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 2D Echo M-Mode Color Flow Doppler Diagnosis

Case 8

Primary Clinician: Mark D. Kittleson, DVM, PhD, DipACVIM (Cardiology)

Signalment

bulletTwo-year-old FS Maine coon cat weighing 4.4 kg ("Kassie")

Presenting Complaint

bulletCardiac evaluation for possible hypertrophic cardiomyopathy (heart murmur)

Pertinent History

bulletThe referring DVM ausculted a murmur during the last yearly examination.
bulletEKG from referring DVM was normal; referral radiographs showed enlarged pulmonary vasculature and generalized cardiomegaly.
bulletThe owner reports that Kassie is a very active cat.

Physical Examination

bulletT - 101.3; P - 160, R - 24.
bulletGENERAL: QARH. BCS 5/9. 
bulletINTEGUMENT: Thick coat; no scaling or alopecia. Lots of shedding.
bulletEENT: Eyes- clear corneas and anterior chambers. Very mild episcleral injection.
bulletMild mucked epiphora bilaterally. Ears are clean. Nose is moist and clean. Mouth-
slight halitosis. No noticeable calculus on teeth.
bulletMS: Well-muscled.
bulletCARDIOVASCULAR: Mucous membranes are pink and moist. CRT=1 sec. Femoral pulses within
normal limits. IV/VI right-sided systolic murmur.
bulletRESPIRATORY: Left side auscults clear; did not check the right side.
bulletGI: No masses or organomegaly. Smooth gut loops.
bulletGU: Both kidneys are smooth; bladder is lemon-sized and smooth-walled.
bulletNERVOUS: Not examined.
bulletLN: Mandibular, prescapular, and popliteal not palpable.

Problems

bulletGrade IV/VI right-sided systolic murmur
bulletCardiomegaly on thoracic radiographs (historical)
   

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