The Shunt Hunt !
The Shunt Hunt By Sonogram; The nuts and bolts. Does or doesn’t this Yorkie-Poo have a shunt?
Case presented and managed by Dr. Cheryl Welch & staff at Franklin Lakes Animal Hospital, Franklin Lakes, NJ, USA. Sonogram and diagnostic evaluation performed by Eric Lindquist DMV (Italy), DABVP (Canine & Feline Practice).
Sonogram (Liver): Maya
History: An 8-month-old Yorkie Poo was presented at an emergency facility for possible UTI as the owner reported the patient was showing inappropriate urinations in the house, pollakuria, and hematuria. Physical examination was within normal limits. The urine was cloudy and yellow in appearance and on urinalysis was alkaline (pH 8.0) with a normal specific gravity, and leukocyturia (4-10) and a moderate amount of triple phosphate crystals were present. The patient was treated with antibiotics, to which there was no response and he was presented at the RDVM for persistent hematuria a few weeks later. CBC and blood chemistry were both within normal limits. Urine culture was negative for bacterial growth. The only significant finding on survey abdominal radiographs was bladder stones. Abnormalities on repeat urinalysis a week later were high pH (8.5) 4+ proteinuria, 4+, hematuria, and a large amount of triple phosphate crystals. On a bile acids panel the pre-prandial bile acids were normal but the post-prandial bile acids were elevated (post 70 mg/dl) Pending results the patient was placed on the L/D diet.