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 Contrast Echo Doppler Diagnosis

Case 38

Primary clinician: Fiona Campbell, DVM

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

Signalment

bulletOne-year-old female Standard Poodle weighing 20 kg ("Brie")

Presenting Complaint

bulletHeart murmur

Pertinent History

bulletBrie, a 15 month old female Standard Poodle, presented to the UC Davis Cardiology Service for evaluation of a heart murmur identified following an exaggerated bradycardic response to sedation at the referring veterinarian's office 10 days ago.
bulletNO C/S/V/D and no decrease in activity level or appetite.
bulletDiet consists of a raw food diet consisting of approximately 1/2 lb of food grade beef, chicken, or pork. No supplementation.
bulletCurrent medications include a topical saline wash applied to both eyes.
bulletTraveled to Toronto, Canada for a 2 1/2 month period where he received Purina kibble diet. He lost 8 lb while on trip but has since gained it back while at home.

Physical Examination

bulletGEN: BAR, adequately hydrated based on skin turgor,
bulletINTEG: clean, full coat, no masses, no ectoparasites, no odor, no scales, no mammary masses, no discharge,
bulletHEAD: facial symmetry, temporal muscles not atrophied, nose clean, moist, no discharge,
bulletTHROAT: MM pink, moist, CRT 1.5sec, all teeth present, mild tartar, no gingivitis or calculi, tonsils in crypts
bulletEYES: PLR intact OU, sclera mildly injected, conjunctiva slightly hyperemic, cornea clear, anterior chamber clear, no ocular discharge, protruding 3rd eyelid mildly hyperemic OU, trichiasis
bulletEARS: clean, mild waxy debris, otic epithelium smooth, pink
bulletMS: BCS: 5/9, lean, adequate muscling , gait symmetrical
bulletCV: HR 88bpm, regular rhythm, grade I-II/VI left basilar systolic murmur, split S2, femoral pulses strong and synchronous.
bulletRR: Eupneic, normal bronchovesicular sounds all fields.
bulletGI: abdomen not distended or painful, smooth bowel loops, liver not beyond caudal rib
bulletGU: kidneys not palpated, bladder small, vulva not swollen , no discharge,
bulletLN: mandibular, prescapular, popliteal less than 1.5cm

Problem List

bulletHeart murmur
bulletHistory of bradycardia

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