 | Stubs was born 10 weeks ago. He was the last of twelve puppies and was discovered still
in the amniotic sac. The sac was cleared and he breathed and nursed normally.
|
| Three weeks
ago the owners noticed that Stubs was having trouble breathing and was lethargic and weak.
He was taken to the referring DVM where radiographs were taken and pulmonary abnormalities
were identified. |
| The referring DVM started a 5 day course of amoxicillin and another
antibiotic BID. Stubs seemed to respond to antibiotics. |
| However, ten days ago he had
another episode of respiratory distress and a temperature of 96 degrees. He was rewarmed,
given a little maple syrup and admitted to the referring hospital. |
| Stubs was placed on injectable antibiotics (type unknown by owner) and radiographs were retaken. These
radiographs revealed a markedly enlarged heart and the dog was given an injection of a
diuretic (type unknown) and referred to the VMTH emergency service. |
| Stubs has a good
appetite but is not gaining as much weight as the other litter mates. |
| No
vomiting/sneezing/diarrhea. |
| Owner noted "moist" sounds during the episodes of respiratory distress
but no coughing. |
| No PU/PD or polyphagia noted; no stranguria, hematuria
noted. |
| No history of trauma. Stubs lives with his mother and 7 litter mates who are healthy.
He was given a diuretic at the referring DVM but is on no other medications. He was
dewormed at 3 and 6 weeks. He has had no immunizations. His diet consists of lamb and rice
kibble.
Physical Examination
| T: 101 P: 204 bpm R: 72 BAR 2. Full soft coat, no dermatologic lesions noted.
|
| Eyes, ears, nose: clean, no discharge or odor noted. |
| Throat: no masses detected, no cough on tracheal palpation.
|
| Thin, 2/9 BCS |
| Grade 5/6 left apical systolic murmur, gallop rhythm, weak femoral pulses. MM: pink,
CRT 2 s. A soft diastolic murmur was potentially present, however was difficult to discern
with certainty due to the high heart rate and 3rd heart sound present. No jugular pulses
present. |
| Tachypneic, harsh lung sounds, no crackles or wheezes detected. Moderate inspiratory
effort. |
| Smooth gut loops, no masses palpated. |
| Small smooth bladder |
| Cranial nerve function intact. |
| PLRs normal bilaterally. |
| Lymph nodes: WNL |
|
