Hepatopatía congestiva secundaria a una insuficiencia cardiaca derecha en canino Pinscher.

Abstract

A female canine, sterilized, of Pinscher breed, 5 years old and weighing 1.60 kg, was referred to the clinic because her owners stated that she presented episodes of bloody diarrhea, lack of appetite, did not drink water, and was also very weak with a one-day evolution. Prior to this, the patient had been treated at the clinic at the beginning of the year for heart disease. Physical examination revealed a hypodynamic patient, auscultation showed a heart murmur grade 4/6, abdominal palpation with severe pain in the mesogastric region, pale pink mucous membranes, dry, capillary refill time of 3 seconds, temperature 38.6°C. The presumptive diagnosis was myxomatous degeneration and pulmonary hypertension, and the differential diagnoses were portosystemic shunt, acute pancreatitis, bacterial gastroenteritis. Complementary diagnostic tests were performed such as: abdominal ultrasound, electrocardiogram, echocardiography and paraclinical examinations consisting of a complete blood count and biochemical profile where the most relevant tests to be taken into account are (ALT, FA, PT, albumin, BUN and creatinine) to confirm the diagnosis. The therapeutic approach consisted of a treatment generating quality of life for the patient. Inhospital treatment consisted of: omeprazole, aciflux, dipyrone + hiocsin and ampicillin + sulbactam. An appointment was scheduled with the cardiologist for a more accurate diagnostic approach of the patient's condition, after which, due to the response to the treatment established during the hospitalization period of the patient, the decision was made to manage outpatient treatment, which consisted of the use of metronidazole, lactulose, silymarin and royal canin diet.