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Clinical Presentation

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Dogs are often presented acutely. Many have a history of trying to vomit unproductively and some will be presented collapsed. Owners may have noted abdominal distension. Concerned owners should be asked to present their pets as soon as possible. Common findings on physical examination include hypoperfusion (including pale mucous membranes, prolonged capillary refill time, weak pulses, and tachycardia), arrhythmias, obtundation, abdominal pain and distension, gastric tympany, distress, and weakness (Figure 8.1). If the abdominal distension is profound, there may be a degree of dyspnea or tachypnea. Dyspnea can also occur secondary to aspiration of gastric contents.

Small Animal Surgical Emergencies

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