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Cause of LAE and CHF?

Sonopath Forum

Cause of LAE and CHF?

– 5 year old male Cattle Dog , 20kg, seen at another clinic in May due to cough that was non-responsive to cephalexin and pred

– presented shortly after to emerg clinic in resp. distress, coughing bloody foam and tachycardia

– chest rads showed cardiomegaly, pulmonary edema and enlarged pulmonary veins; was treated for CHF and responded very well; now on furosemide, Enacard and pimo and has transferred to our clinic
– owners short on $$ but were able to come in today for follow-up bloodwork and echocardiogram (better late than never)

– 5 year old male Cattle Dog , 20kg, seen at another clinic in May due to cough that was non-responsive to cephalexin and pred

– presented shortly after to emerg clinic in resp. distress, coughing bloody foam and tachycardia

– chest rads showed cardiomegaly, pulmonary edema and enlarged pulmonary veins; was treated for CHF and responded very well; now on furosemide, Enacard and pimo and has transferred to our clinic
– owners short on $$ but were able to come in today for follow-up bloodwork and echocardiogram (better late than never)

– LAE seen on echo but can’t determine reason why? Aortic max and Pul max normal; no PAH; perhaps a trace MR? no VSD or other; EPSS normal

– the lungs showed multiple “lung-rockets” or comet tail artifcats with small areas of lung consolidation at the lung/chest wall interface; interstitial edema? other lung disease?

What has caused this patient’s CHF?