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  • History tachypnea and lethargy with recent few days of anorexia.
  • Previous medical history included bilateral TPLO procedures. No other pertinent medical history.

PE:

  • T-101F, RR-panting, HR-120, mm-pink, moist, CRT<2s
  • Muffled heart sounds, no murmurs or arrhythmia’s noted
  • No other abnormalities
  • Pleural based masses and sternal lymph nodes.
  • The masses ended up being Histiocytic Sarcoma.
  • 2015 Case 5 PDF