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  • 1 BluePearl Pet Hospital, Southfield, MI 48034.

An 8.7-year-old 3.9-kg (8.6-lb) spayed female Shih Tzu was evaluated for dyspnea and episodes of coughing that started after being retrieved from a dog daycare facility earlier in the day. The owners reported that a larger dog had collided with their Shih Tzu and that no other trauma or violent interactions had been observed. The owners also reported that their dog was not receiving any medications, was current on vaccinations, and had not had any previous abnormal clinical signs, except during an instance of pancreatitis 5 years earlier.

On physical examination, the dog was quiet and alert and had

Contributor Notes

Address correspondence to Dr. Luce (brooke.luce@bluepearlvet.com).