Do you see porcupine quills? What would you do next?
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Please watch again the video posted below, I added some pointers. The liver is enlarged and hypoechoic with regional hyperechoic fat. The GB is collapsed and has a thickened wall. On the right side of the liver, a poorly defined mass is present and contains numerous small hyperechoic foci associated with reverberation and weak shadowing, likely representing gas. The presence of gas could be confirmed by radiographs. Presence of intra-parenchymal gas supports anaerobic infection. As it seems localized, surgery is recommended.
Josie went to surgery; the abnormal right medial and lateral liver lobes were partially removed. The GB was collapsed and edematous, but intact. The histopathological diagnosis was necro-suppurative hepatitis, multifocal to coalescing, severe with intralesional bacilli. The liver samples also contain multifocal nodular regeneration.
Josie, a 14-year-old Cairn Terrier presented for acute weakness, and vomiting. Her liver enzymes are elevated.
Look at this video centered on her liver. On the insert, the dog is lying on its back, and the left of the dog is on the top.
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Look where the Atlas found itself…Yes, the Parthenon in Athens!
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From the video collection of Chapter 15 – Abdominal Cavity, Lymph Nodes, & Great Vessels.
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