Download - DIAGNOSA KLINIK_CARDIORESPIRATORY
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Drh. Dian Vidiastuti, MSi Diagnosa Klinik-PKH UB 2015
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Inspeksi
Palpasi
Auskultasi
Pemantauan umum, Gejala Klinis
Lokasi (Precordium, Apex), Pulse rate, Blood
pressure
Heart rate, Suara jantung
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Stethoscope
Doppler flow detector
Sphygmomanometer ECG
USG
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Dyspneu
Syncope Peripheral
edema
Palpitasi
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Evaluasi heart rate (HR) Suara jantung normal ‘Lub-Dub’ S1 Lub : penutupan mitral v dan trikuspid v, (awal sistole) S2 Dub : suara aortic v dan pulmonalis v (awal diastole)
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• Sinus aritmia HR ↑ pd saat inspirasi
• Normal pd brachychepalic SINUS
ARRYTHMIA
• Slow Heart Rate <65 beat/mnt
• Systemic disease, intracranial press, drugs (transquilizer, morphine)
SINUS BRADYCARDI
• Increase HR >160 beat/mnt
• Stress, ↑ metab & O2 , pathology, drugs (ATS,eph,ketamin)
SINUS TACHYCARDIA
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• Common pathological arrythmia in dog ATRIAL
FIBRILATION
• Produce by turbulent blood flow
• Heart disease (degeneration valve)
MURMURS
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A. Femoralis, A. Coccygealis Predispotition factors :
Breed
Sex
Gestation, Partus, Lactation
Nervous Body size
Temperature
Activity
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CRT < 2 s Gingiva, palmar, cutaneus
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Systemic arterial BP is created by : 1. the pumping action of the heart, 2. circulating arterial blood volume, 3. the smooth muscle tone of blood vessel walls. Methode : Direct & Indirect Systolic & Diastolic
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Doppler ultrasound Flow Detector
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USG
Heart Structure
Congenital / Acquired heart disease
Size & functioning of heart
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M mode echocardiogram
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B mode Echocardiogram
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Doppler ultrasound
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Normal ECG 3 Leads
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the number of times per minute that air is inhaled and exhaled
degree of chest movement : normal, shallow, deep
RESPIRATION SIGN
DYSPNEU
TACHYPNEA ORTHOPNEA
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Breath sounds Planum Nasale
Nasal discharge :
Serouse/ Mucous, epistaksis
Sinus
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Palpation Laryngitis catarrhalis frequent cough Pain Size and location change Auscultation Trachea Stridor
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NORMAL RESP SOUND
• vesicular / bronchial
• soft, breezy/rustling sounds
ABNORMAL RESP SOUND
• Wheezes’ (continuous high pitched hissing heard more often on expiration) - occur with small airway diseases such as asthma
• ‘Rales/crackles’ (obstructed airway, more commonly on inspiration) may be heard when fluid in the lungs
• Rhonchi’ (musical sounds-low or high pitched)
• Stridor, upper airway obstruction
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COTTON LIKE DENSITIES
PLEURAL EFUSSION
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Since airway obstructions may impede oxygenation, ventilation
Pulse Oximeter) (normal : >95 %, anesth >90 %)
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Arteri / venous Hypoventilation (PaCO2) >43 mmHg
(dogs), >36 mmHg (cats) respiratory acidosis
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Waddell LS, Brown AJ. Hemodynamic monitoring. In Silverstein DC, Hopper K (eds): Small Animal Critical Care Medicine, 2nd ed. St. Louis: Elsevier, 2015
Walker et al, Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition
King L, Clarke D. Emergency care of the patient with acute respiratory distress. Veterinary Focus , Vol 20 No 2 ,2010