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Hi Dr Edwards
Thanks for your comprehensive reply, much appreciated.
What is a bronchioalveolar lavage sample and a bronchoscopy, what could these potentially reveal or eliminate?
Hi again Cliff,Sorry for the delay - your reply has only just got to me. A BAL (bronchioalveolar lavage) is taken with your girl asleep and an amount of sterile saline is placed (via a long tube) into the lower airway, and then retrieved again. The fluid is then spun down and the sediment viewed via microscopy. Through this technique we can get an idea whether this could be due to infection, parasites, asthma or a tumour. Likewise the bronchoscopy (an endoscope placed in the lower airway) can give us information about what the bronchi look like as well as whether there is inflammation or any tumors in the lower airway. The scope itself can also be used to collect fluid or tissue samples.Both of these techniques require anaesthesia however - so I personally wouldn't carry these out on a high risk case like Tequilla (sorry there was a spelling mistake in my first post - I should have said would NOT carry out on a pug of her age rather than just 'would'!). Opt for the non invasive options first (echo and ECG).I hope this helps and let me know how you get on.Kind Regards,Dr E