An 8-year-old neutered male Yorkshire terrier is presented for respiratory distress. The patient had been exhibiting a loud, progressive, honking cough for 18 months before presentation. The owners had attempted nebulization and coupage at home without improvement. Physical examination reveals a distressed patient with a respiratory rate of 60 breaths/min, loud upper airway stridor and stertor, and coughing. Temperature is 103.9°F (39.9°C), heart rate is 160 bpm, and mucous membranes are a muddy/cyanotic color. Oxygen is administered, and the patient improves enough for lateral radiography; radiographs reveal a grade III to IV tracheal collapse at the thoracic inlet and a mild interstitial pattern, most prominent in the caudodorsal region of the lungs.
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