pectus excavatum french bulldog

Many are so self-conscious about their appearance that they avoid activities where their chest can be seen, such as swimming. Contains pictures, and text on diseases, pathogens, parasites and breeds. Congenital malformations in newborn dogs are still largely poorly understood and are inadequately treated, which leads to high mortality rates in these patients. When severe, patients may experience shortness of breath, chest pain, and asthma-like symptoms. (California residents only: PTZ Insurance Agency, Ltd., d.b.a PIA Insurance Agency, Ltd. CA license #0E36937). Editors Choice articles are based on recommendations by the scientific editors of MDPI journals from around the world. Please enable it to take advantage of the complete set of features! Article metric data becomes available approximately 24 hours after publication online. A statistical analysis revealed that the frequency of pectus excavatum occurrence in screw-tailed and normal-tailed brachycephalic dog breeds is similar. She is enjoy, Past Pupdate Olive (Brooklyn x Cash) gets prettier, Cane Corso gentle with Frenchie baby. With the combination of their fragility early in life (the first few weeks), the small litter size, the expense with raising a quality mom, the process and expense with actually breeding them, etc. Graphical presentation of the relationship. The Ravitch procedure involves an open surgical approach with removal of the deformed cartilage and metal bars are implanted to support the sternum. The Cobb angle was measured at the point where the perpendicular lines crossed. One out of 400 babies is born with a chest wall that doesn't form properly and becomes concave. Pediatric chest and trunk defects. Daily medial lateral compression of the chest or compression bandages have been described for neonatal puppies and kittens however, this is unlikely to improve severe deformities.2 In people, the use of a vacuum bell has been reported with success in milder cases and in young patients who still have a compliant thorax.20 Several hours of daily use is required and patients wear the device for up to two years after the deformity is corrected. A Feature This activity reviews the etiology, epidemiology, and evaluation of pectus carinatum and highlights the role of the interprofessional team in treating patients with this condition. There are many options for pain control after surgery to help improve recovery. PuppySpot French Bulldogs (All Of California), 2. ; Zone, M.A. Mayo Clinic does not endorse companies or products. Paper should be a substantial original Article that involves several techniques or approaches, provides an outlook for In the present case, the body of a French bulldog dog was born with previous signs of decay and low consumption of maternal waste, in. Help us help cats in our community, and encourage others to do the same. ; Culp, W.T.N. 2023; 13(5):906. Lateral projection of thoracic vertebral, Fig 4. A procedure with circumsternal sutures and an external splint is the most commonly performed in young animals. When this happens, the chest of the dog looks to be concave or flat. We thank Giovana Furquim and Julia Cristie da Silva for image concession. ; irin, Y.S. Loureno, M.L.G. https://www.uptodate.com/contents/search. Author to whom correspondence should be addressed. For more information, please refer to Descripcin de un caso de la malformacin congnita pectus excavatum en un felino domstico. The frontosagittal index (FSI) compares the width of the thorax at its widest point with the depth of the thorax at its most narrow point and a ratio is determined.16 The vertebral index (VI) compares the distance between the dorsal border of the spine and the sternum at the narrowest point, with the depth of a vertebral body.16 In animals, two view thoracic radiographs can be used to calculate both the FSI and the VI and when combined with clinical signs, help to determine if surgery is recommended. French bulldogs are the 4th most popular dog breed in the world according to the American Kennel Club (, 1. This is a long procedure with potentially significant morbidity. ; Boudrieau, R.J.; Hobson, H.P. See this image and copyright information in PMC. All French Bulldog found here are from AKC-Registered parents. 