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Lung ultrasound: contusions, interstitial syndrome, A, B, C, E, I and Z-lines explored
I reckon lung ultrasound must be one of the most profound developments in veterinary medicine during my career. The facility to diagnose rapidly, and with high degree of confidence, pneumonia, pulmonary oedema, contusions, pneumothorax and neoplasia is a phenomenal advance. Having arrived in our tool-kit in the last 10 years, this is still an evolving field. In this … Continue reading
Ultrasonographic features of acute canine lung lobe torsion
It’s been a while since I’ve had a chance to scan a lung lobe torsion case: since when my machine got upgraded. This patient is a young Whippet with a 24 hour history of acute-onset cough, tachypnoea and pleural effusion (modified transudate). Her echocardiogram is interesting. Although we have to take into account the fact … Continue reading
Sonographic pancreatic and lung changes in cats with FIP
FIP is frequently included in differential diagnosis lists for feline pancreatitis. However, there seems to be a lack of specific case descriptions other than in post-mortem histopathological surveys. There’s only one paper that I’m aware of looking at sonographic features of FIP: Abdominal ultrasonographic findings associated with feline infectious peritonitis: a retrospective review of … Continue reading
Putative acute respiratory distress syndrome (ARDS) secondary to severe acute pancreatitis in a Cocker Spaniel
Lung ultrasound is always a good thing to include in a systematic ultrasound examination. You never know when you’ll find something which might affect case management. This is the pancreas of an acutely unwell, vomiting 7 y.o. Cocker Spaniel with no prior history of respiratory problems: That’s a pretty convincing pancreatitis. Both left … Continue reading
Lung ultrasound protocol
A little salutary tale from my week. This little dog was presented with a history of cough and, primarily, I was asked to perform an echo. My philosophy is that it’s good routine to do a full thoracic exam along with any echo and also to check the abdomen. This I duly did. Nothing abnormal … Continue reading
Lung ultrasound in feline asthma
Acute severe dyspnoea is a common, life-threatening condition in cats. The principal differentials being: cardiogenic pulmonary oedema asthma/allergic airway disease pleural effusion of various causes pneumothorax ruptured diaphragm Ultrasonography is a useful tool to distinguish between these and offers major advantages in that it can usually be performed quickly, without manual or chemical restraint by … Continue reading
Lung ultrasonography in canine Angiostrongylus lungworm infestation
The last cases of Angiostrongylosis we saw in the frozen north (West Yorkshire) were following the very mild winters of the mid-noughties. So it may be no coincidence that a resurgence happens now. This is a dog from earlier in the week with positive A. vasorum serology. The pulmonary hypertension is fairly standard: This pulmonary … Continue reading
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