dog – Vet Practice Support

The 2024 ‘Italian Protocol’ for lung ultrasound scoring

I like this new article on lung ultrasound: J Vet Intern Med 2024 Jan-Feb;38(1):336-345Lung ultrasound score in dogs and cats: A reliability studyStefano Oricco, Daniele Medico, Ilaria Tommasi, Richard Marcello Bini, Roberto Rabozzi https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.16956 Obviously, lung ultrasound has been a fast-evolving area in recent years with new ideas coming and sometimes going again! This particular … Continue reading

06/03/2024 roger cardiology, Internal medicine, ultrasonography, Uncategorized

Septic thrombus of the renal vein and vena cava in a Pug dog with pyelonephritis

This Pug presented semi-recumbent and febrile with severe abdominal pain. On abdominal ultrasound, the dominant pattern of change involved hyperechoic peri-renal retroperitoneal fat on the left side and small pockets of peri-renal and peri-ureteral effusion. The left kidney was diffusely hyperechoic with reduced cortico-medullary distinction but of unremarkable overall size and shape. Neither renal pelvis … Continue reading

18/01/2024 roger Internal medicine, ultrasonography, Uncategorized

Is this dog with heart disease in congestive failure?

The more you know the more you realise how little you know. On the face of it, the principle of diagnosing congestive heart failure (CHF) is simple enough. Until you start seeing cases where, in practice, it’s not simple at all! It’s reassuring to find that human medics have the same problem. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375124/ ‘Diagnosing non‐secondary … Continue reading

13/01/2024 roger cardiology, Internal medicine, ultrasonography, Uncategorized

Practical small animal ultrasound bits and pieces: part II…. tracheal exudate sign

And the same in video: This is a useful finding: it implies airway exudate. If you see this in a coughing patient and transthoracic lung ultrasound is unremarkable, there is likely significant airway disease. Differential diagnoses associated with this might include, for example, eosinophilic bronchopneumopathy, infectious tracheo-bronchitis, bleeding due to coagulopathy, bronchial foreign body. Also … Continue reading

13/11/2023 roger Internal medicine, ultrasonography, Uncategorized

Practical small animal ultrasound bits and pieces: part I…linear foreign bodies

Linear FBs are sometimes difficult to visualise convincingly: even when everything is plicated to hell. OK, now see what happens if you fan the probe over the suspect loop of gut… …like magic! There it is. One more still from the same cat. We know the linear FB is there: … Continue reading

26/10/2023 roger Internal medicine, ultrasonography

Should we recommend CT angiography for all potential portosystemic shunts -or is ultrasound good enough? Part I: extra-hepatic shunts

In all images here cranial is to left of image. I’ve listened to two authoritative presentations on shunts by specialist surgeons in the last month. To paraphrase, both of them said they recommend CT angio and find ultrasound too user-dependent and too unreliable. My impression is that there’s a general drift in this direction. I … Continue reading

25/07/2023 roger Internal medicine, ultrasonography, Uncategorized

Sonography of canine interstitial lung disease: some examples

Firstly, a young CKCS with PCR +ve Pneumocystis pneumonia: this dog had a history of masticatory muscle myositis managed successfully with chronic steroid therapy until he recently developed severely increased respiratory effort. There are widespread lines perpendicular to the pleurae. As discussed in previous posts, the appearance of abnormal lung lines on ultrasound is … Continue reading

14/04/2023 roger cardiology, Internal medicine, ultrasonography, Uncategorized

Sonographic lung changes in canine hypoadrenocorticism (HOAC), C-reactive protein in canine HOAC and discussion of critical-care related corticosteroid insufficiency (CIRCI)

Gosh we (mostly) love a challenging case at VPS…and this is a challenging one. A previously-healthy three-year-old male Labradoodle presented with malaise of several days duration progressing to marked hyperpnoea, abdominal discomfort, vomiting with fresh blood and sparse, sanguinous nasal discharge. Routine haematology and biochemistry, including electrolytes, were largely unremarkable although C-reactive protein was markedly … Continue reading

28/01/2023 roger cardiology, Internal medicine, ultrasonography, Uncategorized

A case of canine dysautonomia: sonographic findings, apparent response to steroids and discussion of the published literature

Murphy initially presented with a two week history of vague malaise, occasional diarrhoea and abdominal discomfort followed by apparent constipation. Radiographs confirmed a very full colon and an enema was performed: Within a few days, however, he had deteriorated further and now started vomiting/regurgitating. By this stage he was eating very little. Routine haematology and … Continue reading

21/01/2023 roger Internal medicine, ultrasonography, Uncategorized

Canine hepatic microvascular dysplasia/primary hypoplasia of the portal vein (HMVD/PHPV): not the disease that we thought it was!

For many years there has been sparse and confusing information available on HMVD/PHPV. Well, I find it confusing anyway! For starters, although the term PHPV has been chosen by the liver standardisation group of the WSAVA as its preferred terminology, the vast majority of dogs with PHPV don’t have a hypoplastic (main) portal vein: rather … Continue reading

08/11/2022 roger Internal medicine, ultrasonography, Uncategorized

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