C09996102 / invoice 10000

Admitted: 
X-rays (Chest)


Admitted: Imaging (Radiographs) 
Fasting (Small amount of food given this morning 
Consent (Recorded via Vet Check) 
Other requests (NIL) 

Reason for radiographs (thoracic radiographs )

Laboratory:
Pre-GA bloods (not peformed )


Pre-GA exam:
Demeanour (BAR)
Chest HR(120)bpm, RR(24)bpm
Temperature (38.3)C
MM (pink and moist ), CRT(CRT<2s)

Sedation administered () at ()
   Medication/doses (Butorphanol 0.2mg/kg - (0.15mL)mL)

Radiographic findings:
Views (three view thorax)
Assessment (Thoracic radiographs demonstrate mild cardiomegaly with a bronchial / bronchointerstitial pulmonary pattern. No evidence of pulmonary venous congestion or caudodorsal/perihilar alveolar pattern to suggest cardiogenic pulmonary oedema. Findings most consistent with chronic airway disease (chronic bronchitis) with possible concurrent early degenerative mitral valve disease given presence of low-grade murmur.

Plan 
Treatment plan:
Continue prednisolone, bronchodilator therapy, and codeine for management of chronic airway disease and cough suppression. Recommend monitoring resting/sleeping respiratory rate at home to screen for potential progression of cardiac disease. Consider further cardiac assessment (repeat thoracic radiographs, NT-proBNP, or echocardiography) if cough worsens, exercise intolerance develops, or resting respiratory rate increases.

Discharge
Client called and discharge appointment booked