3 convenient locations: knoxville, maryville, mobile services | call us today 865-315-8263 | Our Hours: Mon-Fri 8:00AM - 4:00PM

3 convenient locations: knoxville, maryville, mobile services | call us today 865-315-8263

Indications For Ultrasound

There are numerous indications for ultrasonography. The information obtained during a comprehensive examination can help narrow the differential list and can often rule out disease processes. When ultrasound is used in combination with needle aspirate and/or biopsy techniques, a definitive diagnosis can often be obtained. 

Indications For Ultrasound

  • Abdominal Masses
  • ​Adrenal Disease
  • ​Ascites
  • Coughing
  • ​Heart Murmurs
  • ​Icterus
  • ​Pancreatitis
  • ​Porto-Systemic Shunts
  • ​Renal Diseases and Renomegaly
  • Thoracic Masses
  • Urinary and Prostate Disease
  • Abdominal Pain
  • ​Anemia and Thrombocytopenia
  • ​Behavioral Changes
  • ​Diarrhea
  • Hematochezia
  • ​Intestinal Diseases
  • ​Pericardial Effusion
  • ​Pregnancy
  • ​Retrobulbar Masses
  • ​Thyroid/Parathyroid Disease
  • ​Urinary Incontinence
  • Abnormal CBC and Chem Values
  • ​Anorexia
  • ​Cardiomegaly
  • ​Dyspnea
  • ​Hematuria/Stranguria
  • ​Metastasis Check
  • ​Pleural Effusions
  • ​Prostatomegaly
  • ​Splenomegaly
  • ​Trauma/Hemorrhage
  • ​Uterine Disease
  • ADR of Unknown Origin
  • ​Arrhythmias
  • ​Core and Fine Needle Biopsies
  • ​Endocrine Disorders
  • ​Hepatomegaly
  • ​Ocular Disorders​Poyluria/Polydypsia/Polyphagia
  • ​Recurrent UTI’s
  • ​Testicular Enlargement
  • ​Unexplained Weight Loss
  • ​Vomiting

Echocardiogram Considerations

Pulmonary Arterial Hypertension

  • 30-40% of ALL dogs with CVD develop Pulmonary Arterial Hypertension
  • Pulmonary Arterial Hypertension affects dogs with chronic airway and lung disease, chronic degenerative valve disease (CVD), heartworm disease, and other diseases such as Cushings that can lead to a hypercoagulable state and pulmonary thromboemboli.
  • Symptoms such as coughing, exercise intolerance and collapse and can mimic other conditions. Symptoms may not occur until late into the disease progression

Chronic Degenerative Valvular Disease

  • CVD remains the most common heart disease of small and medium sized dogs
  • Using echocardiography to measure precise metrics allows for the determination of when to start pimobendan based on the 2016 EPIC study. 
  • Starting pimobendan too early is strongly associated with adverse myocardial and functional effects including myocardial hemorrhage and increased mitral regurgitation 
  • Starting pimobendan as indicated based on the criteria from the EPIC study (LA:AO ratio,  normalized left ventricular internal diameter) is safe and well-tolerated and can significantly extend a patient’s life expectancy 


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