|08-24-2014 03:13 PM|
|08-24-2014 02:05 PM|
|my boy diesel||
i would get a splenectomy as opposed to just a biopsy
while they are in there they can check out the rest
has anything else materialized?
|08-24-2014 01:53 PM|
I think this OP already has his dog at a facility "like" a university setting, hence him referring to having seen radiologists, internists, etc. An internist at a vet school is not going to be necessarily any better than one anywhere else.
|08-24-2014 01:02 PM|
|JeanKBBMMMAAN||Those things - the intussusceptions - can do that, so the dog seems normal, then not. You have to open them up to see it from everything I've heard, unfortunately, so I'd get to a university with her for them to take a look at things.|
|08-24-2014 12:15 PM|
|dogfaeries||Russell's intussusception didn't show up in his ultrasound. They had to do exploratory surgery, and that's when they found it. Turns out it had telescoped about 10", and had to have 3" removed. Couldn't see any of that on his ultrasound.|
|08-24-2014 04:13 AM|
I too would be concerned about a sliding intussusception that wouldn't necessarily be seen on ultrasound. Spleen growing in size could be splenic torsion. I guess, talking to our surgeon, that she thinks during gdvs the splene can intermittently torse likely due to pressure. So it could potentially be possible in this case?
Either way I think I would still lean towards exploratory surgery if this was my dof
|08-24-2014 01:35 AM|
Yeah, I am with Anubis on this one. :/ As wonderful as diagnostic imaging can be, honestly if the ultrasound isn't finding anything, we often would recommend a CT with contrast to see if there is anything oddly enhancing or it also allows you to see things in a more clear picture, since you get a kind of "3D" model, and the contrast helps enhance the vessels.
Some days if you aren't super sure about something, it never hurts to just "let the demons" out with surgery. Another thing to try would be potentially, especially if sepsis is a concern, to give some fresh frozen plasma to see if that potentially helps to boost up the plasma proteins in the system and maybe give her a boost with what is needed.
My golden donates and I have noticed when he gives larger volumes of blood (which they should really only be donating about 10% of their body weight max - which would be around 300 ml for your dog with her original weight) that he is a little off for a day or so. A little more tired, sometimes his stomach seems a little off. I do give him SQ fluids when he donates over his "limit" and I tend to give him a can or so of a rich wet food after he donates, which could contribute to his tummy upsets. However, he has never had that kind of reaction where it almost seems like she's bloating.
I would definitely not have her donating again. Could be with the way her spleen is enlarged that the sudden drop in the amount of blood in the system caused it to release more of the stored cells than it should have, and her body didn't compensate to recover well. Almost like it was stretched a bit too thin and had trouble rebounding. Kind of thinking like when you do manage to untwist that GDV or remove the blood from a hemoabdomen then quickly try to get the offending organ (usually spleen) to stop bleeding so your system basically drops drastically and goes nuts renormalizing if that makes sense.
Hope your girl is doing better.
|08-23-2014 10:28 PM|
|08-22-2014 02:41 AM|
intermittent colonic torsion? Doesn't even sound possible to me. Not only is a colonic torsion rare enough, but one that is caught in time, gets into surgery in time, and actually survives? I've seen 1.
GSDs are prone to enlarged spleens. Butaspirates could be missing potential masses that aren't found on xray or ultrasound.
Could just consider an abdominal explore and splenectomy, send the whole thing off for pathology.
If there was even the chance that my dog could be septic, the board certified surgeon would be cutting him right then and there. Especially with free fluid, enlarged spleen.
|08-20-2014 11:58 PM|
No stress identified, tick panel neg. No ticks found anyway.
I have 4 dogs that donate, they can be groggy. Most of the time they're totally fine but this was her first donation. I've had first timers be a bit 'off'.
I'm going back to check on her and her files tonight. I'll let you know specifics on her reports.
I've had a dog with intussusception, he had 4 inches of small bowel removed. He had similar symptoms which is why it's so frustrating we aren't finding it on ultrasound. I watched her whole session and her bowel was flat and pretty the whole way through.
Either way, she's still in the ICU and on potential SX watch tonight. Updates later, thanks guys!
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