Puppy with vomiting and diarrhea

• General appearance: Lethargic, poorly responsive, unable to stand.


• Vital signs:
• Temperature: 35.7°C (96.3°F)
• Pulse: 160 beats/min
• Respirations: 40/min
• Weight: 1.4 kg (3.1 lb)


• Skin: Slight yellow coloration. Small umbilical hernia noted. Hair coat normal.


• HEENT: Mucous membranes pale. Eyes and ears normal. No ocular discharge, submandibular lymphadenopathy, or oral lesions observed.


• Pulmonary: Eupneic with no abnormal lung sounds.


• Cardiovascular: Capillary refill time >2 sec; no arrhythmias or pulse deficits.


• Gastrointestinal: Gut sounds present but decreased. Abdomen soft and distended but not tender.


• Genitourinary: Urination not observed.


• Musculoskeletal: No abnormalities


• Neurologic: Not evaluated


• Mental status: Depressed and minimally responsive.