Signalment

• Age: 7 years
• Sex: male neutered
• Breed: Pomeranian
• Species: dog

Disease Notes

• Certainty: confirmed
• Comments: 7 yr old Pom; clients feel he is just not doing well...poor stamina, has pain from a dog bite several weeks ago.
  
  He is Blood/Yin Def with TBO. Tongue is thin at tip and liver area, slightly pale
  
  Started XCHT + QJ
  Raw Diet
• Final Status:

Treatment and Outcome

Problem Notes

• Collapsing Trachea: Flattened on radiographs, coughs with excitement
  
• Flank Pain: Residual flank pain and occasional crying out following a bite from another dog several weeks prior
  
• Poor Haircoat: Coat is blanched, dry and skin is hyperpigmented along right flank
  
• Systolic Heart Murmur: Soft, systolic murmur left apex