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 Echo M-Mode Color Flow Doppler Diagnosis

Case 9

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

Signalment

bullet10-year-old M Poodle/Schnauzer weighing 10 kg ("Bingo")

Presenting Complaint

bulletDifficulty breathing for about one month

History

bulletBingo is a ten-year-old male outdoor dog who has been coughing for the last few months.
bulletThe owner's daughter thinks the coughing is more frequent in the morning but that it persists throughout the day.
bulletShe has seen him cough up thick, white, viscous material. The cough is described as being similar to a choking noise.
bulletLately Bingo has also been tired and will sit down on walks.
bulletHe has been losing weight.
bulletThere is no referral veterinarian.

Physical Examination

bulletTemp=100.8 Pulse=144 Respiratory rate=96 (pant)
bulletBingo attempted to bite when his ears were touched, so his ears, nose, throat, and eyes were not carefully examined.
bulletHe has mats in his hair coat and is thin, with a body condition score of 3/9.
bulletHe has a V/VI left apical systolic murmur that is also a IV/VI on the right side. On auscultation, an arrhythmia was noted.
bulletWheezes were ausculted in his left lung fields, and he has crackles in his right ventral fields. There is a significant abdominal component to his breathing.
bulletThe rest of the physical exam was unremarkable.

Problems

bulletCough
bulletAbnormal lung sounds
bulletV/VI left apical systolic murmur
bulletCardiac arrhythmia
  

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