Page 93 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Cardiology                                                                                               Cardiology
 e                                                                                                               e

 Innere Medizin

    VetBooks.ir


 Abnormal
 pulse



 Changes in                                                         Change in
 No pulse
 frequency/rhythm                                                  pulse quality



 Aortic   â Bradycardia  â Tachycardia
 thrombosis  Arrhythmic  p. 84  p. 85               Weak                                        Pounding




                                                                                              Large difference
 Synchronous                          Extracardiac               Cardiac                     between diastolic
 Pulse deficit
 with heart                             causes                   causes                        and systolic
                                                                                                 pressure



 Premature contractions                                                                  Vascular
 – Premature   2 degree   Sinus      – Shock            Decreased       Decreased
 nd
 contractions  (dependent on frequency   AV block  arrhythmia  – Hypotension   preload  cardiac output  resistence   Cardiac causes
 (dependent   also pulse deficit)    – Partial                                           reduced
 on                                   thrombosis
 frequency   Supra-  High  Mobitz   Mobitz             – Pericardial   – DCM           – Fever        – PDA
 also   Ventricular
                                                                         (dog)
 synchronous   ventricular  grade  type II  type I  Respiratory sinus   effusion  – Aortic   – Anaemia  – Severe
                                                                                                        aortic
 with heart)  arrhythmia
                                                                                                        insufficiency
 – Atrial   (normal in dogs)                                             stenosis                     – Arterio-
 fibrillation  – Normal in
 puppies                                                                                                venous
 – Increased                                                                                            fistula (rare)
 vagal tone































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