mg, PO, Q12)◦ Denamarin (225 mg, PO, Q24) ◦ Aspirin (10 mg, PO, Q12) ◦ Ursodiol (75 mg, PO, Q24)◦ Amitriptyline (15 mg, PO, Q12) ◦ Trilostane (30 mg, PO, Q24)◦ Heparin (0.37 mL, SC, Q8)
UTD on vaccines, ecto/endo-parasite control
History
BAR Weight (kg): 7.8 kg P: 120 bpm R: 32 bpm MM: pink CRT: <2 s BCS: 4/9
Physical Exam
Blind OU Grade I-II/VI left apical systolic murmur Asymmetrical femoral pulses (L>R) Hepatomegaly Symmetrical muscle atrophy
Problem list
Bloodwork & UA Thoracic radiographs Ultrasound exam
Plan
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PCV: 32% (37-55) Creatinine: 0.4 mg/dl (0.7-1.5) Calcium: 8.9 mg/dl (9.3-11.5) Albumin: 2.4 g/dl (3-3.9) Cholesterol: 484 mg/dl (124-344) ALP: 4940 IU/L (12-140) ALT: 201 IU/L (12-54) GGT: 49 IU/L (0-6) CK: 344 IU/L (43-234) Lipase: 153 IU/L (12-147) Urinalysis: Color-yellow with slight turbidity, SG: 1.029, pH: 6,
protein +1, ketones +1, blood +1
Bloodwork
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Thoracic Radiographs Pulmonary thromboembolism Hepatomegaly Mineralization of the dorsal soft tissue
Ultrasound Report Thrombus:
aorta and right external iliac a.
Aortic thrombus (sagittal CF)
Aortic thrombus (transverse)
Dystrophic mineralization
Plavix (8 mg, PO, Q24) Re-evaluate in 10 days
Plan (cont.)
Thank you.
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