Rottweiler with severe bilateral epistaxis

Physical Examination

  • General appearance: Abnormal, dull, blood on nasal planum.

  • Vital signs:
  • Temperature: 36.8° C
  • Pulse: 72 beats/min
  • Respirations: 16/min
  • Weight: 42 kg (92.5 lbs)

  • Skin: Unremarkable

  • HEENT: Sclera clear, mucous membranes pale pink, no ocular discharge, ears clean, no submandibular lymphadenopathy, and no oral lesions observed. Mild bilateral epistaxis.

  • Pulmonary: Eupneic with mildly increased bronchovesicular sounds. No sneezing or coughing.

  • Cardiovascular: No murmur or arrhythmia, capillary refill time decreased, sluggish jugular refill.

  • Gastrointestinal: Gut sounds present and unremarkable.

  • Genitourinary: Intact male: both testicles descended.

  • Musculoskeletal: Limited exam because patient was sedate and not ambulating.

  • Neurologic: Unremarkable

  • Mental status: Quiet, sleeping, slow responses.