[TxVicki]

I talked with Lizzie's Doctor last night and as it stands she has just has the Chronic Rhinitis issues that are proving to be very difficult to deal with.

I got a copy of her report this morning and I am posting it here. This is all so frustrating. I just hope she has no headaches with this.

Monday, February 14, 2011

Dr. Sherry Woods
Tara Animal Hospital Inc.
611 Cheek Sparger
Colleyville, TX 76034
Fax: (817)485-7147

Patient Name: "Lizzie" Patient #: 2951
Client Name: Vicki Kxxxxxxxx

Laboratory Tests:
Histopathology - IDEXX Laboratory Services (2/8/11):

PRIORITY BIOPSY W/ MIC (1 SITE)
Test
SOURCE/HISTORY

Patient has displayed eight months of nasal discharge which varies
from clear to mucoid with some blood. There has been no response to
antibiotic treatment.

MICROSCOPIC DESCRIPTION

A number of tissue fragments are received. These contain nasal mucosa
with scattered areas of clotted blood and mucopurulent exudate. The
mucosal elements of cells are fairly normal although there is a mild
increase in stromal lymphoid cells and neutrophils. No microorganisms
are noted within the exudate.

MICROSCOPIC INTERPRETATION

Mucopurulent rhinitis

COMMENTS

Lesions are inflammatory and potentially infectious although no
microorganisms were identified. A silver stain has been requested to
check for the possible presence of fungi. This should be completed and
reported early next week.

Special Stain Results
Tissue sections stained with a silver procedure to identify fungi showed no organisms within the lesions. 2/14/11

PATHOLOGIST

R. GAYMAN HELMAN, DVM, PhD
Diplomate, American College
of Veterinary Pathologists
(1-800-444-4210 x76725)
E-mail: gayman-helman@IDEXX.com

Diagnosis:
chronic rhinitis

Recommendations:
Lizzie has not shown much improvement with Zyrtec 5 mg daily and prednisone 10 mg daily, and the prednisone side effects seem to bother her. The dose will be decreased to 5 mg daily, Zyrtec 5mg or Claritin 5 mg daily will be given, and owner is going to restart topical tobramycin with dexamethasone into Lizzie's nose. We discussed the positive aspects that she has no evidence of tumor or fungal infection, but this will be a chronic condition that can be frustrating to manage. Owner was asked to keep me updated on Lizzie's condition as we try to find a successful management plan.

Please do not hesitate to contact us with any questions or additional information you have regarding this patient.

Sincerely,

Erika Haschke Pickens, DVM
Diplomate, ACVIM
(Small Animal Internal Medicine)

Veterinary Medicine Specialists of Dallas/Fort Worth
2700 West State Hwy 114
Grapevine, Texas 76051
v 682.223.9770
f 682.223.9771