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SAM_UK_03_CDSC_01_Acute Vomiting, Equivocal Ultrasound: Foreign Body

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Created on December 18, 2025

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Transcript

Owner
Veterinarian

Managing the Vomiting Patient in Real-World Clinical Practice

Start

Acute Vomiting, Equivocal Ultrasound: “Foreign Body or Not?

A 1-year-old dog presents with acute vomiting (multiple episodes in the last 12 hours), mild lethargy, and reduced appetite. The abdomen is mildly uncomfortable but not rigid. The owner is worried about a possible foreign body, he can’t find a shock.

The owner is frustrated because they paid for the scan and expects a definitive answer.

An abdominal ultrasound has been performed, but the findings are inconclusive: no clear obstructive pattern, and no obvious foreign material is confidently identified.

Next

Veterinarian

Clinical objections

Next

Veterinarian

Differentials (likelihood vs risk)

List your top differentials and rank them by (a) likelihood and (b) risk if missed.

Veterinarian

Uncertainties/limitations

What are the 3 biggest uncertainties or limitations in this case right now (including test limitations)?

Veterinarian

Stepwise clinical approach

Outline your next steps in order (diagnostics + initial management). Justify each step in one line.

Veterinarian

Escalation triggers

Give escalation triggers: if you see X, you will immediately do Y.

Owner

What would you do if it were your pet?

Next

Owner

Empathy

Write one sentence showing empathy that fits this owner’s frustration.

Owner

Value framing (what we learnt)

In plain language, explain what the ultrasound has helped clarify, even if it hasn’t confirmed a foreign body.

Owner

Options scaled to budget & urgency

Offer owner-friendly options that scale with budget and clinical urgency (what we do, why, what it changes, and what risk remains).

Owner

If it were your pet?

Answer: ‘What would you do if it were your pet?’ in 2–3 sentences, without promising certainty.

Well done

You successfully completed the challenge and addressed all of our questions, both from a professional perspective and as a pet owner