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Case 13
Primary clinician: Mark D. Kittleson, DVM,
PhD, DipACVIM
(Cardiology)
Signalment
 | 1.5 year old female English bulldog weighing 18.6 kg
("Daisy") |
Presenting Complaint
| Heart Murmur |
| Syncope |
History
| Daisy was adopted about five months ago at which time the new owners
knew she had been previously diagnosed with a heart murmur. |
| A couple months ago, Daisy had an episode in which the owner described
as beginning with a choking-like action followed by Daisy falling into lateral
recumbency. Daisy remained unconscious for about one minute without movement
or defecation/urination. After regaining consciousness, it took Daisy about a
day to fully recover to her normal attitude. |
| A second episode occurred last week while Daisy was going down some
stairs. The owner was following behind and tried to help her get off the
stairs at which time her front legs buckled under her and she remained
unconscious for less than one minute. After this episode, she seemed to perk
up immediately after the episode and seemed unaffected. During this episode,
Daisy's tongue went white, her body was cold, and she urinated. |
| Daisy is fairly active and climbs a long set of stairs to the owner's work everyday
without evidence of tiring. She is fed once a day. |
Physical Examination
| BARH; T=102.4; P=120; R=72; wt=18.6 Kg |
| Skin clean except for skin fold pyoderma on the nasal region. |
| There is a small skin mass
in the intrascapular lesion. |
| Teeth clean, ears clean. |
| Well-fleshed and symmetrical. |
| Femoral pulse strong, jugular pulse can be seen about 1/3rd up the neck. A V/VI systolic
murmur was ausculted at the left heart base. |
| Stertor was ausculted. |
| No abdominal abnormalities were palpated. |
| Mandibular, prescapular, and popliteal lymph nodes were all about 2 cm diameter. |
Problems
| V/VI systolic left basilar heart murmur |
| Syncopal episodes |
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