\u0627\u0633\u062a\u0642\u0628\u0644 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0628\u064a\u0637\u0631\u064a \u0627\u0644\u062a\u0639\u0644\u064a\u0645\u064a \u0628\u0643\u0644\u064a\u0629 \u0627\u0644\u0637\u0628 \u0627\u0644\u0628\u064a\u0637\u0631\u064a \u2013 \u062c\u0627\u0645\u0639\u0629 \u0642\u0646\u0627 \u0627\u0644\u0642\u0637\u0629 \u00ab\u0641\u064a\u0631\u0648\u0632\u00bb\u060c \u0627\u0644\u0628\u0627\u0644\u063a\u0629 \u0645\u0646 \u0627\u0644\u0639\u0645\u0631 \u0646\u062d\u0648 10 \u0633\u0646\u0648\u0627\u062a\u060c \u0648\u0627\u0644\u062a\u064a \u062d\u0636\u0631\u062a \u0628\u0634\u0643\u0648\u0649 \u0631\u0626\u064a\u0633\u064a\u0629 \u0645\u0646 \u0632\u064a\u0627\u062f\u0629 \u0645\u0644\u062d\u0648\u0638\u0629 \u0641\u064a \u062d\u062c\u0645 \u0627\u0644\u0628\u0637\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u0623\u0633\u0628\u0648\u0639\u064a\u0646 \u0627\u0644\u0633\u0627\u0628\u0642\u064a\u0646\u060c \u0645\u0635\u062d\u0648\u0628\u0629 \u0628\u0627\u0644\u062e\u0645\u0648\u0644\u060c \u0648\u0632\u064a\u0627\u062f\u0629 \u0634\u0631\u0628 \u0627\u0644\u0645\u064a\u0627\u0647\u060c \u0648\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0647\u0636\u0645\u064a\u0629 \u0645\u0639 \u0648\u062c\u0648\u062f \u0622\u062b\u0627\u0631 \u0645\u0646 \u0627\u0644\u062f\u0645 \u0641\u064a \u0627\u0644\u0628\u0631\u0627\u0632\u060c \u0645\u0639 \u0627\u062d\u062a\u0641\u0627\u0638\u0647\u0627 \u0628\u0634\u0647\u064a\u0629 \u062c\u064a\u062f\u0629.
\n\u0623\u0638\u0647\u0631 \u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0625\u0643\u0644\u064a\u0646\u064a\u0643\u064a \u062f\u0631\u062c\u0629 \u062d\u0631\u0627\u0631\u0629 \u0641\u064a \u0627\u0644\u062d\u062f\u0648\u062f \u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629\u060c \u0645\u0639 \u0634\u062d\u0648\u0628 \u0646\u0633\u0628\u064a \u0644\u0644\u0623\u063a\u0634\u064a\u0629 \u0627\u0644\u0645\u062e\u0627\u0637\u064a\u0629 \u0648\u0636\u0639\u0641 \u0627\u0644\u0646\u0628\u0636\u060c \u0628\u0627\u0644\u0625\u0636\u0627\u0641\u0629 \u0625\u0644\u0649 \u0635\u0648\u062a \u063a\u064a\u0631 \u0637\u0628\u064a\u0639\u064a \u0628\u0627\u0644\u0642\u0644\u0628 (Heart Murmur)\u0645\u0646 \u0627\u0644\u062f\u0631\u062c\u0629 \u0627\u0644\u0631\u0627\u0628\u0639\u0629 \u0645\u0646 \u0633\u062a \u062f\u0631\u062c\u0627\u062a (Grade IV\/VI) \u0645\u0635\u062d\u0648\u0628\u0629 \u0628\u0640 palpable precordial thrill\u060c \u0625\u0644\u0649 \u062c\u0627\u0646\u0628 \u0645\u0644\u0627\u062d\u0638\u0629 \u0635\u0639\u0648\u0628\u0629 \u0641\u064a \u0627\u0644\u062a\u0646\u0641\u0633 ( Dyspnea) \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0641\u062d\u0635.
