ABSTRACT

118 This 12-year-old, spayed female Poodle (118a) presented with a history of weakness, lethargy and exercise intolerance of two years duration. The owner’s current concern is the abdominal distension. You notice the engorged state of the epigastric veins (118b) and recommend abdominal ultrasound. The sonogram demonstrates a right adrenal tumor which appears to be invading the caudal vena cava. i. What is the most likely diagnosis? ii. What clinical findings would support this diagnosis? iii. What laboratory test would confirm the diagnosis? iv. Explain the ascites and venous congestion.