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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
Pneumonia in dogs: gastrointestinal presenting signs
With the advent of lung ultrasound and the resulting great leap forward in our ability to diagnose bronchopneumonia relatively easily and with good specificity has opened a door on its true incidence and the spectrum of associated presenting signs. Notably, we now see affected dogs in which gastrointestinal signs are prominent. It’s hard to prove … Continue reading
Lung ultrasound in the diagnosis of presumed pulmonary mycobacteriosis in a cat
Surprisingly, considering the wealth of information on conventional bacterial pneumonia, there is little published on the features of pulmonary TB in people. Int J Environ Res Public Health. 2018 Oct; 15(10): 2235. Potential Diagnostic Properties of Chest Ultrasound in Thoracic Tuberculosis—A Systematic Review Francesco Di Gennaro,1,2,† Luigi Pisani,3,4,† Nicola Veronese,5 Damiano Pizzol,6,* Valeria Lippolis,4 Annalisa … Continue reading
Lung ultrasound: ‘flooding’ in fulminant pulmonary oedema in cats and a comparison with pneumonia
Pulmonary oedema in cats and dogs is typically characterised by increased ‘B lines’ (also known as ultrasound lung rockets or comet-tail artefacts). This is a feature of oedema in the broadest sense and is not specific to aetiology. Differential diagnosis of this phenomenon includes trauma, electrocution, acute respiratory distress syndrome/acute lung injury, overhydration, asthma, near-downing … Continue reading
Pulmonary oedema as judged by lung ultrasound: recent advances
Lung ultrasound remains a hot topic with the publication this year of another couple of great articles. Tommaso Vezzosi and colleagues look at the diagnostic accuracy of lung ultrasound (LUS) for cardiogenic pulmonary oedema and correlate findings with ACVIM consensus staging system. http://onlinelibrary.wiley.com/doi/10.1111/jvim.14692/pdf Reassuringly they report that: B lines are rare or absent in @90% … 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

