1 For adult dogs or puppies older than 16 weeks, the intranasal vaccine can be given once, and the injectable vaccine should be given twice, two to four weeks apart.
Signs and symptoms of hypertrophic cardiomyopathy may include one or more of the following: 1  Shortness of breath, especially during exercise. 2  Chest pain, especially during exercise. 3  Fainting, especially during or just after exercise or exertion.  Sensation of rapid, fluttering or pounding heartbeats (palpitations)
Symptoms of a lacunar stroke are similar to those accompanying other stroke types, namely, slurred speech, inability to raise arms, one side of the face appearing droopy, numbness on one side of the body, difficulty walking or moving arms, confusion, memory problems, struggling to speak or understand language, headache, and loss of consciousness.