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| | ===Diagnosis=== | | ===Diagnosis=== |
| | ===History=== | | ===History=== |
| | + | *Exercise Intolerance |
| | + | *Cough |
| | + | * Dyspnoea |
| | + | *Suden death due to left atrial tear and pulmonary oedema |
| | ===Clinical Signs=== | | ===Clinical Signs=== |
| | + | * Left apical Systollic Murmur |
| | + | * Left sided Congestive heart failure |
| | + | **Pale Mucous membranes |
| | + | ** Prolonged Capillary refill time (CRT) |
| | + | ** Prolonged Jugular filling time |
| | + | ** Pulmonary crackles / evidence of pulmonary oedema |
| | + | ** Cool extremities |
| | + | ** Loss of sinus tacchycardia |
| | + | ** Cardiac arrhythmias e.g. Atrial fibrilation, Atrial premature complexes |
| | ===Diagnostic imaging=== | | ===Diagnostic imaging=== |
| | + | ====Radiography==== |
| | + | *Cardiomegaly with dirsal displacement of the trachea |
| | + | *Pulmonary Venous Congestion (Enlarged pulmonary Arteries and Veins) |
| | + | * Pulmonary Oedema |
| | + | Evidence of Right sided congestive heart failure maybe evident in severe cases e.g. distended caudal vena cava, hepatomegaly, ascites, pleural effusions. |
| | ===Laboratory Tests=== | | ===Laboratory Tests=== |
| | | | |