November

 

Signalment Species

Presenting Complaint

• Gradual weight loss and intermittent vomiting over several months. Previously diagnosed hypertrophic cardiomyopathy.

Physical Examination

• Pale mucous membranes, grade IV/VI holosystolic heart murmur, HR = 186bpm, BP = 120mm Hg, palpable abdominal mass.

Plan

• CBC/Chemistry – HCT=21% (microcytic, hypochromic)
• FELV/FIV test – negative
• T4, T3 and FT4D – within normal limits
• Occult heartworm antigen test – negative
• Thoracic radiographs & echocardiogram – no abnormalities noted on radiographs/ echo showed a thickened left ventricular free wall and ventricular septum, moderate left atrial enlargement
• Abdominal radiographs – What are your radiographic findings and impressions?

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Figure 1: Ventrodorsal View

Figure 2: Right Lateral View

Interpretation

• Radiographic findings and impressions

Case Follow-Up

• Further diagnostics and final diagnosis