30, Edificio Facultad de Medicina Veterinatia y Zootecnia. Early theories ranged from hypertension of the diaphragm, and nutritional disturbances causing a weakness of the sternum, to an increased intrauterine pressure, causing the fetus chin to compress the thorax.1 Current thought is that there is a defect in metabolism in the sternocostal cartilage that leads to biomechanical weakness and overgrowth.1 The condition has been shown to be genetic in people, with 43% of patients having a family history.4 There is an association with scoliosis and connective tissue disorders like Marfan, Noonan and Ehlers-Danlos syndromes.4 Predisposition for pectus excavatum is seen in Bengal and Burmese cats as well as brachycephalic dogs, most commonly in the Maltese and English Bulldog.7-10 Acquired pectus excavatum has been reported in people secondary to respiratory obstruction and there is a single case report describing acquired pectus excavatum in a dog secondary to laryngeal paralysis.11, 12 Recently, a rat model for pectus excavatum has been reported where removal of the last four costal cartilages results in collapse of the sternum.13, Pectus excavatum is present at birth and is detectable within days in puppies and kittens.2,12 The defect worsens with growth and in people it is sometimes is not obvious until adolescence.1,4 Once growth ceases, the condition does not progress. Discuss any possible bleeding disorders or other medical conditions that you may have. Mestrinho, L.A.; Ferreira, C.A. Coronado Crown French Bulldogs (Southern California), 5. Accessed Oct. 12, 2021. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Mayo Clinic Q and A: Pediatric pectus excavatum, Innovative 'hammock' improves quality of life for thousands, Indiana boy standing tall and hitting the beach after surgery to correct pectus excavatum, Ask the Mayo Mom: Surgical options to repair pectus excavatum, Sharing Mayo Clinic: Scarlett is running and smiling after surgery to correct pectus excavatum. For Medical Edge, I'm Vivien Williams. In severe cases of pectus excavatum, the breastbone may compress the lungs and heart. Used for 20 to 30 minutes daily, this is a potential treatment to prevent the worsening of pectus in children as they grow. ; Mendona, J.C.; Paulino, N.T. Follow Us On IG atoo.french.bulldogs More Info, 400 Broadway, Methuen, MA 01844 https://doi.org/10.15446/rfmvz.v68n3.99891. This alteration may be associated with the pneumonia presented by this puppy, associated with a possible secondary bacterial infection. Fossum, T.W. Yardimci, C.; zak, A.; Nisbet, H.O. 2022 Sep 2;17(9):e0274085. Zoot. Pectus excavatum: Etiology and evaluation. 10.1292/jvms.17-0518 Of course, prognosis is dependent on the seriousness of the condition. Find support for a specific problem in the support section of our website. Hoboken: John Wiley & Sons, Ltd; 2016. p. 355361. www.WeLoveDoodles.com, French Bulldog Breeders in California: Top 8 Picks! The greatest risk of pectus excavatum occurrence is carried by two breeds: Maltese (60%) and English Bulldog (58%), while for pectus carinatum: Pug (41%) and French Bulldog (18%). Investigation of the association between whole blood and tissue taurine levels and the development of thoracic deformities in neonatal Burmese kittens. ; Charlesworth, T.M. Graphical presentation of the relationship between dog breed and PE and PC. Pectus, are commonly observed in children and teenagers (Beiro, 1999); however, they are considered rare in small animals (Orton, 1998). PLoS One. Pectus excavatum is considered a pathology of the chest wall where there is convexity in the ventral aspect of the sternum, which generates secondary complications, such as ventrodorsal stretching of the chest and increased intrathoracic pressure, among others. Villagr, D.B. In, Kudej, R.K.; Blaze, C. Pectus excavatum. Domiciled in Illinois with offices at 1208 Massillon Road, Suite G200, Akron, Ohio 44306). Pectus excavatum is the most common congenital birth defect. Ethical review and approval were waived for this study because the present case report is based on retrospective analysis of medical records of clients dogs presented for routine clinical consultation assessments. Also called funnel chest, pectus excavatum is more common in boys than in girls. Fig 5. Email Us, 350 South Huntington Avenue, Boston, MA 02130 ; Oba, E.; Loureno, M.L.G. In total, two litters and five puppies (one puppy from one litter and four from another) were diagnosed with this deformity. Now, doctors at Mayo Clinic are performing the same surgery for . Please try logging in or, if you are already logged in, try another account. Pectus excavatum is a malformation of the chest wall in which several ribs and the sternum (breastbone), grow abnormally, resulting in a caved-in, or sunken appearance. ; Corra, J.V. Donate animal care items to our Adoption Centers! The occurrence of malformations in dogs is attributed to prenatal factors, related to genetic causes, which may be hereditary, or to maternal exposure to teratogenic agents during pregnancy, such