A Case A Week for Veterinarians
Providing veterinarians a challenging case for brain storming every week ... A Case A Week a website for Vets prepared by Dr Mofya Saul and Dr Rajesh Banga.
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Monday, January 5, 2009
Case 10
Presentation:
5 month old, intact female pit mix canine was presented to AcaseAweek Clinic with chief complaint of hypersalivation and retching for few hours. Puppy was up to date on vaccination and deworming. Puppy is indoor/outdoor.


Physical exam:

  • QAR, slightly lethargic
  • Weight: 6.1kg
  • Choking and gagging induced by gentle palpation of the laryngeal region
  • Hypersalivation
  • MM pink
  • Abdomen distended
  • Fleas and ticks present
  • Waxy debris in both ears


Radiographs of head and neck region were taken as shown below:








Give radiographic interpretation.

What is your diagnosis? Give differentials for the signs presented.
How will you treat and manage this case?

posted by Dr Banga's Websites @ 12:00 AM  
1 Comments:
  • At January 6, 2009 at 11:38 AM, Blogger Irene Arboleda said…

    Radiographic Interpretation:
    Presence of radiopaque foreign body within the proximal/cervical portion of the esophagus.Esophageal dilation cranial to the foreign object is manifested as a radiolucent area.

    Diagnosis: Esophageal Foreign Body

    Differentials: Esophagitis, Esophageal stricture, Esophageal neoplasia, Megaesophagus

    Treatment and Management:
    Endoscopic Retrieval, if successful and there is minimum damage to the esophagus, patient may be discharged the same day.

    Surgery is recommended if endoscopy is not successful.

    If there is significant mucosal injury and esophageal ulceration, medications are recommended and may include analgesics (e.g. butorphanol), broad spectrum antibiotics, sucralfate slurry to protect and heal mucosa, ranitidine or metoclopramide for reflux esophagitis

     
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