Page 228 - Veterinary diagnostic imaging birds exotic pets wildlife
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224  SECTION I  III  The Birds


                                                                         mass, although not all of these organs are always
                                                                         visible in a particular radiograph (Figure 20-26).

                                                                         Using Nature’s Contrast. Identification of the crop is

                                                                         made easier when it contains a recent meal, particu-
                                                                         larly if bones are present, for example, a mouse in the
                                                                         gullet of a Merlin (Figure 20-27). The same is true of
                                                                         the ventriculus, although in this location there is
                                                                         usually more disintegration of whatever the bird has
                                                                         eaten (Figure 20-28). High-density material, such as
                                                                         bone, can also be seen in the bowel mass, but because
                                                                         of ongoing digestion, it may be harder to specifi cally
                                                                         identify. Cage birds and some wild birds may have grit
                                                                         in their stomachs or bowel; grit is characterized radio-
                                                                         graphically by its granular appearance and high
                                                                         density (Figure 20-29)

                                                                         Gastrointestinal Foreign Material.  Of all the things a
                                                                         wild bird might consume, lead is of the greatest concern
                                                                         because of its toxicity. As a heavy metal, even small

                                                                         quantities of lead are readily identifiable on a radio-
                                                                         graph (Figure 20-30), while most pesticides, equally
                                                                         harmful in their own right, are radiographically
                                                                         invisible.

                                                                         Assessment of the Digestive Tract with Barium and
                                                                         Other Diagnostic Opaque Materials. Barium  solu-
                                                                         tions, or pastes, are the diagnostic opaque material of
                                                                         choice for evaluating the alimentary canal. If a perfora-
                                                                         tion is suspected, however, a nonionic organic iodine
                    Figure 20-23  •  The appearance of the central visceral pedicle in   solution should be employed on the possibility that it

                    birds is highly species-dependent as exemplified in this   may escape into the celomic cavity. A nonionic diag-
                    ventrodorsal view of a healthy great blue heron. Because the liver
                    is more caudally situated in this bird, more of the caudal aspect of   nostic iodine solution is better than an ionic one because
                    the heart is apparent, especially the cardiac apex. For its part, the   the ionic solution will draw water to itself and thus
                    liver forms more of a silhouette with the bowel mass than with   temporarily dehydrate the bird. Examples of a limited
                    the heart.                                           barium series are shown in Figures 20-31 through
                                                                         20-33.

                    detected radiographically. Likewise, sonographic     Kidneys
                    assessments typically prove unrevealing.
                                                                         The kidneys are tucked up high on either side of the
                                                                         caudal abdomen just below the cranial part of the
                    Esophagus, Stomach (Ventriculus-
                    Proventriculus), and Bowel                           pelvis. Radiographically, avian kidneys lack the dis-
                                                                         tinctive bean shape of the typical mammalian kidney,
                    Although legitimate parts of the alimentary canal, the   instead appearing as a variably shaped, somewhat ill-
                    throat, crop, and proximal portion of the esophagus   defined mass. Some forms of kidney disease, particu-

                    are discussed in a more anatomically appropriate     larly those that cause significant enlargement, can

                    context in Chapter 19.                               present as lameness because some of the nerves that

                       In raptors, the oblong stomach, also known as the   innervate the hind limbs first pass through the sub-
                    ventriculus, or gizzard, lies immediately caudal to the   stance of the kidneys.
                    esophagus, just above and behind the liver. This ana-  Occasionally, birds receive nonfatal gunshot
                    tomical arrangement is apparent in the lateral but not   wounds; pellet and BB guns seem to be favorites. These
                    the VD projection where the superimposed liver hides   projectiles can end up in a variety of places: in the
                    the ventriculus from view.                           lumen of the stomach or bowel, within the cloaca, or
                       Radiographically, the bowel often appears more like   embedded in one of the solid organs such as a kidney
                    a single object rather than a long hollow tube, espe-  (Figure 20-34). Even though the precise location of a
                    cially when the gas content is minimal.              projectile can sometimes be located, for example,
                                                                         within the left kidney, it is not always possible to accu-
                    Plain Film Assessment.  As stated previously, the    rately predict the path of the pellet and the tissues
                    lateral view of the torso provides the most complete   through which it may have passed.
                    view of the caudal esophagus, ventriculus, and bowel                                Text continued on p. 234.











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           ch020-A02527.indd   224                                                                                    2/11/2008   11:08:54 AM
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