Right so we've drained him it doesn't have any fusion so I just dumped his blood pressure again he doesn't have any well well we've drained him but he doesn't anymore thanks yeah but he's dumped the blood again okay we might need some help because I think we need to get my advice I've spoken to the vet consultant beforehand for the cppa he said you know obviously it's not time correction you know we need to go oh yeah we just need somebody to transfer that so we need to start the investigation yep so we've drained oh around 400 + spills I've just rescanned him this chart his rv looks pretty close now so it's not that so why is it dropping blood pressure we're just pumping with fluid yeah we're gonna get a cti out of ground but he was a lot more awake but he might be he's quite tabby abduction doesn't no no no and his history is for 3 weeks showing shortness of breath worsening isn't it his bnp is only 3 17 and his iv looks alright so we're missing something here yeah we don't know what it is initially we could say okay it was the effusion oh it's good sure enough yeah got it but why did the effusion go up from less than 1 to 1.9 was the maximum depth I got on the scan mhmm and and that usually irritates the the myocardium quite a bit we've had a look at the ct pa which is suggesting there is probably some muscle inflammation so we're going to try and get a ct ca at the same time we're going get a ct artogram autograft right just test so because he's focal escalation it's I think it's prudent that we try and do it today and then try and you know try and answer the questions we can k we don't find anything that's a different thing didn't think transferring him without right a lot more support is appropriate oh 0 yeah we're just popping with food because it's not just for sure again because it's gonna be yeah yeah for anything and then just come back I'm saying so he did have the terminal 1 and 1 while he was still out he did like sorry I became nonresponsive once while he was here before we transferred oh the hell is that sorry it's a bit behind there that's a big so yeah we don't have reason why this is functioning we were thinking outside the box whether tammy is a care whether you have to go to the yeah it is last time was november I built medical emergency to maukv16 I built medical emergency to well need to transfer and then yeah so why don't I need you guys here so how how soon and when are you going I was like you know when are going so can you get call the ct again yeah just to make sure that or bleed us and then bleed us for the transfer yeah is that right because

Summary
Investigations
Plans