Difference between revisions of "Clinical Case 5"
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*It is difficult to assess Mikey's breathing since he is very nervous and continues to pant throughout the examination | *It is difficult to assess Mikey's breathing since he is very nervous and continues to pant throughout the examination | ||
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Is the heart rate normal? | Is the heart rate normal? | ||
| − | *<font color="white"> No. It is much | + | *<font color="white"> No. It is much higher than it should be. </font> |
What is the most likely explanation for the heart sounding chaotic? | What is the most likely explanation for the heart sounding chaotic? | ||
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*Click [[Clinical Case 5 - Page 2|here]] to see what the vet did. | *Click [[Clinical Case 5 - Page 2|here]] to see what the vet did. | ||
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Latest revision as of 17:03, 24 February 2011
Courtesy of C. Antonczyk
Signalment
"Mikey", a 4 year old, male Irish Wolfhound is presented for examination.
History
Mikey's owners have brought him in because they have noticed that his respiration rate is faster at home and he coughs occasionally. The owners have also noticed that Mikey is less willing to exercise and appears to tire more quickly on walks than he used to.
Clinical Examination
The vet performs a clinical exam and finds the following:
- Temperature 38.6°C
- The heart rate is 210 beats per minute and the heart rhythm is irregularly irregular. It sounds chaotic.
- It is difficult to assess Mikey's breathing since he is very nervous and continues to pant throughout the examination
In order to reveal an answer, highlight the underlined or bulleted area using your mouse. The number of bullet points doesn't necessarily indicate a strict number of answers.
Is the temperature normal?
- Yes.
Is the heart rate normal?
- No. It is much higher than it should be.
What is the most likely explanation for the heart sounding chaotic?
- This is almost certainly due to atrial fibrillation. Atrial fibrillation is common in Wolfhounds and this may be an incidental finding on routine examination.
What would you do next?
- Click here to see what the vet did.