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[[Clinical Case 9 - Page 2|here]]
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<big><center>[[Clinical Case 9|'''BACK''']]</center></big>
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Courtesy of C. Antonczyk
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The owner was asked to bring Duke to the practice as quickly as possible. On admission, the vet finds the following:
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==Clinical Examination==
 
==Clinical Examination==
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*Duke is dull and cooperative (even though he is normally aggressive and impossible to examine).
 
*Duke is dull and cooperative (even though he is normally aggressive and impossible to examine).
*The heart rate is 200 beats per minute and the mucous membranes appear pale.
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*The heart rate is 200 beats per minute and the mucous membranes appear pale with prolonged capillary refill time.
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*Peripheral pulses appear weak.
 
*Duke's abdomen is visibly distended and there is a firm oblong viscous pressed firmly against the left body wall.
 
*Duke's abdomen is visibly distended and there is a firm oblong viscous pressed firmly against the left body wall.
 
*Duke is making unproductive retching attempts.
 
*Duke is making unproductive retching attempts.
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What is the most likely diagnosis?
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*<font color="white"> Gastric dilation-volvulus. </font>
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What do you think can be felt along the left body wall?
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*<font color="white"> The spleen. This organ often distends in this condition and is being pressed against the body wall by the enlarged stomach. </font>
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*Click [[Clinical Case 9 - Page 3|here]] to see what the vet did.
 
*Click [[Clinical Case 9 - Page 3|here]] to see what the vet did.
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[[Category:Lost]]
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