Compensated mitral insufficiency in a 5 year old FS Pomeranian dog

Case Study

Compensated mitral insufficiency in a 5 year old FS Pomeranian dog

A 5-year-old FS Pomeranian dog was presented for evaluation of weight loss and Iris stage 2 renal disease. No murmur was audible on physical examination. Abnormalities on blood work were azotemia, elevated cPL, and very elevated ProBNP.

A 5-year-old FS Pomeranian dog was presented for evaluation of weight loss and Iris stage 2 renal disease. No murmur was audible on physical examination. Abnormalities on blood work were azotemia, elevated cPL, and very elevated ProBNP.

DX

Compensated mitral insufficiency.

Sonographic Differential Diagnosis

Compensated mitral insufficiency.
No left atrial enlargement.
Minor pulmonic insufficiency.

Image Interpretation

The echocardiogram for this patient presented a left atrium of normal size with anechoic content. No evidence of “smoke” or thrombotic activity was noted. The cranial and caudal mitral valve leaflets demonstrated mildly vegetative contour. Mitral insufficiency was moderate on color flow Doppler. Mild pulmonic insufficiency was noted and measured at 1.5 m/s.

Clinical Differential Diagnosis

Renal disease – chronic kidney disease, pyelonephritis, renoliths
Pancreas – chronic pancreatitis
GIT – IBD, dietary hypersensitivity, neoplasia
Cardiac – myocarditis, pericardial effusion, early endocardiosis

Sampling

None

Patient Information

Patient Name : Denver P
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 15-00185

Clinical Signs

  • Kidney disease
  • Weight loss

History

  • Renal Failure

Images

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Blood Chemistry

  • Azotemia

Clinical Signs

  • Kidney disease
  • Weight loss

Special Testing

  • BNP high
  • cPLI Positive
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