Professional Documents
Culture Documents
A.vena cava
L.A
Pul. artery
L.V
R. V
Position of the pulmonary (P), aortic (A) and bicuspid or mitral (B)
heart valves.The stethoscope is advanced under
the triceps muscle to get as close to the valves as possible
Manifestation of CVS
Lethargy
Poor appetite (anorexia)
Cough & Epistaxis
syncope
Weakness
Difficult breathing (dyspnea)
Distended abdomen (especially if the right heart is diseased) called ascites
odema
Pale or bluish colored gums (cyanosis).
tachycardia
Decreased heart rate (brachycardia)
A heart murmur during auscultation with the stethoscope
Cool extremities
Reduced mental capacity
Jugular vein pulsation
Dist.Abdomen
Ascites
Distended Submandibular
J.v odema
Brisket odema
Disorders of the heart
Inspection
Palpation
Percussion
Auscultation
Inspection
Inspection : is of low value in large ruminants
1-Inspection occurred by observation of the so called “Apex beat”
causing movement of the chest
2-Apex beat can be observed in normal animal with:
• Narrow chest
• Thin wall of chest
• Short coat
• Good conditioned animal
3-Apex beat appeared clear in the following cases:
sever exercise.
Fever
Hemolytic anemia (sever)
Cardiac hypertrophy or dilatation
Palpation
1-Palpation of cardiac area detect the strength
and extent of the cardiac impulse
it’s occurred by placing the palm of the hand
over the cardiac area and slight pressure is
applied to compress the chest wall.
2-Cardiac impulse is palpable on left side only in
large animal and it may be week or absent in:
valvular insufficiency or stenosis
Percussion
Percussion of the cardiac area provide “Dull sound” because
it’s gas free organ
Abnormalities Of Percussion:
Increase of area of cardiac dullness
1. Cardiac hypertrophy or dilatation
2. Hydro or haemopericardium.
3. Pericarditis especially in late stage
4. Neoplasm
Decrease of area of cardiac dullness
1. Pneumothorax
2. Hydrothrax
3. Pulmonary emphysema
Auscultation
chest piece of the stethoscope should pressed
firmly against the chest wall on the left side
in the 3-6th intercostals space beneath and
above the point of elbow joint.
Normal Heart Sounds:-Lubb dupp sound
LUBB sound (Systolic sound ) Originated
from contraction of the ventricles and closure
of atrioventricular valve
DUPP sound(Diastolic sound )Originated
from the closure of semilunar valves (aortic
and pulmonary)
Abnormal Heart Sounds By Auscultation
Murmurs
(I) Endocardial Murmurs
It’s arises within the heart usually as a result of
vulvular insufficiency or stenosis.
Systolic murmurs :during systoles due to
imperfect closure of the atrioventricular valve
(Bicuspid & tricuspid valve).
Diastolic murmurs :during diastole due to
imperfect closure of semilunar valves.
(II) Pericardial Murmurs
1- Frictional sound
Ex: pericarditis in early stage or in pleurisy.
2- Muffled sound
Occurred when the pericardial sac conations sufficient amount
of fluid so that the heart sound become faint and muffled be
heart sound as came from a far distance.
Ex: Heme- or hydropericardium.
3- Tinkling sound
indicate the presence of gas on the surface of fluid.
Gas production result from the presence of certain bacteria
which are introduced following the entry of a foreign body in
case of traumatic pericarditis.
Special Methods Of Examination Of The Heart
1. Angiocrdiography.
2. Phonocardiography.
3. Electrocardiograph E.C.G.
4. Radiography.
5. Pain test.
Pain test
it is a specific test for confirmation the diagnosis of traumatic
pericarditis
Walking on down hill
Upward give no signs, Downward the animal show the signs of
pain or reluctant to walk.
Pinching of weather
the animal show the signs of pain.
Turning the animal in acute angle
it shows the signs of pain.
Side stick method
by raising the animal and suddenly release of the animal we found
the grunting sound
IN traumatic pericarditis
auscultation of the heart according to the stage of the
disease as the following:-
1-1st stage frictional sound due to roughness
and dryness of pericardial layer.
2-2nd stage dribbling sound when sufficient fluid
present in the pericardial sac.
3-3rd stage splashing or tinkling sound due to
presence of gas in pericardial sac due to anaerobic
microorganisms which enter with the foreign body.
4-4th.Stage Muffled sound due to organization of
the exudates in the pericardial sac.
Electrocardiograph
The ECG is of limited value in cattle but can
be used to confirm abnormalities of rhythm.
Athree-lead system is used:-
1. The right arm (RA) lead attached to the
thoracic wall over the base of the heart.
2. The left arm (LA) lead is attached over the
cardiac apex.
3. The neutral (N) lead is attached to the skin
over the withers.
ECG N lead
R A lead
L A lead
The right arm (RA) lead is placed on the neck, the left arm (LA) lead is placed on
the chest wall just above the sternum, and the neutral (N) lead is placed on the
wither
Ultrasonographic (US) evaluation
Body wall
Tricuspid
valve
Pericardial effusion