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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