1. Lauren Block June 23, 2011

2.  “Brinkley” Keifer ◦ 10 years old, male, castrated long-haired dachshund ◦ Presented to the NCSU Small Animal Emergency service on Monday, June 13 th 2011  Lateral recumbency  Labored breathing http://www.allsmalldogbreeds.com/breeds/dachshund-longhaired.jpg

3.  Previously diagnosed by rDVM in May 2011 ◦ Aortic thrombus ◦ Hyperadrenocorticism  Current medications: ◦ Famotidine (10 mg, PO, Q12) ◦ Denamarin (225 mg, PO, Q24) ◦ Aspirin (10 mg, PO, Q12) ◦ Ursodiol (75 mg, PO, Q24) ◦ Amitriptyline (15 mg, PO, Q12) ◦ Trilostane (30 mg, PO, Q24) ◦ Heparin (0.37 mL, SC, Q8)  UTD on vaccines, ecto/endo-parasite control

4.  BAR  Weight (kg): 7.8 kg  P: 120 bpm  R: 32 bpm  MM: pink  CRT: <2 s  BCS: 4/9

5.  Blind OU  Grade I-II/VI left apical systolic murmur  Asymmetrical femoral pulses (L>R)  Hepatomegaly  Symmetrical muscle atrophy

6.  Bloodwork & UA  Thoracic radiographs  Ultrasound exam http://www.pamperedpuppy.com/images/contest_photos/200603.winner03.jpg

7.  PCV: 32% (37-55)  Creatinine: 0.4 mg/dl (0.7-1.5)  Calcium: 8.9 mg/dl (9.3-11.5)  Albumin: 2.4 g/dl (3-3.9)  Cholesterol: 484 mg/dl (124-344)  ALP: 4940 IU/L (12-140)  ALT: 201 IU/L (12-54)  GGT: 49 IU/L (0-6)  CK: 344 IU/L (43-234)  Lipase: 153 IU/L (12-147)  Urinalysis: Color-yellow with slight turbidity, SG: 1.029, pH: 6, protein +1, ketones +1, blood +1 http://www.therapak.com/catalog/img/lg/blood_tubes.jpg

8.  Pulmonary thromboembolism  Hepatomegaly  Mineralization of the dorsal soft tissue

9.  Thrombus: aorta and right external iliac a.

10. Aortic thrombus (sagittal CF)

14.  Plavix (8 mg, PO, Q24)  Re-evaluate in 10 days

15. http://4.bp.blogspot.com/_y76v8U-HV58/TFI31nSZkBI/AAAAAAAAAXs/WeGLE4VcwdE/s1600/weiner%2Bdog3.jpg