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Respiratory Distress

The patient with a history of asthma (on Flovent® and prednisolone), presented for an abdominal ultrasound due to persistently elevated liver enzymes since 3/2022, and losing weight despite increased appetite. CBC/Chem: AL:T 510, ALP 329, T. bili 1.4, leukocytosis with neutrophilia and monocytosis. Current meds: Denamarin 90 mgs q24 hrs, Metronidazole 50mgs q12 hrs, Amoxicillin 50 mgs q12 hrs. At the the time of ultrasound the patient was dyspneic and an SDEP® emergency echo was performed to assess the heart. Blood pressure post scan (tail) was 118/98 (99); patient was put in O2 chamber for support.

A 13-year-old MN Beagle mix with history of increased weakness and respiratory effort presented for a heart murmur, suspected pulmonary edema, enlarged liver, and possible cranial abdominal mass. The patient was abdominally retracting while breathing, but his mucous membranes remained consistently pink. The patient was started on furosemide 12.5 mg 3 tabs BID and Pimobendan 5 mg BID. CBC and blood chemistry found moderately high WBC count; poss. bands, Alk. Phos. 663. Urine specific gravity was 1.023.