NAVLE® Question of the day

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September 11, 2024
NAVLE

A four-year-old male neutered mixed breed dog is presented with acute collapse and respiratory distress. The dog has a two-month history of coughing and progressive exercise intolerance.

Exam reveals pale mucous membranes with a prolonged capillary refill time. Pulse quality is poor and there is jugular distention with a jugular pulse. There is abdominal distention with a palpable fluid wave.

ValueNormal
T=103.5°F (39.7°C)99.5-102.5°F (37.2-39.2°C)
HR=120 bpm60-120
RR=34 brpm15-34

Echocardiogram identifies a mass of worms in the right atrium and caudal vena cava.

What is the treatment of choice?