|
    
| |
Case 3
Primary clinician: Brad
Gavaghan, DVM
Supervising clinician: Mark D. Kittleson,
DVM, PhD,
DipACVIM (Cardiology)
Signalment
 | Five-month-old M French bulldog weighing 7.5 kg ("Wolfie")
|
Presenting Complaint
| Heart murmur |
Pertinent History
| A 5/6 heart murmur was heard by referring DVM at seven weeks of age. At
twelve weeks of age, thoracic radiographs showed no heart enlargement. Owner
feels that the intensity of the murmur has decreased since diagnosis to a 3/6.
|
| Wolfie has no clinical signs. He has a very
good appetite and is very athletic. |
| No past medical history and vaccines are current. |
| Diet consists of chicken breasts, lamb and rice, and cottage cheese.
|
Physical Examination
| BAR-hydrated. Temp 101.6, HR 126, RR 18. |
| Full hair coat. Anterior chamber, conjunctiva, sclera, and cornea clear
OU. Ears clean and smooth. MM pink, CRT 1 sec. Resists opening of mouth. 4/9
body score. |
| 6/6 systolic murmur at right cranial sternum; 5/6 left base.
Split S2. Femoral pulses strong, symmetrical, and synchronous. No jugular
vein distension. |
| Clear lung
fields bilaterally. Stertorous breathing. |
| Smooth gut loops, no abdominal masses felt. |
| Submandibular nodes 2 cm, prescapular and popliteal nodes 1 cm.
|
Problems
| 6/6 systolic murmur with the point of maximal intensity (PMI) at right
cranial sternum. |
| Split S2 (second heart sound)
|
|
