Elderly dyspnoeic Labrador!

Re: Elderly dyspnoeic Labrador!

David Mills — Sat, 25 Feb 2012 17:45:38 GMT

If c/st are used a high dose is generally needed for PIE/eosinophilic pneumonia/bronchitis (1mg/kg), wouldn't worry about the diabetes at all. Must say lungs don't look metastatic to me, looks like widespread inflammatory lesions as you have some definite alveolar pattern caudally.

Re: Elderly dyspnoeic Labrador!

Michael Woodhouse — Sat, 25 Feb 2012 17:34:47 GMT

[quote user="Rob Davis"]Not going to help its diabetes....[/quote]

Those lungs will kill the dog before the diabetes.

Re: Elderly dyspnoeic Labrador!

Andrew Kent — Sat, 25 Feb 2012 09:45:41 GMT

I would certainly be concerned about diffuse metastatic disease so if you can't get the dog stable enough for a GA and BAL/FNA then a screen for primary tumour (abdominal ultrasound) may give you some more clues if the dog will tolerate them? Andy

Re: Elderly dyspnoeic Labrador!

Bob Russell — Sat, 25 Feb 2012 09:40:47 GMT

I agree we have little to lose with this one so unless he is showing signs of improvement steroids and corvental it will be!

Re: Elderly dyspnoeic Labrador!

Malcolm Ness — Sat, 25 Feb 2012 08:57:16 GMT

[quote user="Rob Davis"]

[quote user="Michael Woodhouse"]I'd give it some corticosteroid[/quote]

Not going to help its diabetes....

[/quote]

"When all you have got is a hammer, everything looks like a nail"

Re: Elderly dyspnoeic Labrador!

Rob Davis — Sat, 25 Feb 2012 08:54:54 GMT

[quote user="Michael Woodhouse"]I'd give it some corticosteroid[/quote]

Not going to help its diabetes....

Re: Elderly dyspnoeic Labrador!

Michael Woodhouse — Fri, 24 Feb 2012 20:29:47 GMT

[quote user="Bob Russell"]Amox/Clav, Marbocyl, Frusemide and Fenbendazole at present[/quote]

I'd give it some corticosteroid and a bronchodillator.

Re: Elderly dyspnoeic Labrador!

Nicola Lawlor — Fri, 24 Feb 2012 20:21:03 GMT

Unlikely differential here could be tuberculosis?

Re: Elderly dyspnoeic Labrador!

Rob Davis — Fri, 24 Feb 2012 18:24:30 GMT

Corvental? Would probably be sensible to reduce dose if on marbocyl concurrently. Not going to cure anything but might improve his breathing.

Re: Elderly dyspnoeic Labrador!

listhestar — Fri, 24 Feb 2012 17:44:20 GMT

ps sorry that sounded very gloomy of me , I'm not just assuming its neoplasia but that rad worries me

Re: Elderly dyspnoeic Labrador!

listhestar — Fri, 24 Feb 2012 17:43:12 GMT

[quote user="Bob Russell"]

Histological Diagnosis:

Dermatitis and cellulitis, pyogranulomatous, coalescing, severe, with fibrosis,

[/quote]

Did the lesion seem to go with the histo dx or worth speaking to the histo guys about it?

My thoughts would be perhaps an ultrasound of abdo- spleen, liver to be on a met hunt in case there is tumour somewhere else? (although I know you can get mets in lungs but nowhere else)

Lisa

Re: Elderly dyspnoeic Labrador!

Bob Russell — Fri, 24 Feb 2012 17:36:27 GMT

Amox/Clav, Marbocyl, Frusemide and Fenbendazole at present. I am suspicious of neoplasia but we were lucky to get this shot without sedation. The owners are willing to do more but I am trying (so far unsuccessfully) to improve the dogs breathing.

He is very arthritic so to get square DV or VD will require a degree of sedation or G/a that I don't consider safe. It may be that we will have no choice but to risk this to get answers. We did try!

I am trying to be optimistic and think infection.

Re: Elderly dyspnoeic Labrador!

Kate Richardson — Fri, 24 Feb 2012 17:16:32 GMT

Those lungs don't look pretty, but I wouldn't like to say more without some inflated views and a vd. What is he on meds wise? Do the owners want to investigate further?