Karen Gormley. Vomiting +/- blood Diarrhea +/- blood Anorexia Alternative to contrast studies ...

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Karen Gormley

Transcript of Karen Gormley. Vomiting +/- blood Diarrhea +/- blood Anorexia Alternative to contrast studies ...

Page 1: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Karen Gormley

Page 2: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Vomiting +/- blood Diarrhea +/- blood Anorexia Alternative to contrast studies Abnormality on radiograph Neoplasia suspected FNA

Page 3: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Esophagus Stomach Small Intestine Ileocecocolic junction Colon

Page 4: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Usually done with endoscopy

Page 5: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Strictures Masses

Page 6: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Best if no air Empty = “wagon wheel” Dogs 3-5 mm Cats ~2 mm Layers

Mucosal surface (hyper) Mucosa (hypo) Submucosa (hyper) Muscularis propria (hypo) Subserosa/serosa (hyper)

Page 7: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Foreign body Ulcers Neoplasia Inflammation Mineralization

Page 8: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Wall thickness 2-4 mm dog 2-3.2 mm cat

Wall layering Lumen (hyper) Mucosa (hypo) * Submucosa (hyper) Muscularis (hypo) Serosa (hyper)

Motility 4-5 contractions/min duodenum 1-2 contractions/min distal

Can’t see both walls if gas present

Page 9: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Duodenum – location Jejunum, ileum Ileocecocolic junction

Mucosa projects into lumen

Page 10: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Wall thickness Wall layer pattern Motility Obstruction

Foreign body Neoplasia Plication Intussception

Neoplasia Metastatic calfication Pneumatosis intestinalis/coli

Page 11: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Limited by air & feces Asses wall thickness & symmetry

Page 12: Karen Gormley.  Vomiting +/- blood  Diarrhea +/- blood  Anorexia  Alternative to contrast studies  Abnormality on radiograph  Neoplasia suspected.

Abnormal wall thickness Mural & extramural masses Intussusception