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===Diagnosis===
 
===Diagnosis===
 
===History===
 
===History===
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*Exercise Intolerance
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*Cough
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* Dyspnoea
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*Suden death due to left atrial tear and pulmonary oedema
 
===Clinical Signs===
 
===Clinical Signs===
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* Left apical Systollic Murmur
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* Left sided Congestive heart failure
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**Pale Mucous membranes
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** Prolonged Capillary refill time (CRT)
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** Prolonged Jugular filling time
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** Pulmonary crackles / evidence of pulmonary oedema
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** Cool extremities
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** Loss of sinus tacchycardia
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** Cardiac arrhythmias e.g. Atrial fibrilation, Atrial premature complexes
 
===Diagnostic imaging===
 
===Diagnostic imaging===
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====Radiography====
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*Cardiomegaly with dirsal displacement of the trachea
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*Pulmonary Venous Congestion (Enlarged pulmonary Arteries and Veins)
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* Pulmonary Oedema
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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===
  
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