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WHEN THE CARDIOLOGIST IS OUT: CASE-BASED APPROACH TO CARDIAC DISEASE FOR THE GENERALIST Diplomate, ACVIM (Internal Medicine & Cardiology) Amy Signalment 10 year old, spayed female Cocker spaniel-cross Past Pertinent History Vax current, on HW preventative Murmur for 1 year CXR: Cardiomegaly Presenting History Cough, Tachypnea, P. Anorexia HR=180, RR > 100