Primary lung tumour or not?

RE: Primary lung tumour or not?

Dave Dickson — Mon, 13 May 2019 15:11:31 GMT

[quote user="Beats"]Thanks Dave. You're a legend![/quote]

Certainly in my own mind I am. Not in my wife's mind. Or my colleagues'. Or my kids'...

RE: Primary lung tumour or not?

Beats — Mon, 13 May 2019 15:06:58 GMT

[quote user="Dave Dickson"]Yep, that fits with the radiographs alright - cardiomegaly and left atrial enlargement. Probably DCM. I don't see a mass on these films so I'd treat the heart and see what happens. If the collapse episodes continue you should Holter ideally to look for dangerous arrhythmia. Dave[/quote]

Thanks Dave. You're a legend!

RE: Primary lung tumour or not?

Dave Dickson — Mon, 13 May 2019 14:32:48 GMT

Yep, that fits with the radiographs alright - cardiomegaly and left atrial enlargement. Probably DCM. I don't see a mass on these films so I'd treat the heart and see what happens. If the collapse episodes continue you should Holter ideally to look for dangerous arrhythmia. Dave

RE: Primary lung tumour or not?

Beats — Mon, 13 May 2019 14:26:51 GMT

Thanks guys!

Sorry for lack of initial info.

HR was 148/minute and resp rate 30/minute when being examined in consult room. Pulses feel wnls.

I couldn't hear a murmur (doesn't mean there isn't one there, but would be confident in saying nothing 3/6 or more)

The ventricles don't seem to contract properly, and the left atrium looks huge, so I'm thinking likely DCM and coughing from left atrium pressing on airways?

Was started on pimobendan and given some butorphanol which settled the coughing nicely in short-term at least.

Will probably start on some furosemide also.

Has had a history of intermittent collapse for a large number of years - get a fair number of ARVC locally, so could have been that or not. heart rhythm normal sinus on auscultation in short period of examination (<5mins)

I'm afraid that the dogs chest was not really compatible with my ultrasound machine (bad workman and all that...): this is all I have:

RE: Primary lung tumour or not?

Dave Dickson — Mon, 13 May 2019 09:46:30 GMT

Hi I'm not seeing any evidence of a tumour on these films and I agree with others that the heart looks big, I'd want an echo on this dog. Can you perhaps describe what you are seeing/concerned about, and where? That way it is easier to comment on. Any information on clinical examination - heart rate, rhythm, murmur, respiratory rate and effort, any recent weight loss etc? Dave

RE: Primary lung tumour or not?

Anthony Dennison — Mon, 13 May 2019 09:39:57 GMT

[quote user="Julie Innes"]Can't see a convincing tumour, but heart looks a little tall, possibly L sided enlargement??[/quote]

I'd agree - suspect there's a degree of left atrial enlargement, and there is increased sternal contact.

Might be worth an echo.

RE: Primary lung tumour or not?

Julie Innes — Mon, 13 May 2019 09:03:46 GMT

Anything on auscultation? Murmur?

Can't see a convincing tumour, but heart looks a little tall, possibly L sided enlargement??

RE: Primary lung tumour or not?

Beats — Sun, 12 May 2019 19:40:59 GMT

[quote user="Anthony Todd"]temp[/quote]

normal. eating well etc.

RE: Primary lung tumour or not?

Anthony Todd — Sun, 12 May 2019 19:37:41 GMT

[quote user="Beats"]coughing 3 weeks. elderly boxer.[/quote]

This is one where the temp. would be helpful!!