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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.
 
*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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