Case Studies In Small Animal

Cardiovascular Medicine

Home Up 1    Pleural Fluid 2              Cough 3   Heart Murmur 4           Syncope 5       Tachypnea 6           Cyanosis 7   Heart Murmur 8   Heart Murmur 9              Cough 10    Heart Failure 11              Ascites 12    Pleural Fluid 13           Syncope 14     Bradycardia 15     Tachycardia 16                Blind 17   Heart Murmur 18   Resp. Distress 19        Collapsing 20    Heart Failure 21          Paralysis 22    New Murmur 23              Cough 24          Vomiting 25       Tachypnea 26   Heart Murmur 27      Hemoptysis 28  Limb Swelling 29  Heart Murmur 30 Acute Collapse 31 Enlarged Heart 32               Blind 33             Cough 34         Collapse 35         Collapse 36 Thromboembolus 37  Heart Murmur 38  Heart Murmur

Radiographs ECG 2D Echoes Color Flow Doppler Discharge

Case 37

Primary clinician: Sarah Miller, DVM

Supervising clinician: Mark D. Kittleson, DVM, PhD, DipACVIM (Cardiology)


bulletNine-week-old male rottweiler weighing 9 kg (Howie).

Presenting Complaint

bulletHeart murmur

Pertinent History

bulletHowie presented to the UCD VMTH Cardiology Service for evaluation of a III/VI systolic murmur ausculted by the referring veterinarian. He and his sister were adopted 3 weeks ago. Four other puppies in the litter were stillborn, and 2 were presumably consumed by the mother. Howie has always been smaller and tires more easily than his sister. He has shown no signs of coughing, collapse or dyspnea/tachypnea.
bulletNo c/s/v/d/PU/PD. Diet: Science Diet puppy.

Physical Examination

bulletGen: BARH. T=101.0, P=160, R=pant. Wt=9.0 kg. BCS=5/9.
bulletInteg: Full clean hair coat. No masses or parasites.
bulletEENT: Clear OU. Mild ceruminous discharge AU. Slight serous nasal discharge bilaterally. MM pink. CRT < 2 sec. No dental calculus or gingivitis.
bulletMS: BCS=5/9. Ambulatory x 4.
bulletCV: HR=160. Grade V/VI systolic murmur heard bilaterally, loudest over right basilar region. Palpable thrill at right base. Grade I/VI diastolic murmur heard best at left apex. Femoral pulses strong and synchronous.
bulletResp: RR=pant. Lungs clear and eupneic.
bulletGI: Soft non-painful abdomen. Smooth intestinal loops. No masses or organomegaly.
bulletGU: Prepuce clean. Testicles descended bilaterally.
bulletNS: Mentally alert.
bulletLN: Mandibular, prescapular, popliteal < 0.5 cm.


bulletGrade V/VI systolic right basilar heart murmur
bulletGrade I/VI left apical diastolic heart murmur


Correct Quiz


Mark D. Kittleson, D.V.M., Ph.D. All rights reserved.