Develop a routine to ensure nothing is
overlooked. It is very tempting and easy to be less thorough when there is an
obvious clinical finding.
More time is required than is probably
available in a normal consultation period.
The physical examination should involve
a thorough examination of all other body systems prior to concentrating on the
cardiorespiratory system. Particular attention should be paid to the animal's
Specific examination of the cardiorespiratory
Animals with congestive heart failure
(particularly with dilated cardiomyopathy) may also appear debilitated and cachexic.
Enlarged lymph nodes or palpable masses
on the body surface or in the abdomen would suggest metastatic pulmonary neoplastic
Gross obesity severely compromises respiration
and may be a precipitating cause of coughing in dogs with tracheal collapse.
Obesity will also exacerbate coughing associated with pulmonary and cardiac disease.
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