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Case 28
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Primary clinician: Kent
Talcott, DVM
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Faculty Surgeon: Andrew Kyles,
BVSc, DipACVS
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Consulting
clinician: Mark D. Kittleson, DVM, PhD,
DipACVIM (Cardiology)
Signalment
 | Four-year-old female Siberian Husky weighing 20 kg
("Drifter") |
Presenting Complaints
| Swelling on right front leg |
Pertinent History
| Drifter presents to the Soft Tissue Surgery Service for evaluation and
treatment of the soft tissue swelling on her right thoracic limb. The swelling
developed approximately 5 weeks ago, and the referring DVM noticed a palpable
pulse within the swelling. |
| Drifter is a sled dog, and her owner reports that trauma is likely, but
she does not know of a specific incident. |
| Drifter is not lame on the limb, and is not painful upon palpation;
however, her owner reports that she is "placing the foot carefully" when she
walks or runs. |
| Drifter trains during the winter for about 1 hour a day, and during the
summer she runs free in a large yard with 20 other sled dogs. She was one of
a litter bred by the owner, and is intended to breed as well as race. She
has regular heat cycles but has not yet been bred. |
| Drifter has been an otherwise healthy dog. Her owner reports that she
had a "stretched ligament" from a difficult birth, but that any
lameness resolved with physical therapy. |
| She is current on vaccines, and
receives ivermectin in the summer and prophylactic fenbendazole for
parasites. |
| She travels a great deal for races within Oregon, Washington, Idaho,
and California. |
Physical Examination
| GEN: BARH, friendly. T=100.9. |
| INT: Thick coat, no cutaneous lesions. Slight tear staining. Soft,
immobile swelling over anteromedial proximal antebrachium, approximately 3
cm wide, 1 cm high and 6 cm long, with palpable pulse and fremitus. No pain upon
palpation. |
| EENT: Eyes- clear anterior chambers and corneas OU. Ears- waxy but
clear. Nose- clean, no discharge. Mouth- mild calculus and gingivitis, no
oral lesions. |
| MS: BCS=4/9, well muscled and symmetrical. |
| CV: HR=70, grade II/VI left systolic murmur, moderate sinus arrhythmia.
A continuous murmur can be heard over the limb swelling. |
| RESP: RR=pant, no crackles or wheezes. |
| GI: Gut loops smooth, no masses or organomegaly. |
| GU: Small bladder, kidneys not palpable. No vulvar discharge. |
| NS: No deficits noted on physical exam. |
| LN: All WNL. |
Problems
| Front limb swelling |
Quiz
Correct Quiz
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