This is a 14 years old cat presented for anorexia; was treated at a different clinic for 3-4 days with supportive treatment, fluids . BW showed mild anemia and mild increase in lymphocytes, monocytes
Was referred to us for an abdominal U/S, however on presentation was tachipneic and shortly became dyspneic. We did only a limited Flash U/S as not stable for more; we noted small amount of abdominal fluid with distended hepatic veins, distended CVC and moderate pleural effusion; scant pericardial effuision. On flash Echo I can see an enlarged LA/AO, but not sure if significant enough for heart failure . With distended CVC would expect HCM, right side heart failure, possibly caval obctructive clot.
Does these limited images suggest anything else ? we started Furosemide as owner declined chest tap .Plan is to recheck for full echo
Comments
The angles are odd and
The angles are odd and flipped but in your second video the LA is clearly big at 2 cm so i would treate for CHF first and reevaluate wiht a full echo when the patient stabilizes. Lasix pimo plavix is what i would do.
thank you EL. we started
thank you EL. we started lasix and plavix, patient deteriorated after 24 h and was euthanized. we should have tapped chest but most likelly, regardless poor prognosis as heart failure
yeh expected outcome thanks
yeh expected outcome thanks for the follow-up