Hx and PE Findings Flashcards
Exercise intolerance, decr. growth, and muscle wasting suggest what type of problem with the heart?
Compromised forward output
Ascites and pleural effusion causing dyspnea/tachypnea suggest what problem with the heart?
R-CHF
Coughing and exercise intolerance 2* resp compromise suggest what problem with the heart?
L-CHF
How can L-CHF cause coughing?
Enlarged L atrium compressing L bronchus
What is a common PE finding in cats with CHF?
Low core temp
Systemic hypertension may present with what non-cardiac clinical signs?
Ocular lesions/sudden blindness, neuro signs
How is BP usually measured in small animals?
Doppler, oscillometric
What is normal systolic BP in dogs?
120-150mmHg
What is normal systolic BP in cats?
110-140mmHg
What is the first (S1) heart sound heard on auscultation?
AV valve closure
What is the second (S2) heart sound heard on auscultation?
Semilunar valve closure
If you hear a split S2, what does this indicate?
Pulmonic valve closes later than aortic valve, R-CHF
When does a systolic click occur?
Between S1 and S2
What does a systolic click indicate?
Valve prolapse (often first sign of MVD)
Is a gallop rhythm a systolic or diastolic sound?
Diastolic
With what heart problems is S3 heard in small animals?
DCM or LV volume overload
With what heart problems is S4 heard in small animals?
Atrial kick, non-compliant ventricle
Rapid passive filling causes what heart sound?
S3
Which gallop sound is the “gallop of heart failure”?
S3
Are S3 and S4 normal or abnormal in large animals?
Normal