\n\u0648\u0628\u0646\u0627\u0621\u064b \u0639\u0644\u0649 \u0647\u0630\u0647 \u0627\u0644\u0646\u062a\u0627\u0626\u062c\u060c \u062a\u0645 \u0625\u062c\u0631\u0627\u0621 \u0641\u062d\u0635 \u0634\u0627\u0645\u0644 \u0628\u0627\u0644\u0645\u0648\u062c\u0627\u062a \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062a\u064a\u0629 \u0644\u0644\u0628\u0637\u0646\u060c \u0648\u0627\u0644\u0630\u064a \u0623\u0638\u0647\u0631 \u0643\u0645\u064a\u0629 \u0645\u0644\u062d\u0648\u0638\u0629 \u0645\u0646 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0627\u0644\u062d\u0631\u0629 \u062f\u0627\u062e\u0644 \u0627\u0644\u062a\u062c\u0648\u064a\u0641 \u0627\u0644\u0628\u0637\u0646\u064a (Abdominal Effusion\/Ascites)\u060c \u0645\u0639 \u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0643\u0628\u062f \u0648\u0627\u0644\u0645\u0631\u0627\u0631\u0629 \u0648\u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0648\u0631\u064a\u062f\u064a \u0627\u0644\u0643\u0628\u062f\u064a\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643 Hepatic Veins \u0648\u0627\u0644\u0640Caudal Vena Cava\u060c \u0643\u062c\u0632\u0621 \u0645\u0646 \u0627\u0644\u0628\u062d\u062b \u0639\u0646 \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0623\u0633\u0627\u0633\u064a \u0644\u0644\u0627\u0631\u062a\u0634\u0627\u062d.
\n\u0648\u0628\u0646\u0627\u0621\u064b \u0639\u0644\u0649 \u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0625\u0643\u0644\u064a\u0646\u064a\u0643\u064a \u0648\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0628\u0627\u0644\u0645\u0648\u062c\u0627\u062a \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062a\u064a\u0629\u060c \u062a\u0645 \u0648\u0636\u0639 Differential Diagnostic Approach \u064a\u0634\u0645\u0644 \u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0642\u0644\u0628\u064a\u0629 \u0648\u0627\u0644\u0643\u0628\u062f\u064a\u0629 \u0648\u0627\u0644\u062c\u0647\u0627\u0632\u064a\u0629 \u0627\u0644\u0645\u062d\u062a\u0645\u0644\u0629\u060c \u0645\u0639 \u0628\u062f\u0621 \u062e\u0637\u0629 \u0639\u0644\u0627\u062c\u064a\u0629 \u0623\u0648\u0644\u064a\u0629 \u062f\u0627\u0639\u0645\u0629 \u0634\u0645\u0644\u062a \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u062f\u0631 \u0644\u0644\u0628\u0648\u0644\u060c \u0648\u0627\u0644\u062f\u0639\u0645 \u0627\u0644\u0643\u0628\u062f\u064a \u0648\u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a\u060c \u0645\u0639 \u062a\u0642\u064a\u064a\u0645 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u0625\u0636\u0627\u0641\u0629 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062e\u0627\u0641\u0636 \u0644\u0636\u063a\u0637 \u0627\u0644\u062f\u0645 \u0648\u0641\u0642\u064b\u0627 \u0644\u0646\u062a\u0627\u0626\u062c \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0648\u0642\u064a\u0627\u0633 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645.
\n\u0648\u0644\u0644\u0648\u0635\u0648\u0644 \u0625\u0644\u0649 \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0623\u0633\u0627\u0633\u064a \u0648\u062a\u0648\u062c\u064a\u0647 \u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0635\u0648\u0631\u0629 \u0623\u062f\u0642\u060c \u062a\u0645 \u0637\u0644\u0628 \u0645\u062c\u0645\u0648\u0639\u0629 \u0645\u0646 \u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u0639\u0645\u0644\u064a\u0629 \u0634\u0645\u0644\u062a:
\nCBC \u2013 Serum Creatinine \u2013 BUN \u2013 SDMA \u2013 ALT \u2013 CPK
\n\u0643\u0645\u0627 \u062a\u0645 \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0628\u0627\u0633\u062a\u0643\u0645\u0627\u0644 \u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0642\u0644\u0628\u064a \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u0634\u0639\u0629 \u0627\u0644\u0627\u064a\u0643\u0648 \u0648\u0631\u0633\u0645 \u0627\u0644\u0642\u0644\u0628 Echocardiography &Electrocardiography (ECG) \u0627\u0633\u062a\u0643\u0645\u0627\u0644 \u062a\u0642\u064a\u064a\u0645 \u0648\u062a\u062d\u0644\u064a\u0644 \u0627\u0644\u0633\u0627\u0626\u0644 \u0627\u0644\u0628\u0637\u0646\u064a \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629.
