Maltese terrier cross with enlarged abdomen

Signalment:

12-year-old female neutered Maltese Terrier cross

Presenting complaint:

abdominal enlargement, lethargy, inappetance for 3 months. Your physical exam shows an obviously distended abdomen with a very large (>10 cm diameter) firm palpable abdominal mass, mucous membranes pink but paler than normal, periodontal disease. Otherwise clinical exam within normal limits, and she seems surprisingly alert and responsive. The clients say the abdominal enlargement has only happened in the past month.

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What do you do next? Abdominal ultrasound Packed cell volume, total protein and in-house urinalysis Abdominal radiographs Options a and b Options b and c Please select an option Incorrect. Good choice, but better to include packed cell volume, total protein and urinalysis. Choose again. Incorrect. Good choice, but better to include abdominal ultrasound. Choose again. Incorrect. Because the mass is so large radiographs will probably not give as much useful information as ultrasound. Choose again. Correct. Incorrect. There is a better option.

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