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
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
Lung ultrasound in cats and dogs: why does it get such a varied reception? Things become clearer
My impression, from a UK veterinary perspective, is that lung ultrasound (LUS) gets variable press. Specifically, most specialist cardiologists don’t much care for it. It’s useful to understand why this is. It’s no coincidence that LUS was discovered and developed primarily by human acute care physicians in intensive care units (ICUs) and emergency departments. Looking … Continue reading
