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<p:notes xmlns:a="http://schemas.openxmlformats.org/drawingml/2006/main" xmlns:r="http://schemas.openxmlformats.org/officeDocument/2006/relationships" xmlns:p="http://schemas.openxmlformats.org/presentationml/2006/main"><p:cSld><p:spTree><p:nvGrpSpPr><p:cNvPr id="1" name=""/><p:cNvGrpSpPr/><p:nvPr/></p:nvGrpSpPr><p:grpSpPr><a:xfrm><a:off x="0" y="0"/><a:ext cx="0" cy="0"/><a:chOff x="0" y="0"/><a:chExt cx="0" cy="0"/></a:xfrm></p:grpSpPr><p:sp><p:nvSpPr><p:cNvPr id="2" name="Slide Image Placeholder 1"/><p:cNvSpPr><a:spLocks noGrp="1" noRot="1" noChangeAspect="1"/></p:cNvSpPr><p:nvPr><p:ph type="sldImg"/></p:nvPr></p:nvSpPr><p:spPr><a:xfrm><a:off x="1143000" y="685800"/><a:ext cx="4572000" cy="3429000"/></a:xfrm><a:prstGeom prst="rect"><a:avLst/></a:prstGeom><a:noFill/><a:ln w="12700"><a:solidFill><a:prstClr val="black"/></a:solidFill></a:ln></p:spPr></p:sp><p:sp><p:nvSpPr><p:cNvPr id="3" name="Notes Placeholder 2"/><p:cNvSpPr><a:spLocks noGrp="1"/></p:cNvSpPr><p:nvPr><p:ph type="body" idx="1"/></p:nvPr></p:nvSpPr><p:spPr><a:xfrm><a:off x="685800" y="4343400"/><a:ext cx="5486400" cy="4114800"/></a:xfrm><a:prstGeom prst="rect"><a:avLst/></a:prstGeom></p:spPr><p:txBody><a:bodyPr><a:normAutofit/></a:bodyPr><a:lstStyle/><a:p><a:r><a:rPr lang="en-AU" dirty="0" smtClean="0"/><a:t>At the start</a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t> of this slide I would like to introduce you to our new colour scheme. If I need to make it clear how common something is: </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:srgbClr val="FF0000"/></a:solidFill></a:rPr><a:t>red means something that is relatively common</a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>, black means something that is less common and </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:srgbClr val="0000FF"/></a:solidFill></a:rPr><a:t>blue means something that is pretty rare.  These are all common so they are all red.</a:t></a:r><a:endParaRPr lang="en-AU" dirty="0" smtClean="0"><a:solidFill><a:srgbClr val="0000FF"/></a:solidFill></a:endParaRPr></a:p><a:p><a:endParaRPr lang="en-AU" dirty="0" smtClean="0"/></a:p><a:p><a:r><a:rPr lang="en-AU" dirty="0" smtClean="0"/><a:t>Anyway, as dyspnoea worsens the rate and effort</a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t> increase, but initially the chest and abdomen will still move in and out together. I call this </a:t></a:r><a:r><a:rPr lang="en-AU" b="1" baseline="0" dirty="0" smtClean="0"/><a:t>increased abdominal movement </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>to differentiate it from </a:t></a:r><a:r><a:rPr lang="en-AU" b="1" baseline="0" dirty="0" smtClean="0"/><a:t>abdominal effort </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>and </a:t></a:r><a:r><a:rPr lang="en-AU" b="1" baseline="0" dirty="0" smtClean="0"/><a:t>paradoxical abdominal movement</a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>. </a:t></a:r></a:p><a:p><a:endParaRPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/></a:p><a:p><a:r><a:rPr lang="en-AU" b="1" baseline="0" dirty="0" smtClean="0"/><a:t>Abdominal effort </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>is a push on expiration. Because inspiratory abdominal movement is passive, the only phase of respiration that abdominal muscle contraction can help with is expiration. A forced expiration means one of 3 things: small airway disease (which is asthma in cats), very stiff lungs or a fixed (as opposed to dynamic) upper airway obstruction (see later). In virtually all cases there will be increased inspiratory effort as well as the abdominal push.</a:t></a:r></a:p><a:p><a:endParaRPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/></a:p><a:p><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>In contrast, </a:t></a:r><a:r><a:rPr lang="en-AU" b="1" baseline="0" dirty="0" smtClean="0"/><a:t>paradoxical abdominal movement </a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t>is when the abdomen goes in, instead of out, inspiration. Read on for more...</a:t></a:r><a:endParaRPr lang="en-AU" dirty="0"/></a:p></p:txBody></p:sp></p:spTree></p:cSld><p:clrMapOvr><a:masterClrMapping/></p:clrMapOvr></p:notes>