2 years ago, another veterinarian tested thyroid function and it is reported as normal. The pulse is thready. Ausculatation reveals a grade III holosystolic murmur with PMI at 4th intercostal space at costochondral junction. The abdomen is distended and the dog grunts when the abdomen is palpated. The vulva is enlarged and no vaginal discharge is noted.
Rectal palpation produces dark black, soft feces.
There are tiny red spots on the abdominal skin and vulvar mucosa. The peripheral lymph nodes are normal. Problem Identification A. List the problems you have observed. Problem 1 . B. List those diagnostic procedures that will be most cost-effective.