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Case 31
Primary clinician: Brad
Gavaghan, DVM
Supervising clinicians: Mark D. Kittleson,
DVM, PhD,
DipACVIM (Cardiology) and William P. Thomas, DVM,
DipACVIM (Cardiology)
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 | 13-year-old neutered male domestic shorthair cat
("Boris") |
| Enlarged heart |
| Boris presented today for further workup of heart disease diagnosed by
the referring veterinarian. |
| Boris
presented to the referring veterinarian
for vomiting. The referring veterinarian took thoracic
radiographs and found an enlarged heart. He then
found a positive heartworm antibody test at 100 AbU/ml. |
| The owner also reports
lethargy of 3 weeks duration. |
| The animal originally
presented to the referring veterinarian for
urinating outside the litter box and the owners observing one area of
urine that was dark brown in color. A urinalysis was performed,
but the results are unknown. The animal was started on
tetracycline, which was completed yesterday. The
owner reports that clinical signs of lethargy and urinating inappropriately
have resolved. |
| The owners have recently
moved back to northern California from Texas. During the year that the owners lived in Texas the cat
was not on heartworm preventative. |
| Wt 4.3 kg, T 100, HR 156, RR 42. BAR hydrated
by skin turgor. Full coat;
clear skin. |
| Ears free of erythema thickening, discharge. Eyes -
anterior chamber, cornea, conjunctiva clear OU. PLR intact OU. No nasal
discharge. Teeth clean. |
| BS 5/9. Small thyroid nodule palpable. |
| Normal rhythm, pulses adequate, mm pink,
CRT 1 sec. A jugular pulse is present to the level
of the angle of the jaw; distension is also present.
A soft grade 2/6 sternal
systolic heart murmur is present. |
| Inspiratory breath sounds bilaterally dorsally and ventrally. |
| No organomegaly or abdominal masses. |
| Bladder smooth. |
| NE. WNL. |
| Cardiomegaly with jugular distension/pulsation |
| Positive heartworm antibody test |
| Dark colored urine |
Quiz
Correct Quiz
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