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Case example

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‘Muriel’ is a 7‐year‐old Labrador (neutered) dog who presented with a 3–4‐week history of reduced appetite and depression. She started to intermittently vomit bile‐stained material about 2 weeks ago, and the vomiting has become much more frequent over the past week. The vomiting occurs unrelated to eating, and abdominal effort is obvious when she vomits. Prior to vomiting she appears restless and frequently licks her lips. No diarrhoea has been noted. Water intake is normal.

On physical examination she is thin (body condition score 3/9). There is no evidence of abdominal discomfort. Rectal temperature is normal. Heart rate and respiratory rate are within normal limits, pulses are strong and synchronous.

Clinical Reasoning in Veterinary Practice

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