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<big><center>[[Cases from General Practice - Small Animal|'''BACK TO CASES FROM GENERAL PRACTICE - SMALL ANIMAL''']]</center></big>
<big><center>[[Endocrinology|'''BACK TO ENDOCRINOLOGY''']]</center></big>
Case 1 - Courtesy of A. Antonczyk
Case 1 - Courtesy of A. Antonczyk
*Shakespeare's temperature is 38.4°C
*Shakespeare's temperature is 38.4°C
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*Is Shakespeare's temperature normal?
**<font color="white"> Yes </font>
*What is the normal heart rate for a cat? Is Shakespeare's heart rate high?
**<font color="white"> 140-200 beats per minute in the examination room. Most cats in the exam room are stressed to some extent. Their heart rate is probably much lower at home. Very frightened cats may have a heart rate slightly above 200, but Shakespeare is tachycardic. </font>
*What does 'grade 2/6 heart murmur' mean?
**<font color="white"> Heart murmurs are graded according to their intensity. A grade 2/6 murmur is one that is readily audible, but is quieter than the heart sounds. </font>
*What else might you find on clinical exam that will help you with your diagnosis?
**<font color="white"> Shakespeare's history is typical of a cat with hyperthyroidism. Most hyperthyroid cats will have a palpatable goitre. The location of the thyroid gland is variable. Therefore, make sure to slide your fingers alongside the entire trachea, or you may miss it. </font>