Lethargic dog with anorexia and pain

Physical Examination

  • General appearance: Thin male who appears fatigued and older than stated age; in no apparent respiratory distress.

  • Vital signs:
  • Temperature: 38.2° C (100.7° F)
  • Pulse: 140 beats/min
  • Respirations: Panting
  • Weight: 7.0 kg (15.4 lb)

  • Skin: Hair coat normal. Small, firm mass palpated near 10th rib on right side.

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

  • Pulmonary: Eupneic, with no abnormal lung sounds.

  • Cardiovascular: Grade III/VI apical murmur, capillary refill time normal, no arrhythmias or pulse deficits.

  • Gastrointestinal: Mass in area of right anal sac that does not express fluid. Enlarged sublumbar lymph nodes palpated. Gut sounds present but decreased. Normal feces expressed during exam.

  • Genitourinary: Urination not observed.

  • Musculoskeletal: Stiffness of neck on lateral flexion.

  • Neurologic: Conscious proprioception deficits and mild ataxia of both hind limbs.

  • Mental status: Quiet, alert, and responsive.