11/22/2024
No longer available
🔴🔴URGENT!!
Euthanasia date is 11/27!!!🔴🔴
🚨🐾🚨🐾🚨🐾🚨🐾🚨🐾🚨🐾🚨🐾🚨
Medical rescue needed for Edna
Female spayed 3 year old English bulldog mix.
History: P presented for suspected choking. Crystal sent a radiograph to Dr. Rachal and video of P. On radiograph, P has abnormal soft tissue opacity dorsal to the trachea at the level of the pharynx. There is also an abnormal soft tissue opacity at the level of the larynx. In the video, P is clearly in respiratory distress with upper respiratory stridor. This all started approximately 30 minutes beforehand.
Upon arrival, patient was taken to treatment table and placed on flow by oxygen. A 20g IV catheter was placed in her right cephalic vein. Butorphanol 0.8mL was given IV. Multiple ET tubes of varying sizes, equipment to perform an emergency tracheostomy, a laryngoscope and multiple sizes of forceps were laid out. Propofol was then given IV (9.4mL) to effect. Dr. Rachal was able to pass a size 5 ET tube temporarily down her trachea to be able to supply some level of Oxygen. An approximately 1 1/2 cm pink, fleshy mass was noted on the ventral aspect of the tracheal opening. At that point, it could not be determined whether it was a polyp vs a tumor vs something else. Forceps were used to try to grab it in case it was a polyp as those can be removed and a large amount of purulent material was expressed. Once smaller, it was apparent that this came from the left side-just behind the left laryngeal saccule. 5 ET tube was then removed and a size 7 cuffed ET tube was placed, inflated and tied into place. At that point, Isoflurane was started to keep patient under anesthesia so that further examination could be done with patient more stable.
Exam:
Eyes/Ears/Nose/Throat: OD) pr*****ed third eyelid gland, heavy green mucoid discharge, scleral injection, conjunctivitis. OS) moderate green mucoid discharge. AU) normal. Nose-mild nares stenosis, skin is dried/crusty. Throat-see surgical/sedation notes.
Oral Cavity: Elongated soft palate and inverted laryngeal saccules-brachycephalic syndrome. Teeth are worn with mild dental tartar. Abscess at level of larynx and retropharyngeal space
Hydration: Mild dehydration
Heart: Normal rhythm, no murmur, femoral pulses strong and synchronous
Respiratory: Initially P had significant upper respiratory stridor. Post-procedure, she had some mild nasal snoring but otherwise breathing well. Lungs clear.
Abdomen: All abdominal organs palpate normal
Musculoskeletal: BC=3.5-4/9-underweight.
Urogenital: Normal
Neuro: Normal
Integument: Abnormal-severe diffuse alopecia with erythema and inflammation and thickening of skin, scale, papules, pustules. OHE site: 1cm open incision with underlying tissues exposed down to and through the subcutaneous layer-body wall intact-mucoid and purulent material present both on internal surfaces and around the external edges-no way of saying 100% how long it's been open and infected but it doesn't look like something that's happened in the last few hours.
Peripheral Lymph Nodes: Normal
Skin scrape (no charge): no mites seen. Skin surface cytology (no charge): sheets of neutrophils with sheets of cocci, few scattered malassezia seen
Blood was drawn for a CBC/Chem.
Red rubber catheter used to aspirate out purulent material from around and behind larynx. Samples taken for in house cytology and culture. Ultrasound scan of neck performed-no other major pockets of fluid noted that could be separately aspirated beyond what we had already done. Main concern at this point was the fact that she already has brachycephalic syndrome and this area, although not mostly clear of the abscess material, had a lot of inflammation and once we turned off the anesthesia and pulled the ET tube, the inflammation could occlude her airway and lead to her not being able to breathe. 2-0 Monosorb was used to do temporary tie backs of both laryngeal saccules and to tie her elongated soft palate forward to the top of her mouth. This will keep her airway open until the swelling goes down.
Patient moved to recovery cage. Anesthesia stopped. P woke up smoothly and was breathing much better, however she did vomit a small amount of intact kibble. Cerenia injectable-2mL was given IV. Dexamethasone SP-0.5mL was given IV to decrease airway inflammation. Unasyn-4.2mL (20mg/kg) was given IV slow. Plasmalyte was run @ 60mL/hr overnight.
Plan: continue injectable treatments until Thursday then re-sedate to examine. If things are looking good, ok to go back to shelter on oral meds.
CBC-non-regenerative anemia (HCT-26.7%, HGB-9.7), Neutrophilia with a left shift: suspect anemia secondary to chronic disease from skin and infection
Chemistry-no significant abnormalities
❌DO NOT CALL THE SHELTER! ❌
Do not honor a pledge until we update the post with what rescue has pulled
Please send rescue tags to: [email protected]
All of these animals are located at
Grand Prairie Animal services
2222 W Warrior Trl
Grand Prairie Texas, 75052
Hours open to the public
Tuesday-Friday 10-6
Saturday 10-4
Closed Sunday-Monday
