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Small Animal Emergency and Critical Care Medicine Q&A 01 (view source)
Revision as of 15:29, 30 August 2011
, 15:29, 30 August 2011no edit summary
However, it is possible that the murmur is due to congenital aortic stenosis and an infection elsewhere, neoplasia, or because immune-mediated disease is present.
However, it is possible that the murmur is due to congenital aortic stenosis and an infection elsewhere, neoplasia, or because immune-mediated disease is present.
|l1=
|l1=Endocarditis
|q2=What is the likely source of the murmur? What other valve(s) may be involved?
|q2=What is the likely source of the murmur? What other valve(s) may be involved?
|a2=
|a2=
The mitral valve in dogs is affected most commonly in bacterial endocarditis, then
The mitral valve in dogs is affected most commonly in bacterial endocarditis, then
the aortic valve.
the aortic valve.
|l2=
|l2=Endocarditis
|q3=Chest radiographs reveal a diffuse interstitial pattern and only mild cardiomegaly. An echocardiogram is performed (29). What is your diagnosis and how are the radiographic findings consistent with this diagnosis?
|q3=Chest radiographs reveal a diffuse interstitial pattern and only mild cardiomegaly. An echocardiogram is performed (29). What is your diagnosis and how are the radiographic findings consistent with this diagnosis?
|a3=
|a3=
The left atrium is usually normal in size at the time of diagnosis.
The left atrium is usually normal in size at the time of diagnosis.
|l3=
|l3=Endocarditis
|q4=What diagnostic test(s) would best confirm your suspicion?
|q4=What diagnostic test(s) would best confirm your suspicion?
|a4=
|a4=
Serial blood cultures should be drawn. Positive blood cultures have been obtained in
Serial blood cultures should be drawn. Positive blood cultures have been obtained in
88% of affected dogs when more than one sample was drawn.
88% of affected dogs when more than one sample was drawn.
|l4=
|l4=Endocarditis
|q5=What treatment would you initiate in the acute phase and what is the long-term prognosis?
|q5=What treatment would you initiate in the acute phase and what is the long-term prognosis?
|a5=
|a5=
Corticosteroids are contraindicated.
Corticosteroids are contraindicated.
|l5=
|l5=Endocarditis
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