This is a 7y old Male intact SHih Tzu presented for evaluation of whether interstitial pattern in lungs can be due to pulmonary oedema of cardiogenic origin.

-History of coughing 2 months ago, was started on frusemide trial for 4 weeks. At review, much improved. Coughs when drinking. On Z-D diet hills for allergy. Now GA for dental is being considered. Need to know if heart stable.

-Exam: has allergy related skin infection, not well controlled. No obvious heart murmur. Has audible generalized crackles in both sides of lung tissue.

This is a 7y old Male intact SHih Tzu presented for evaluation of whether interstitial pattern in lungs can be due to pulmonary oedema of cardiogenic origin.

-History of coughing 2 months ago, was started on frusemide trial for 4 weeks. At review, much improved. Coughs when drinking. On Z-D diet hills for allergy. Now GA for dental is being considered. Need to know if heart stable.

-Exam: has allergy related skin infection, not well controlled. No obvious heart murmur. Has audible generalized crackles in both sides of lung tissue.

-ECHO: mitral regurgitation has a thin jet with strong posterior orientation. There is tricuspid regurgitation (appears mild). There is no hepatic vein distension. There is what appears a trivial aortic insufficiency (although it extends 1.3cm into LV, it appears thin). LA-AO appears around 1.6-1.7…and in some angles, less than that.

It does not appear to me like currently the crackles are due to LV volume overload…(crackles are fairly obvious at auscultation and yet no murmur is heard).

What is your input in this case…I have more clips…I just had to select. I hope this gives ample idea.

(I have asked referring vet to have owners monitor the SRR). i wonder if this could be an acute mitral regurgitation. 

Thanks in advance for any input.