Image Quiz: Why is this 3-year-old pug acutely regurgitating?


Image Quiz: Why is this 3-year-old pug acutely regurgitating?

Nov 06, 2012

A 3-year-old spayed female pug was presented for evaluation of inspiratory stridor and regurgitation of three weeks' duration. The patient was nonresponsive to medical management consisting of metoclopramide, famotidine, and maropitant citrate.

On physical examination, stenotic nares and inspiratory stertor consistent with brachycephalic upper airway syndrome were noted. The rest of the physical examination findings were normal, and the results of a complete blood count and serum chemistry profile were unremarkable.

Based on the dog's history and physical examination findings, survey radiography (above) and a barium contrast gastrointestinal study were performed (below).

What's your diagnosis?

a) Aspiration pneumonia

b) Megaesophagus

c) Hiatal hernia

d) Gastroesophageal reflux

More Image Quizzes

Image quiz: What’s causing this puppy’s strange gait?

Are you an X-ray expert? Test your skills with this case of an unsteady standard poodle pup.

Image quiz: Persistent evidence of parasites on a fecal flotation test

This beagle mix has been treated multiple times for similar findings. Can you figure out what’s going on?

Image Quiz: Can this dog's teeth be saved?

Test your skills at assessing troubled teeth with this quick veterinary dentistry quiz.