Clinical Case 9 - Page 2

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Courtesy of C. Antonczyk


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 volvolus.


What do you think can be felt along the left body wall?

  • The spleen. This organ often distends 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.