30/03/2026
We’ve all been there!
❗️Dog weak or collapsed
❗️Deathly pale gums
❗️Distended, fluid filled abdomen
✳️. FAST scan - flocculant fluid
✳️. Tapped when safe (coags normal)
❗️It’s blood 🩸
❓No history of trauma so why blood? You scan the abdomen a bit more carefully to find the source.
In my experience, the spleen will often contract in severe blood loss which makes it smaller in general and sometimes harder to find.
✅ Remember your normal anatomy and remember your landmarks for finding the spleen.
1️⃣. R lateral recumbency - this is my usual position for emergency scanning
2️⃣ Caudal to costal arch. Sweep along this arch to find the body
3️⃣ If you’re struggling - look for the left kidney. Once you’ve found it in the longitudinal plane, slide cranially off the left kidney. Splenic body should be right there.
Of course stabilise your patient as best as you can and take your time to check the spleen especially if your index of suspicion for a bleeding mass is high.
✅ Finding the cause will help the owner make informed decisions on treatment and management.
Follow for more tips on scanning