Line 9:
Line 9:
*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.
+
*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'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.