The more you know the more you realise how little you know. On the face of it, the principle of diagnosing congestive heart failure (CHF) is simple enough. Until you start seeing cases where, in practice, it’s not simple at all! It’s reassuring to find that human medics have the same problem. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375124/ ‘Diagnosing non‐secondary … Continue reading
I have to confess that this dog caught me out initially. A 12 m.o. Springer Spaniel; relatively well in herself but presenting with abdominal distention due to progressive ascites (of the modified transudate variety). No loud murmur. This is the liver: That’s not normal. The parenchyma is heterogeneous: specifically, the centres … Continue reading
It’s an observation of ours that mediastinal lymph nodes are often prominent in cats with congestive failure. This can cloud the issue of identifying the primary cause of pleural effusions. I haven’t come across a published account of this phenomenon although I doubt it’s a completely novel observation. In human medicine it’s an established feature: … Continue reading