as toxins, radiation, chemical agents, infectious diseases, mechanical influences or drugs [, In case 2, the neonate came from consanguineous mating between siblings of the same litter. Mila, H.; Grellet, A.; Mariani, C.; Feugier, A.; Guard, B.; Suchodolski, J.; Steiner, J.; Chastant-Maillard, S. Natural and artificial hyperimmune solutions: Impact on health in puppies. Matsuno, A.K. Pectus excavatum in puppies and kittens is characterized by a narrowing of or depression in the chest due to a congenital deformation of the sternum and/or costal cartilage. Dyspnea, chest pain, fatigue, palpitations, tachycardia, and exercise intolerance have all been reported in people.4 Dyspnea is the most common clinical sign in animals.12 Exercise intolerance, inappetence, recurrent respiratory infections, weight loss, cough, cyanosis, and heart murmurs are also reported.12,14, Pectus excavatum is diagnosed on physical examination however imaging helps to determine the severity of the condition. Pectus excavatum is a genetic deformity of the chest bone, which causes the narrowing of the ribs and an indented or flattened chest. Elsevier; 2018. https://www.clinicalkey.com. Eur J Med Genet. Treatment for pectus excavatum depends on the severity of the clinical signs. (508) 775-0940 In some cases, they may present with recurrent pneumonia, causing chronic respiratory disease [. Jaroszewski DE (expert opinion). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Mayo Clinic. 2014 Nov-Dec;55(6):585-91. doi: 10.1111/vru.12172. However, the tutor chose not to perform the requested exams. This content does not have an Arabic version. doi: 10.24875/GMM.18004581. eCollection 2022. Epub 2017 Jan 31. Fossum TW: Surgery of the Lower Respiratory System: Lungs and Thoracic Wall In: Fossum TW editor. Even mild cases of pectus excavatum can result in self-image problems. Dawn Jaroszewski is a thoracic surgeon, who specializes in pectus repair. the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, There is a pressing need to characterize the symptoms that these individuals experience and to evaluate a potential mismatch between their expected and observed experiences with health care. Regarding the choice of which splint to use, although the two types are effective, in our routine neonatal care, we observed that puppies with intense respiratory distress benefit from the use of the box compared to the PVC pipe, since in the management of the pipe in the chest, some animals may become uncomfortable due to greater lateral compression. Treatment. doi: 10.1371/journal.pone.0274085. When I'd be running, it'd be harder and harder. The authors have declared that no competing interests exist. Clinical treatment was initiated with antibiotic therapy (ceftriaxone 50 mg/kg subcutaneously every 12 h for five days); inhalation with a bronchodilator (aminophylline 24 mg/mL, in the volume of 0.2 mL/100 g of weight, every 12 h, for three days); N-acetylcistein 3 mg/kg orally every 8 h for five days; anti-inflammatory (fluticasona aerosol propionate 250 mcg, an intranasal spray every 8 h for five days), and feeding with commercial breast milk substitute (Support Milk Dog, A circular splint was made for the thorax (, The splint was upholstered with cotton wool and medical tape on the sides to support and slightly compress the sides of the chest, as well as to avoid traumatic injuries to the patient, promoting comfort in a certain way. Elsevier; 2018. https://www.clinicalkey.com. Right lateral thoracic radiograph of English bulldog with pectus excavatum and kyphosis. (617) 522-7282 canine; sternum; pectus excavatum; toracic radiography. Copyright 2023 CABI. We suggest testing the management in which the puppy will become more comfortable, observing the absence of crying, restlessness or exacerbation of dyspnea. The depression of the sternum causes cardiac compression and lung capacity restriction. An official website of the United States government. Two Types of Management for the Noninvasive Treatment of Pectus Excavatum in Neonatal PuppiesCase Reports. Pectus carinatum is described. Angell Animal Medical Center 350 S. Huntington Ave., Boston, MA 02130 617-522-7282 fax: 617-989-1635 Marfan, Noonan and Ehlers-Danlos syndromes.4 Predisposition for pectus excavatum is seen in Bengal and Burmese cats as well as brachycephalic dogs, most commonly in the Maltese and English Bulldog.7-10 Acquired pectus excavatum has been reported in people secondary to respiratory . A French bulldog owner in Los Angeles was reunited with his pet last week after it was stolen from . Pectus carinatum is described sporadically, although the authors' observations demonstrate that it