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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=== |
| | | |