Drssa Silvia Fabbri Department of Veterinary Medicine and Animal Production Federico II Naples University Italy MUVI Mongrel dog Male 6 ys 6 Kg History since 4 weeks Living in Somma Vesuviana Naples Province South Italy ID: 808695
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Slide1
Clinical case: “MUVI”
Dr.ssa Silvia Fabbri Department of Veterinary Medicine and Animal ProductionFederico II Naples University, Italy
Slide2MUVI
Mongrel dogMale6 ys6 Kg
Slide3History (since 4 weeks)
Living in Somma Vesuviana (Naples Province, South Italy)Weight lossDepression< Food intake2-3 weekly syncopal episodes (last 2 weeks)
Slide4CLINICAL EXAMINATION
BCS: 3/9T 38 °CPallor of mucosaeHeart rate: 140 p/m Left side systolic murmur (II/VI)Systolic blood pressure: 184 mmHgFundus examination: normal
Slide5DIAGNOSTIC PLAN
ECGCardiac/Abdominal ultrasoundHaematology and biochemistryUrine examination
Slide6DIAGNOSIS
Left systolic murmur (ok)Systolic hypertension (ok)Ultrasound confirmation (ok) ACVIM consensus statement: Mitral
Valvular
Disease
Class
Ib
Slide7Haematology
RBC: 2.910.000Hgb: 6.8Hct: 17.9MCV 62MCH 23.3MCHC 37.8WBC: 5.9PLT: 175.000RETICULOCYTES: 1,3%UREA: 174 mg/dlCREAT: 1.92 mg/dlALT: 30 UI/L
GLUC: 83 mg/dl
TOT PROT: 7,4 g/dl
Hypoalbuminemia
Hyperglobulinemia
Biochemistry
Slide8URINE EXAMINATION
USG: 1020pH: 6Albumine: +++Glucose: ++Blood: negUPCR: 1
Slide9DOUBTS : COULD SYNCOPAL EPISODES TO BE ATTRIBUTED TO MVD?
Systolic murmur (ok)Systolic hypertension (ok)Ultrasound confirmation (ok) ACVIM consensus statement Class Ib
Weight
loss ?
Severe
Anaemia
?
Proteinuria ?
Serum
protein
alterations
?
Renal
failure
?
Renal
USound
modification
?