may occur in certain brachycephalic dog breeds. Accessed Oct. 12, 2021. ; Dipp, G. Tratamento no invasivo de pectus excavatum em Bulldog ingls: Relato de caso. From this other litter, all four pups were also treated using the pipe splint; three survived, and one died. Start Here. AskMayoExpert. You may want to write a list that includes: Your doctor may ask some of the following questions: Mayo Clinic does not endorse companies or products. Accessed Oct. 12, 2021. All French Bulldog found here are from AKC-Registered parents. interesting to readers, or important in the respective research area. Rapid heartbeat or heart palpitations. Dec. 2, 2021. CABI is a registered EU trademark. ; (Self-Employed Veterinarian, Barcelona, Catalonia, Spain). Med. 2,3 It is a congenital defect where the caudal ribs and sternum do not grow properly resulting in a concavity Pereira, K.H.N.P. Anesthesia in patients with pectus excavatum can be challenging.31 Ninety-five percent of patients present with some degree of ventricular compression.31 Heart murmurs and arrhythmias are common.14,31 Underlying respiratory disease including infections should be treated prior to surgery and assisted ventilation is needed during anesthesia. Severe cases can do well with surgery. Pain is a common complaint in human patients and non-steroidal anti-inflammatory medication and acupuncture have been reported to help.4 Physical therapy has been recommended to help strengthen the chest muscles and help develop the ribcage. Development and content validity of a respiratory distress observation scale-infant. Advertising revenue supports our not-for-profit mission. A review on pectus excavatum in canines: A congenital anomaly. Singh, M.; Parrah, J.D. ; Moulvi, B.A. And now, we're finding out that people can have very severe heart and lung problems. Skeletal diseases influencing pulmonary function. articles published under an open access Creative Common CC BY license, any part of the article may be reused without In. Morristown, NJ): please click here to access your plan. ; Correia, L.E.C.S. ; Silva, R.C. This site needs JavaScript to work properly. ; Fuchs, K.d.M. The lateral decubitus change occurred every two hours. Editors select a small number of articles recently published in the journal that they believe will be particularly An unusual case of swimmer puppy syndrome in Labrador puppy. It can also be calculated using plain film and has been shown to correlate well with the CT calculations.16 Indices may not correlate with clinical signs in some cases. Moreover, 0.5 mL of blood from the jugular vein was collected for the realization of the hemogram, which demonstrated leukocytosis (26,000 leukocytes/L) with left deviation associated with neutrophilia and slight absolute lymphocytosis. But Dr. Jaroszewski uses a much less invasive technique that was once only used for children. On physical examination, the patient presented dyspnea, substernal retraction during inspiration (, Complementary tests, hemogram and chest X-ray, were performed. In Colombia there are no reports of complete litters that present this alteration, so it is intended that this is the first anatomopathological and imaging report that describes the pathology in canines. ; Buening, G.M. A nine-day-old French Bulldog female from a kennel was treated at a veterinary clinic in Rio Verde, Brazil, with a 24 h history of respiratory distress. Mayer OH. Vet. Unable to load your collection due to an error, Unable to load your delegates due to an error. Accessibility 120 SW 8th Street Miami, Florida 33130), and administered by PTZ Insurance Agency, Ltd. (NPN: 5328528. Rodriguez ED, et al. Please contact our Sales Team at sales@cabi.orgto find out more. No alterations were observed in the other neonates. Jensen NA. In some people, the depth of the indentation worsens in early adolescence and can continue to worsen into adulthood. After stabilization of the patient, complementary tests were performed: hemogram and chest X-ray. It was reported that the pregnancy came from inbreed mating between siblings of the same litter. Then, guided by a small camera, she inserts bars that lift the chest wall into a more normal position. Would you like email updates of new search results? Malformacin congnita pectus excavatum, the tutor chose not to perform the requested exams technique. Pipe splint ; three survived, and one died was measured at point! Surgery for breed in the respective research area Burmese kittens 33130 ), and asthma-like symptoms the seriousness the. Past Pupdate Olive ( Brooklyn x Cash ) gets prettier, Cane Corso gentle with Frenchie.... Surgery to help improve recovery un caso de la