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01-16-2011, 12:29 PM | #16 | |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Quote:
Some dogs that have LS will develop stones, and the fact they don't show on xray indicates they are probably amonium urate, which is a type of stone that developes due to excess amonia in their system.
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity | |
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01-16-2011, 12:51 PM | #17 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| Betty, What is MVD, I have been focusing on this liver shunt and have seen MVD come up but not quite sure what it is. I also forgot to mention that the vet said they did note that Lily's liver was very small on the ultrasound, I don't know why then they did not try to look for a shunt at the same time. All indicators were there. So happy to hear your baby did well. I really think we might be headed this way and I am going to call my vet tomorrow and get her to contact Dr. Tobias offiice asap. |
01-16-2011, 01:04 PM | #18 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Betty appears to be offline.... MVD Multivascular dysplaysia... symptoms can be the same as Liver Shunt... but no shunt... not operable, treatment with special diet and meds if necessary.. In general, the architecture of the liver is askew and causes it not to function very well. Small liver is also a sign of shunt... they are hard to see on xray and ultrasound unless the vets are superexperienced in looking for them.
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity Last edited by kjc; 01-16-2011 at 01:05 PM. |
01-16-2011, 01:09 PM | #19 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Another thing to consider is cost... U of tenn keeps their prices down... They can probably do the LS surgery and remove the stones all for under $2500.00... including, meds and hospitalization and any further testing... and they have the most experienced vets doing this type of surgery... as they have been doing research on LS for 25 years....
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 01:29 PM | #20 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| U of Tenn has some good info on LS here: Portosystemic Shunts FAQ The menu on the left side of the above link's page has all info on Liver Shunt Here's a link to their contact page... has a link to directions and lodgings at the bottom (some hotels give a discount for people with pets getting treatment at the University) Contact There's also a link to a referral form you could print and have your vet fill it out and fax it or take with you...
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
01-16-2011, 01:40 PM | #21 | |
Donating YT 100K Club Member & Top YorkieTalk Poster! Join Date: Feb 2009 Location: western KY
Posts: 108,935
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If yours is put on this food buy a big bag there its about $20. cheaper than i pay at the vets office here and 1 bag will last a very long time...praying fr good results
__________________ Betty & Micah my love + Yogi | |
01-16-2011, 02:09 PM | #22 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| There are excellent veterinary specialty hospitals right here in the Northeast. I have responded to your PM with the info you requested on Daisy's doctors. I hope that whatever course you choose, you get the answers you seek. We will all be right here to support you through this. Cathy
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01-16-2011, 02:18 PM | #23 |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
Posts: 17,928
| I would also guess that they are ammonium urate because those don't show up on xray and it would make the most sense. Many people can do the surgery. Personally I liek UT and would go there if my girl needed this surgery (followed by Cornell). I've heard many times that UT has the lowest postop seizure rate which is directly related to the highest survival rate.
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01-16-2011, 02:19 PM | #24 | |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
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It's not Multivascular Dysplasia, it is Microvascular Dysplasia. It is incorrect to say that MVD is not a shunt. Hepatic Microvascular Dysplasia is microscopic shunting of the liver. Blood is still shunted from being cleansed by the liver and ammonia is still building up in the blood and still can cause symptoms but since there is no single shunt to close off surgically, it can only be managed medically not surgically. I agree that the ultrasound reader is of paramount importance and I would make sure the ultrasound is done by a board certified radiologist who is working in tandem with internal medicine.
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01-16-2011, 02:51 PM | #25 | |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
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"Single congenital portosystemic shunts must be differentiated from multiple acquired shunts secondary to portal hypertension, and from hepatic microvascular dysplasia. Hepatic microvascular dysplasia (HMD) signifies a disorganization of the liver's microscopic architecture which is similar to that of dogs with single congenital shunts. HMD has been reported in small breed dogs such as the Yorkshire terrier, Cairn terrier, Maltese, cocker spaniel, and poodle. Dogs with HMD display biochemical, hematologic, and clinical changes consistent with portosystemic shunting but lack a macroscopic portosystemic shunt. Definitive diagnosis is by ruling out a macroscopic shunt through exploratory laparotomy, nuclear scan, or portography. Signs of HMD are managed by low protein diet; lactulose is added if necessary." Note: HMD = MVD So I guess it depends on who one reads... and , yes, I said the symptoms are the same....
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity | |
01-16-2011, 03:28 PM | #26 | |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
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You said that the liver can be small with LS and I was pointing out that the liver can be small in MVD as well as LS. That is not a symptom, it is a clinical sign that is observed during diagnostic testing. This dog may not even have a single shunt as her BATs are not astronomically high like some cases I've seen on here where people do not take their dogs into surgery to try to help them. So, yeah, it may depend on who one reads if you want to be technical about the microscopic landscape of the liver, but more importantly it depends on what one does to help their dog and since I have one of the most successfully managed MVD dogs on this board, I will keep sharing her story for those who want to hear it or who can benefit from knowing it.
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01-16-2011, 03:44 PM | #27 |
Donating YT 100K Club Member & Top YorkieTalk Poster! Join Date: Feb 2009 Location: western KY
Posts: 108,935
| Cathy i'm glad that i'm not the only one that keeps sharing these stories if it only helps one that would be a blessing. Micah never showed any symptoms other than being really small his was found after he was bat after the 3rd test over a 6 month period i took him to UT
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01-16-2011, 03:57 PM | #28 | |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
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__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity | |
01-16-2011, 04:03 PM | #29 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
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01-16-2011, 05:07 PM | #30 |
Yorkie Yakker Join Date: Mar 2007 Location: maine
Posts: 45
| Thank you Betty, that is encouraging ! Need to do a bit of research on this MVD as well. |
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dr. tobias, kidney stones, liver disease, liver shunt |
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