All of the residents out there preparing for oral boards, here is your chance to practice! I highly recommend using these cases to practice your oral reports in front of someone with a stopwatch. Your evaluator can also take notes on what you say to compare to the answers.
This week we have a 3 year old male neutered Labrador Retriever who is vomiting pink foam. Enjoy!
Related posts:
Entries (RSS)
June 19th, 2008 at 5:17 am
The stomach is distended with fluid, gas and ingesta, and pushing the rest of the abdominal organs caudaly. It is not the classical GDV radiograph, but the pylorus is seen dorsally, which might indicate a torsion.
the shape of the spleen is suggestive of a possible torsion, though no congestion of it is seen.
June 21st, 2008 at 7:36 am
The rt diafragamatic crus is placed frontally (increased contact with the heart). Caudal displacement of the rt kidney (at the level of the lt kidney) and spleen. Moderately enlarged spleen seen more obvious on the rt lateral view, C shaped and with its tail pointed frontally. Left urinary bladder deviation. Distended gastric fundus on the rt lateral. Gas filled pylorus on the lt lateral and fluid filled on the right idicates the pylorus is on the right side. Moderate megaesophagus. I think is gastric distension without significant volvulus because pylorus is on the right, CVC is not decreased in size, there is no compartmentalization, gastric wall is not very thin, other abdominal organs are visible. Possible splenic torsion. Possible free air in the abdomen (double line abdominal wall. Bronchointerstitial lung pattern.
June 21st, 2008 at 10:33 am
How about Gastric Torsion?
June 22nd, 2008 at 9:58 am
If dog is retching but can not to vomit could be GD or GDV, this is in my mind pyloric foreign body, stomach enlarged ful of food, spleen slitly enlarged and puched by the stomach caudally together with small intestine.
June 23rd, 2008 at 4:12 pm
These are some great descriptions and differentials. Everyone is evaluating the size, shape and position of the enlarged stomach to decide between gastric dilation and volvulus, gastric dilation alone (bloat) and pyloric outflow obstruction. The position of the fundus, pylorus, proximal duodenum, and spleen could all give clues as to which it is. To see how you did, click on the link to the case in the original post above. Answers are available!