Tuesday, March 19
Question of the Day
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.
| Value | Normal |
|---|---|
| T=103.5°F (39.7°C) | 99.5-102.5°F (37.2-39.2°C) |
| HR=120 bpm | 60-120 |
| RR=34 brpm | 15-34 |
Echocardiogram identifies a mass of worms in the right atrium and caudal vena cava.
What is the treatment of choice?