腫瘤 還是骨刺 

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腫瘤 還是骨刺

文章bilstein » 2008-08-20, 17:21

1.名字: EVA
2.年齡: 8 years old
3.犬種: Beagle
4.性別: F
5.體重: 13KG
6.病史: NA
7.發病經過、症狀:正常飲食後過十分鐘 會腹漲到很肚子很硬 發抖 後兩腿發軟 一個小時 即使灌入顯影劑也是有同樣的症狀
8.醫師的診斷: 在觀察 X 光片 及 超音波 後 在消化系統附近的脊椎關節上向腹內長骨刺所以在吃飽後會有內往外擠壓因此造成疼痛 或是 在腹腔十二指腸附近的腹膜長3cm腫瘤因此吃飯後擠壓而疼痛 (同時有觀察到他的脾臟變大三倍)
9.醫師的治療方式: 先給類固醇及瀝尿藥 食物減半泡水 少量多餐 再做觀察
10.請儘量提供相關檢驗資料、x光片、Video檔:
11.欲詢問醫生之問題:
雖然在服用類固醇後的三天明顯好轉 活動力增加 但是 不確定是哪一個原因讓他不舒服 很害怕這樣只是治標不治本的方法
醫生是有建議開刀看他的腹腔 但是很害怕 如果開了沒有東西同時有危險性怎麼辦
希望醫生幫幫忙 給我一個建議
因為X光檔比較大是否能寄EMAIL給您
非常的感謝

Sincerely
Howard
bilstein
 
文章: 9
註冊時間: 2008-08-20, 11:17
性別: 未指定

文章doggydc » 2008-08-21, 00:00

You should follow your doctor's advice to perform exploratory surgery if he noticed growth inside abdomen to induce the problem. I don't think the bone spur on the vertebrates will induce this type problem(at least I never seen it).
I don't have any x-ray or ultrasound inform, so I can't tell you what problem your dog has.
Please post all inform in this website.
Exploratory surgery is the choice if we suspect there is something wrong insise abdomen but can't confirm by exam. techniques we have.
doggydc
 
文章: 962
註冊時間: 2004-10-04, 16:25
來自: losangeles
性別: 未指定

Eva's x ra

文章bilstein » 2008-08-21, 10:53

Dear doctor attached is Eva's x ray.
Please take a look for me, thank you

Howard
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bilstein
 
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文章doggydc » 2008-08-21, 12:05

By viewing the x-ray you posted here, I didn't see any bone spur on the vertebrates.
I only can viewed 2/3 of the chest and abdomen(missed lower 1/3).
I do suspect there is something wrong in the center of the abdomen but can't make any conclusion due to the quality of the x-ray or/and pictureyou posted here.
I also noticed something abnormal in the chest around the heart area but the elbow of the front leg isn't pull forward, it can mimic the reading. I hope your doctor did another position of the chest and abdomen x-ray. I need to see the other position x-ray too.
I believe your doctor took more than one x-ray film because the barium series. Please have all the x-ray borrowed and bring to Elwood animal clinic in Taipei, so our doctor can take some pictures and send them to me.
Or we can redo the x-ray if our doctor don't think they are clear enough.
Please also give the complete medical treatment plan and ultrasound results.
doggydc
 
文章: 962
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文章bilstein » 2008-08-21, 14:42

Dear Doc:

Sorry for the trouble, i got more x rays shots with both lateral and vertical views. Please take a look for me again? Apologize for the trouble again.

Howard
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bilstein
 
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文章bilstein » 2008-08-21, 14:43

more x ray thanks
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bilstein
 
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文章bilstein » 2008-08-21, 14:44

more x ray
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文章bilstein » 2008-08-21, 14:44

more x ray
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bilstein
 
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文章bilstein » 2008-08-21, 14:45

more x ray
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文章bilstein » 2008-08-21, 14:49

last x ray.
Thank you doctor
can't describe how appreciated i am for your help

thank you

howard
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bilstein
 
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文章doggydc » 2008-08-26, 01:01

I did agreed that your dog has a very enlarged spleen with not very smooth surface from these x-ray.
I didn't see any other major problems from these x-ray.
The enlargement of spleen can be immune related, mass, circulation disturbance, or others.
I need to see more examination data and any treatment plan( I already asked you last tim).
doggydc
 
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文章bilstein » 2008-08-29, 09:34

thank you Doc.
bilstein
 
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