My diagnosis is not a good one. They thought at first I had congestive heart failure because I had so much edema around my heart on the xray. Dr Kramer sent a report to Dr Pam and this is what it said.
STUDY: Thorax
Current radiographs are dated 5/29 and are compared with four prior studies, most recently dated 5/24. The trachea is severely hypoplastic. There are dense ventrally distributed alveolar infiltrates. Limited improvement in the magnitude of these infiltrates is noted in the post-diuretic radiograph. Air bronchogram formation is noted in the cranial and middle lung fields. Bronchial wall thickening is noted caudodorsally. Cardiac volume probably is normal Liver volume is age-appropriate. Mildly prominent and possibly thickened rugae are noted in the gastric body region. The T7 vertebra is mildly anomalous.
ASSESSMENT:
1. Moderately consolidated ventrally distributed pneumonia infiltrates
2. Limited improvement after initiation of diuretic therapy
3. Chronic bronchitis
4. Severely hypoplastic trachea
COMMENTS:
Recurrent pneumonia is assumed although a component of acute respiratory distress syndrome also is possible. Ventilatory efforts are undoubtedly increased by the narrowed tracheal lumen. Any seasonal temperature elevations and resultant increased respiratory effort to dissipate heat will further worsen respiratory distress. Aggressive antimicrobial therapy is indicated and more specific evaluation such as bronchoscopy and endobronchial lavage should be considered, if the patient will tolerate invasive testing. Repeated episodes of respiratory diestess should be anticipated, given the very small tracheal cross-sectional area and the pulmonary injury that likely has accrued to date. Long-term antibiotic therapy will probably be required, and ancillary use of physiotherapy such as nebulization and coupage is probably also prudent. Internal medicine consultation is encouraged. The attendant expense and effort that likely will accompany repeated episodes of respiratory disease in this patient should be discussed carefully with the guradians of this patient.
So basically what this all means is if I am not monitored properly and not cared for properly I will die, pure and simple.
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Name:
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Grace
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Age:
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3.5
months
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Gender:
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Female
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Breed:
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Bulldog
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Location:
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Seattle,
WA
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Status:
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In
Foster
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