Difference between revisions of "Clinical Case 9 - Page 2"
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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 with prolonged capillary refill time. | *The heart rate is 200 beats per minute and the mucous membranes appear pale with prolonged capillary refill time. | ||
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*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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*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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Revision as of 20:58, 21 February 2008
Courtesy of C. Antonczyk
The owner was asked to bring Duke to the practice as quickly as possible. On admission, the vet finds the following:
Clinical Examination
The vet performs a clinical exam and finds the following:
- 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 with prolonged capillary refill time.
- 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.
What is the most likely diagnosis?
- Gastric dilation-volvulus.
What do you think can be felt along the left body wall?
- The spleen. This organ often distends in this condition and is being pressed against the body wall by the enlarged stomach.
What would you do next?
- Click here to see what the vet did.