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Small Animal Ultrasound Patient ID: 157581

Small Animal Ultrasound Patient ID: 157581. Lauren Block June 23, 2011. Signalment. “Brinkley” Keifer 10 years old, male, castrated long-haired dachshund Presented to the NCSU Small Animal Emergency service on Monday, June 13 th 2011 Lateral recumbency Labored breathing.

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Small Animal Ultrasound Patient ID: 157581

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  1. Small Animal UltrasoundPatient ID: 157581 Lauren Block June 23, 2011

  2. Signalment • “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 http://www.allsmalldogbreeds.com/breeds/dachshund-longhaired.jpg

  3. History • 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

  4. Physical Exam • BAR • Weight (kg): 7.8 kg • P: 120 bpm • R: 32 bpm • MM: pink • CRT: <2 s • BCS: 4/9

  5. Problem list • Blind OU • Grade I-II/VI left apical systolic murmur • Asymmetrical femoral pulses (L>R) • Hepatomegaly • Symmetrical muscle atrophy

  6. Plan • Bloodwork & UA • Thoracic radiographs • Ultrasound exam http://www.pamperedpuppy.com/images/contest_photos/200603.winner03.jpg

  7. Bloodwork • 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 http://www.therapak.com/catalog/img/lg/blood_tubes.jpg

  8. Thoracic Radiographs • Pulmonary thromboembolism • Hepatomegaly • Mineralization of the dorsal soft tissue

  9. Ultrasound Report • Thrombus: aorta and right external iliac a.

  10. Aortic thrombus (sagittal CF)

  11. Aortic thrombus (transverse)

  12. Dystrophic mineralization

  13. Plan (cont.) • Plavix (8 mg, PO, Q24) • Re-evaluate in 10 days

  14. Thank you. http://4.bp.blogspot.com/_y76v8U-HV58/TFI31nSZkBI/AAAAAAAAAXs/WeGLE4VcwdE/s1600/weiner%2Bdog3.jpg

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