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Case 9
Primary clinician: Mark D. Kittleson, DVM,
PhD, DipACVIM
(Cardiology)
Signalment
 | 10-year-old M Poodle/Schnauzer weighing 10 kg
("Bingo") |
Presenting Complaint
| Difficulty breathing for about one month |
History
| Bingo is a ten-year-old male outdoor dog who has been coughing for the
last few months. |
| The owner's daughter thinks the coughing is more frequent in the
morning but that it persists throughout the day. |
| She has seen him cough up thick, white, viscous material. The cough is
described as being similar to a choking noise. |
| Lately Bingo has also been tired and will sit down on walks. |
| He has been losing weight. |
| There is no referral veterinarian. |
Physical Examination
| Temp=100.8 Pulse=144 Respiratory rate=96 (pant) |
| Bingo attempted to bite when his ears were touched, so his ears, nose,
throat, and eyes were not carefully examined. |
| He has mats in his hair coat and is thin, with a body condition score
of 3/9. |
| He has a V/VI left apical systolic murmur that is also a IV/VI on the
right side. On auscultation, an arrhythmia was noted. |
| Wheezes were ausculted in his left lung fields, and he has crackles in
his right ventral fields. There is a significant abdominal component to his
breathing. |
| The rest of the physical exam was unremarkable. |
Problems
| Cough |
| Abnormal lung sounds |
| V/VI left apical systolic murmur |
| Cardiac arrhythmia
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