Ultrasound is a non-invasive (and therefore non-painful) way of imaging which we find invaluable in the work-up of a lot of medical and surgical cases. We have had many years experience with ultrasound at the Bognor Regis surgery (Annette Moyart has 10 years experience). We find it a very useful tool to obtain definitive diagnoses and prognoses in a wide range of cases. Ultrasound ensures that we get the most information possible, with the least risk to the patient and guides prompt treatment. We provide pain relief if the patient is uncomfortable but they remain conscious throughout the procedure. The patient lies on a nice comfortable bed and is held gently by nurses. We clip some hair over the region we are imaging and to improve contact of the ultrasound probe with the skin, gel is applied to the skin.
These cases are often very unstable (weak and collapsed or having breathing difficulty), so ultrasound has the advantage of being non-invasive, allows rapid assessment and it doesn’t necessitate anaesthesia which could be dangerous in these individuals.
Such cases include:
- To investigate the cause of internal haemorrhage in an elderly dog with a splenic tumour and then to check for metastasis to liver and heart, prior to performing surgery
- Diagnosis of pyometra
- Confirmation whether a cat in acute respiratory distress has fluid around its lungs or heart failure
These cases are often of a more chronic nature; such as weight loss, vomiting, diarrhoea, abdominal masses, abnormal urination or ongoing discomfort. They have often been unresponsive to standard treatment eg a course of antibacterials of bacterial cystitis in a dog. There has often been prior investigations such as blood or urine tests and radiographs, but a definitive diagnosis or prognosis has not been reached. We have a lot of experience in the investigation of a wide range of medical cases involving internal organs such as liver, spleen, pancreas, gut and urinary system including prostate disease. We routinely perform ultrasound-guided biopsies, cystocentesis, thoracocentesis and abdominocentesis. The fine needle aspirates are often submitted to a specialist cytologist to obtain a definitive diagnosis.
Wide variety of other cases
Ultrasound can also be used in a wide variety of other cases; including assessment of skin masses or, hernias and for the presence of free fluid in a body cavity. Please contact us if you are unsure if a case could benefit from ultrasound imaging.