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Case 37
Primary clinician:
Sarah Miller, DVM
Supervising clinician: Mark D. Kittleson,
DVM, PhD,
DipACVIM (Cardiology)
 | Nine-week-old male rottweiler weighing
9 kg (Howie). |
| Heart murmur |
| Howie presented to the UCD VMTH Cardiology Service for
evaluation of a III/VI systolic murmur ausculted by the
referring veterinarian. He and his sister were adopted 3 weeks ago.
Four other puppies in the litter were stillborn, and 2 were presumably
consumed by the mother. Howie has always been smaller and tires
more easily than his sister. He has shown no signs of coughing, collapse or
dyspnea/tachypnea. |
| No c/s/v/d/PU/PD. Diet: Science Diet puppy.
|
| Gen: BARH. T=101.0, P=160, R=pant. Wt=9.0 kg. BCS=5/9.
|
| Integ: Full clean hair coat. No masses or parasites.
|
| EENT: Clear OU. Mild ceruminous discharge AU. Slight
serous nasal discharge bilaterally. MM pink. CRT < 2 sec. No dental calculus
or gingivitis. |
| MS: BCS=5/9. Ambulatory x 4. |
| CV: HR=160. Grade V/VI systolic murmur heard bilaterally,
loudest over right basilar region. Palpable thrill at right base. Grade I/VI
diastolic murmur heard best at left apex. Femoral pulses strong and
synchronous. |
| Resp: RR=pant. Lungs clear and eupneic.
|
| GI: Soft non-painful abdomen. Smooth intestinal loops. No
masses or organomegaly. |
| GU: Prepuce clean. Testicles descended bilaterally.
|
| NS: Mentally alert. |
| LN: Mandibular, prescapular, popliteal < 0.5 cm.
|
| Grade V/VI systolic right basilar heart murmur |
| Grade I/VI left apical diastolic heart murmur |
Quiz
Correct Quiz
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