\n\ud83d\udd2c \u062a\u0639\u0643\u0633 \u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644\u0629 \u0623\u0647\u0645\u064a\u0629 \u0627\u0644\u0640Clinical Reasoning \u0648\u0627\u0644\u0631\u0628\u0637 \u0628\u064a\u0646 \u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0625\u0643\u0644\u064a\u0646\u064a\u0643\u064a\u060c \u0648\u0627\u0644\u0645\u0648\u062c\u0627\u062a \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062a\u064a\u0629\u060c \u0648\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0642\u0644\u0628\u064a\u060c \u0648\u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0645\u0639\u0645\u0644\u064a\u0629 \u0644\u0644\u0648\u0635\u0648\u0644 \u0625\u0644\u0649 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0646\u0647\u0627\u0626\u064a \u0648\u062a\u062d\u062f\u064a\u062f \u0627\u0644\u062e\u0637\u0629 \u0627\u0644\u0639\u0644\u0627\u062c\u064a\u0629 \u0627\u0644\u0645\u0646\u0627\u0633\u0628\u0629.<\/p>\n
\u0645\u062f\u064a\u0631 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649
\n\u0623.\u062f. \u0627\u0644\u062d\u0633\u064a\u0646 \u0627\u0644\u0628\u062f\u0631\u064a
\n\u0641\u0631\u064a\u0642 \u0627\u0644\u0639\u0645\u0644 :
\n\u0637.\u0628: \u0639\u0645\u0631 \u0623\u062d\u0645\u062f \u0645\u062d\u0645\u062f
\n\u0645\u0639\u064a\u062f \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0628\u0627\u0637\u0646\u0629 \u0628\u0642\u0633\u0645 \u0637\u0628 \u0627\u0644\u062d\u064a\u0648\u0627\u0646 \u0643\u0644\u064a\u0629 \u0627\u0644\u0637\u0628 \u0627\u0644\u0628\u064a\u0637\u0631\u064a \u062c\u0627\u0645\u0639\u0629 \u0642\u0646\u0627.
\n\u0623\/ \u0645\u0645\u062f\u0648\u062d \u0645\u062d\u0645\u062f
\n\u0623\/ \u0645\u0628\u0627\u0631\u0643<\/p>\n
A Remarkable Clinical Case from the Veterinary Teaching Hospital \u2013 Qena University \ud83d\udc3e<\/p>\n
The Veterinary Teaching Hospital, Faculty of Veterinary Medicine \u2013 Qena University, received \u201cFairoz,\u201d a 10-year-old geriatric female cat,
\npresented with a chief complaint of marked abdominal enlargement over the previous two weeks, accompanied by lethargy, increased water intake, and gastrointestinal disturbances with traces of blood in the feces, while maintaining a good appetite.
\nClinical examination revealed a normal body temperature, relatively pale mucous membranes and weak pulse, together with a prominent Grade IV\/VI cardiac murmur accompanied by a palpable precordial thrill, in addition to noticeable respiratory abnormalities during examination.
\nBased on these findings, a comprehensive abdominal ultrasonographic examination was performed, revealing a marked amount of free abdominal fluid (Abdominal Effusion\/Ascites). The liver, gallbladder, and hepatic vascular system were systematically evaluated, including the hepatic veins and caudal vena cava, as part of the investigation of the underlying cause of the effusion.
\nBased on the clinical and ultrasonographic findings, a differential diagnostic approach was established, including potential cardiovascular, hepatic, and systemic causes. An initial supportive therapeutic plan was initiated, including diuretic therapy and hepatic and gastrointestinal supportive management, while antihypertensive therapy (Amlodipine) was considered pending blood pressure measurement and laboratory results.<\/p>\n
To further investigate the underlying cause and guide definitive management, laboratory investigations were requested, including:
\nCBC \u2013 Serum Creatinine \u2013 BUN \u2013 SDMA \u2013 ALT \u2013 CPK<\/p>\n
Further cardiovascular evaluation using echocardiography and electrocardiography (ECG) was also recommended, together with further characterization and analysis of the abdominal effusion when indicated.<\/p>\n
\ud83d\udd2c This case highlights the importance of clinical reasoning and integrating clinical examination, ultrasonography, cardiovascular assessment, and laboratory investigations to establish the underlying diagnosis and formulate an appropriate therapeutic plan.<\/p>\n
Veterinary Teaching Hospital
\nFaculty of Veterinary Medicine \u2013 Qena University.<\/p>\n\n\n