Patrizia Knafelz, DVM
Supervising Clinician: Mark D. Kittleson,
intact female Maine coon cat
|History of systemic
|Newman was referred to the VMTH
Emergency Service three days ago after his veterinarian diagnosed a
partial saddle aortic thromboembolus.
Three days ago he was knuckling his right hind leg
and dragging it. The right caudal foot was cool
and the femoral pulse was weak
in this leg. He is back for a recheck examination
today. The client says the foot has now
warmed up and Newman is walking better, although his right hind leg has been
|A murmur was first noted 3 months
ago by a veterinarian in Pennsylvania.
|Newman has seemed less active for the last couple of
weeks. He has panted when stressed (at veterinarian's
office; after bath) for a long time. He has never
been seen panting after exercise. No coughing. |
|No other known problems. No surgery since neuter.
Vaccinated for travel in April. |
|TRAVEL: Newman has lived in Portland and Spokane. He
has been in Philadelphia for the last four years and recently moved to
Fairfield, CA. |
|ENVIRONMENT: He lives with one
other cat (Newman's brother) and one dog - both
healthy. Cats are mostly outdoors. |
|DIET: Science Diet hairball adult. Recently some wet
|No C/S/V/D/PU/PD. |
|GEN: BAR, hydrated by skin turgor. T=102.5, HR=220,
RR=72. Wt=6.1kg. |
|INT: Full coat, no masses or lesions noted. Small
amount of flea dirt. |
|EENT: Ears: Mild wax. Eyes: Sclera, cornea and
anterior chamber clear, no discharge. Nose: No discharge. Mouth: mm pink,
CRT~1sec. Mild tartar. |
|MS: Symmetric musculature, BCS 6/9. Ambulatory x 4. No
knuckling. Walk is symmetric; hind feet stay very close to floor during
walk. Able to jump to counter easily. |
|CV: III-IV/VI left apical systolic murmur. No
arrhythmia ausculted. Femoral pulses strong and synchronous.
|RESP: No crackles or wheezes ausculted.
|GI: Bowel loops smooth with no thickening. No masses
or organomegaly palpated. |
|GU: No discharge. |
|NS: Grossly normal; full neuro exam not performed.
|LN: Axillary LNs~1cm, popliteal~1.5cm.
|Systolic heart murmur|
|History compatible with the presence of a
thromboembolus to the right hind leg|