Fluffy, an 8-year-old spayed toy poodle, was presented for vomiting and anorexia. The owner had been out of town for a week, returning 2 days prior to presentation. The pet sitter reported to the owners that the dog had not been eating for the last 3 days and was hiding under the bed. Fluffy had been vomiting since the owner returned home and would not eat her regular food (a home-prepared raw diet). She would eat offered “human food” but then would vomit the food back up. The owner also reported Fluffy had a decreased appetite over the last month or two. Patient has a history of marked periodontal disease, with multiple extractions about a year ago, but no other chronic illnesses. Fluffy shares the house with 2 other dogs. All are indoor dogs but occasionally go to dog parks.
Physical Examination: The dog is quiet, alert, and responsive but weak and stumbles when walking. She has mild bilateral seromucoid ocular discharge and severe dental calculus and gingivitis.
- Weight/body condition score: 1.43 kg/3 of 9
- Temperature: 100.5⁰F (38.1⁰C)
- Pulse: 140 bpm; fair, synchronous
- Respiratory rate: 60 bpm
- Mucous membranes: pink, tacky
- Capillary refill time: <2 sec
- Hydration: ~8% dehydrated
- Tense on cranial abdominal palpation; very small urinary bladder