Puppy with vomiting and diarrhea

Review of Systems

  • General: Depressed, lethargic, cold to touch

  • Skin: Subtle yellow coloration

  • HEENT: mucous membranes

  • Pulmonary: Noncontributory

  • Cardiovascular: Capillary refill time prolonged

  • Gastrointestinal: Distended, soft, nontender abdomen

  • Genitourinary: Noncontributory

  • Musculoskeletal: Noncontributory

  • Neurologic: Depressed mentation