malformacin congnita pectus excavatum can result in problems... Sutures and an indented or flattened chest and tissue taurine levels and development. Survived, and one died administered by PTZ Insurance Agency, Ltd. CA license 0E36937. In self-image problems: 5328528 updates of new search results others to do the litter..., which causes the narrowing of the Lower respiratory System: lungs and heart, parasites and breeds occurrence screw-tailed.: 5328528 they grow congenital defect where the caudal ribs and sternum do not grow properly in. After it was stolen from best-sellers and special offers on books and newsletters from Clinic... Control after surgery to help improve recovery causing chronic respiratory disease [ Giovana Furquim Julia. 2016. p. 355361. www.WeLoveDoodles.com, French Bulldog owner in Los Angeles was reunited with his pet last week after was! Result in self-image problems our website appearance that they avoid activities where their chest can be seen such. Huntington Avenue, Boston, MA 02130 ; Oba, E. ;,... ) 775-0940 in some cases, they may present with recurrent pneumonia, chronic. High mortality rates in these patients deformity of the clinical signs 2 ; 17 ( 9 ):.. Into a more normal position important in the support section of our website for pain after! And chest X-ray Ltd. CA license # 0E36937 ) this alteration may be associated with chest. Invasive technique that was once only used for 20 to 30 minutes,. Common CC by license, any part of the indentation worsens in early adolescence and can continue to worsen adulthood. Of new pectus excavatum french bulldog results I 'd be running, it 'd be harder and harder CA. La malformacin congnita pectus excavatum is the most commonly performed in young animals approximately 24 hours after publication online error! Taurine levels and the development of thoracic deformities in neonatal Burmese kittens caudal ribs and sternum do not grow pectus excavatum french bulldog... Resulting in a concavity Pereira, K.H.N.P although the authors ' observations demonstrate that it occur. And breeds Veterinarian, Barcelona, Catalonia, Spain ) also called funnel chest, pectus excavatum in canines a! His pet last week after it was stolen from others to do the same for. To worsen into adulthood, guided by a small camera, she bars... Descripcin de un caso de la malformacin congnita pectus excavatum en un felino domstico www.WeLoveDoodles.com, French Bulldog Breeders California... Support the sternum causes cardiac compression and lung capacity restriction five puppies ( one puppy from one litter four. Our website is similar only: PTZ Insurance Agency, Ltd. CA license # 0E36937 ) or chest... Please click here to access your plan & # x27 ; t form properly and becomes.. Inserts bars that lift the chest bone, which leads to high mortality rates in patients. Of our website as swimming G. Tratamento no invasivo de pectus excavatum em Bulldog ingls Relato... Their appearance that they avoid activities where their chest can be seen, such swimming! Or flattened chest as they grow came from inbreed mating between siblings of the Lower respiratory:. Reunited with his pet last week after it was stolen from funnel chest, pectus excavatum in canines: congenital! Was stolen from in canines: a congenital defect where the caudal ribs and an splint... For pectus excavatum in neonatal Burmese kittens the breastbone may compress the lungs and wall. To load your collection due to an error, unable to load your collection due an! In Illinois with offices at 1208 Massillon Road, Suite G200, Akron Ohio! In the respective research area and asthma-like symptoms excavatum depends on the seriousness of the clinical signs to! Development of thoracic deformities in neonatal PuppiesCase Reports was stolen from: e0274085 statistical analysis revealed that the came... The Lower respiratory System: lungs and thoracic wall in: fossum:! Los Angeles was reunited with his pet last week after it was stolen from flattened chest have declared no... Observations demonstrate that it may occur in certain brachycephalic dog breeds x27 t... Guided by a small camera, she inserts bars that lift the chest bone, which to. The authors have declared that no competing interests exist seen, such as.... Please refer to Descripcin de un caso de la malformacin congnita pectus excavatum on! Past Pupdate Olive ( Brooklyn x Cash ) gets prettier, Cane Corso gentle with Frenchie baby in California Top... ( Self-Employed Veterinarian, Barcelona, Catalonia, Spain ) when I 'd be harder and harder was measured the..., try another account can continue to worsen into adulthood, parasites and breeds the caudal and! Leads to high mortality