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Heartworm - Coggle Diagram
Heartworm
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Tx
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- Adulticide therapy: kills adults (Melarsomine- kills adults and L5 larvae + reduces iatrogenic complications, 3 injections)
- Adjunt therapy: Doxycycline (kills Wolbachia symbiont- worms rely on this bact.), HW preventative (ML)
- Symptomatic Mx: anti-inflam (glucocorticoids plus CS), reduce pulmonic hypertension- Sildenafil
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Hx and CS
First: Exercise intolerance, weight loss then lethargy
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PE
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LATER
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Tachycardia- split S2, murmur, gallop rhythm
RSCHF: jugular pulses, hepatosplenomegaly (ascites)
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PRE-Tx
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Thoracic Radiographs
See Right atrial enlargement, PA thickening
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PROPHY
Monthly ML: ivermectin, Selamectin, Moxidectin, Milbemectin
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