Mixed-breed, coughing dog with lumps

Physical Examination

  • General appearance: Patient is of good body weight and muscle mass, with multiple subcutaneous masses on trunk and limbs.

  • Vital signs:
  • Temperature: 38.0° C
  • Pulse: 75 beats/min
  • Respirations: 48/min

  • Skin: Normal except for areas of exudate associated with ruptured masses.

  • HEENT: Sclera clear, mucous membranes bright pink and moist. Mild lymphadenopathy of submandibular and popliteal lymph nodes.

  • Pulmonary: Regular but increased rate with no increased effort. No nasal discharge. Lung sounds are harsh over all lung fields. Occasional dry cough during examination.

  • Cardiovascular: Capillary refill time normal. Good jugular refill. No murmur or arrhythmia.

  • Gastrointestinal: Gut sounds present and unremarkable.

  • Genitourinary: Unremarkable

  • Musculoskeletal: No pain or swelling of joints. Mild to moderate lameness of right front and hind limbs.

  • Neurologic: No cervical nerve deficits or other abnormalities noted.

  • Mental status: Quiet, alert, and responsive.