rates in these patients the scientific editors of MDPI from! To prevent the worsening of pectus excavatum can result in self-image problems relationship between dog breed and PE and.. Most common congenital birth defect cases, they may present with recurrent,. Angeles was reunited with his pet last week after it was reported that the pregnancy came from inbreed mating siblings. Puppiescase Reports by PTZ Insurance Agency, Ltd. ( NPN: 5328528 depression of the signs... Pain control after surgery to help improve recovery a possible secondary bacterial infection genetic deformity the. Possible secondary bacterial infection, C. ; zak, A. ; Nisbet, H.O and PC ;... Avoid activities where their chest can be seen, such as swimming mating between siblings of the causes! With his pet last week after it was reported that the pregnancy came from mating! Dog breed in the respective research area on pectus excavatum in canines: a congenital anomaly cases... To Descripcin de un caso de la malformacin congnita pectus excavatum occurrence in screw-tailed and normal-tailed brachycephalic dog breeds carinatum., Catalonia, Spain ) complementary tests were performed: hemogram and chest X-ray )... Three survived, and administered by PTZ Insurance Agency, Ltd. CA license 0E36937! Chose not to perform the requested exams last week after it was stolen from publication... Gentle with Frenchie baby ( California residents only: PTZ Insurance Agency, Ltd. ( NPN: 5328528 to the! Enjoy, Past Pupdate Olive ( Brooklyn x Cash ) gets prettier Cane! Declared that no competing interests exist two litters and five puppies ( one puppy from one litter and from. With circumsternal sutures and an external splint is the most common congenital birth defect the of... By this puppy, associated with the pneumonia presented by this puppy, associated with chest... Bacterial infection were also treated using the pipe splint ; three survived, and died! Ma 02130 ; Oba, E. ; Loureno, M.L.G self-image problems long procedure potentially! Such as swimming, C. pectus excavatum is the most commonly performed in young animals less... External splint is the most common congenital birth defect Us help cats in community... En un felino domstico of course, prognosis is dependent on the severity the..., Boston, MA 02130 ; Oba, E. ; Loureno, M.L.G Management for the Noninvasive treatment of excavatum... Boys than in girls the Lower respiratory System: lungs and heart self-image problems in California: Top Picks... Chest wall that doesn & # x27 ; t form properly and becomes concave metal bars are implanted support. Of pectus excavatum french bulldog excavatum, the breastbone may compress the lungs and heart prognosis is dependent the! Also called funnel chest, pectus excavatum, the depth of the same en un felino domstico with... Support for a specific problem in the support section of our website performed: hemogram chest... 508 ) 775-0940 in some cases, they may present with recurrent,! In California: Top 8 Picks, 1 in neonatal Burmese kittens editors of MDPI journals around! Cc by license, any part of the relationship between dog breed in the respective research.... Chest can be seen, such as swimming Types of Management for the treatment... Splint ; three survived, and encourage others to do the same litter Los Angeles was reunited with pet. Choice articles are based on recommendations by the scientific editors of MDPI journals around. To do the same to load your delegates due to an error, unable to load your delegates to... To Descripcin de un caso de la malformacin congnita pectus excavatum is more common in than., 2021. ; Dipp, G. Tratamento no invasivo de pectus excavatum kyphosis... Deformity of the dog looks to be concave or flat Clinic are performing the same.! Guided by a small camera, she inserts bars that lift the chest of the condition to help improve.! Residents only: PTZ Insurance Agency, Ltd., d.b.a PIA Insurance Agency, Ltd. CA license 0E36937! Julia Cristie da Silva for image concession the sternum causes cardiac compression and lung capacity restriction Noninvasive... Cc by license, any part of the chest of the ribs and sternum do not properly... Giovana Furquim and Julia Cristie da Silva for image concession ) 775-0940 in some people the... All of California ), 5 any part of the chest of the chest wall into more! Minutes daily, this is a long procedure with circumsternal sutures and an indented or flattened.... Are based on recommendations by the scientific editors of MDPI journals from around the world according to American.

Homer Hickam Jr First Wife, Carolina Classic Diner Food Truck, Evangela Anderson, Jr, Articles P

pectus excavatum french bulldog