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Cardiology & Diagnostic Ultrasound Service
ARC Referrals > Cardiology / Ultrasound
The Animal Referral Center is proud to list Dr. Alan Glazer as a staff veterinarian and Dr. Mark Stamoulis as a visiting consultant.
Services Provided:
  Echocardiograms (cardiac ultrasound)
Abdominal Ultrasound
Thoracic Ultrasound
Ultrasound-guided biopsies and aspirations
Cardiology consultations
Holter and Event Monitors
Schedule:
  - Dr. Glazer is available for abdominal ultrasound and related services Monday through Thursday both as scheduled appointments and on an emergency basis. Scheduling can be done through Karen Martin, our referral coordinator
  -Dr. Stamoulis is available on Mondays, Wednesdays, and Fridays for cardiology and ultrasound services. Set hours are not available and referrals to see Dr. Stamoulis are arranged through the Animal Emergency and Critical Care Center.
About Dr. Mark Stamoulis, DVM, diplomat ACVIM, specialty cardiology
  Dr. Stamoulis earned his veterinary degree from Tufts University
  Completed an intensive 1 year internship followed by a 3 year residency at the Animal Medical Center in New York City
  He earned his board certification in cardiology & internal medicine and became a diplomat in the American College of Veterinary Internal Medicine in [date?]
  Dr. Stamoulis is a founding partner in New England Veterinary Consultants  [? Name] in [date], a mobile specialist practice
FAQ- What are echocardiograms and ultrasound exams & how are they superior diagnostic tools? Read below:
What is an echocardiogram?
  An echocardiogram is a 3 dimensional study of the heart using diagnostic ultrasound imaging. An echo gives an enormous amount of information about the anatomy as well as the function of the heart
  Anatomy:
 
  • Measure heart wall thickness- important in cardiomyopathy
  • Measure ventricular size (volume of chambers in the heart)
  • Assess size, shape, and thickness of the heart valves
  • Look for any holes or other congenital heart defects
  • Visualize abnormal masses (tumors of heart) or see blood clots in the heart
  • Visualize pericardial effusion (abnormal fluid surrounding the heart within the pericardium)
  • Assess degree of infection (numbers of worms) in dogs with heart worm disease.
  •   Function
     
  • Measure ability of heart wall to contract and relax properly
  • Measure volume of blood ejected from the heart
  • Assess heart valve closure- important for patients with loud murmurs
  • Measure flow of blood across valves using Doppler ultrasound
  • What is an Abdominal Ultrasound Examination?
      Similar to an echo, diagnostic ultrasounds can be used to create more detailed images of the organs within the abdomen. Unlike radiographs (x-rays) where organs are seen as "silhouettes", an ultrasound study can look at tissue changes which may be suggestive of a particular disease process. A single ultrasound exam can give an enormous amount of information and is well worth the effort in ill patients where we do not have a firm diagnosis with physical exam, laboratory tests, and radiographs (X-rays).
      Most common uses of abdominal ultrasound:l.
     
  • Liver- masses/infiltrative neoplasia (cancer), liver shunts (abnormal blood vessel formation), fatty liver syndrome (lipidosis), hepatitis & other infections
  • Gall Bladder- enlargement, sludge or stones in gall bladder, bile duct obstruction
  • Spleen- masses
  • Stomach- stomach wall thickness, masses, outflow obstructions, foreign bodies
  • Intestines- wall thickness, masses in wall or lumen, foreign bodies
  • Pancreas- thickening, inflammation, masses
  • Kidney- structure, stones, ureter dilation
  • Uterus- pregnancy & fetal viability, infection in uterus (pyometra)
  • Urinary Bladder- bladder stones, masses
  • Adrenal glands- measure size
  • Look for free fluid in the abdomen- possibly blood, infection, ascites, leaking of urine
  •   The ultrasound exam is invaluable by:
     
  • Showing the organ / organs involved- location
  • Extent or degree of the disease- single vs multiple lesion, size of lesion
  • Guides clinician in obtaining safe and representative samples of tissue or fluid via biopsy, needle aspirate, or tapping a pocket of fluid.
  • Determines if surgery is indicated- for example, a splenectomy surgery (removing the spleen) would not be advised in a patient with a splenic mass if the ultrasound also found multiple tumors throughout the liver, and intestines.
  • If surgery is indicated, helps surgeon plan the best approach to the diseased organ to assure the best surgical outcome.
  •   A negative ultrasound where no structural abnormalities are detected is also valuable to the clinician. By ruling out major disease in the internal abdominal organs, attention can then be focused on diagnostics involving other systems, such as endocrine system which may be the underlying problem.
     
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