Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, Q&A 12

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Student tip template.png Student tip: This case is describing pericardiocentesis using an excellent ultrasound image




Small Animal Emergency and Critical Care Medicine 2E Q12.png


A 12-year-old female neutered Golden Retriever presents for vomiting digested food and clear fluid. The dog is unable to stand. T = 37.5°C (99.6°F); HR = 170 bpm with muffled heart sounds; RR = 24 bpm; CRT = 3 sec; MM pale; jugular vein distension; poor femoral pulse quality. Radiographs demonstrate a mild increase in interstitial pattern in the lungs compatible with age and a globoid enlarged cardiac silhouette. An ultrasound image from the ventral 4th rib space is shown (12a).

Question Answer Article
What is the most likely cause of the clinical signs in this dog? Link to Article
What procedure would you perform, and how would you do it? Link to Article
List differential diagnoses. Link to Article
After successful completion of the procedure, the dog is bright, alert, and responsive. HR Link to Article
Give indications for intervention if you see this rhythm. [[ Replace text with name and subsection of relevant WikiVet page if in existence eg. Feather - Anatomy & Physiology#Structure & Function |Link to Article]]


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