Now to the cut and paste:
This e mail is intended to briefly re-iterate what we discussed on the phone. If Cleo
does indeed have an abdominal mass, and given her previous history, it is highly likely
that she has intestinal lymphoma. A more definitive diagnosis may be possible by
ultrasound and aspirate of the mass. Ideally this should be performed by the
specialists at Upstate Veterinary Specialties in Latham. We do have Ultrasound
capabilities here, and we can try to obtain the aspirate. Just keep in mind that we are
not specialists and the detail on the ultrasound is not the same quality. The cost at
the specialists will be around 400$, if an aspirate is performed it could be 550$- 600$
(roughly). The Ultrasound with Aspirate here would run approximately $400. If you are
interested in pursuing this here, we can schedule it for this Tues or Weds.
If you decide to not pursue further testing, and if the diarrhea persists, and/ or she
becomes inappetant, or vomits again, You can re-initiate the prednisolone. Start it at a
lower dose initially, 5 mg once a day. If she does not break with an upper respiratory
infection and if she doesn't respond like we hoped, we can increase the dose. If she
does respond well, and if she has a persistent abdominal mass, we can discuss
adding on Chlorambucil (Leukeran).
I hope this helps. I really hope that the metronidazole does the trick and that the
mass was just some fecal material. Please keep me posted.
Jane
This e mail is intended to briefly re-iterate what we discussed on the phone. If Cleo
does indeed have an abdominal mass, and given her previous history, it is highly likely
that she has intestinal lymphoma. A more definitive diagnosis may be possible by
ultrasound and aspirate of the mass. Ideally this should be performed by the
specialists at Upstate Veterinary Specialties in Latham. We do have Ultrasound
capabilities here, and we can try to obtain the aspirate. Just keep in mind that we are
not specialists and the detail on the ultrasound is not the same quality. The cost at
the specialists will be around 400$, if an aspirate is performed it could be 550$- 600$
(roughly). The Ultrasound with Aspirate here would run approximately $400. If you are
interested in pursuing this here, we can schedule it for this Tues or Weds.
If you decide to not pursue further testing, and if the diarrhea persists, and/ or she
becomes inappetant, or vomits again, You can re-initiate the prednisolone. Start it at a
lower dose initially, 5 mg once a day. If she does not break with an upper respiratory
infection and if she doesn't respond like we hoped, we can increase the dose. If she
does respond well, and if she has a persistent abdominal mass, we can discuss
adding on Chlorambucil (Leukeran).
I hope this helps. I really hope that the metronidazole does the trick and that the
mass was just some fecal material. Please keep me posted.
Jane
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