Owner
Veterinarian
Managing the Vomiting Patient in Real-World Clinical Practice
Start
The Vomiting Dog with Bradycardia: “Is This Addison’s?”
A 4-year-old Poodle presents with vomiting, diarrhoea, weakness, and marked lethargy. On examination the dog is dehydrated and bradycardic.
The owner is concerned about cost and asks whether you can “just give an injection for vomiting and see”.
The owner reports intermittent GI signs over weeks, but “today is much worse”. Initial point-of-care testing suggests significant electrolyte disturbance.
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 biggest uncertainties or limitations in this case right now?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (stabilisation + diagnostics). Justify each step in one line.
Veterinarian
Escalation triggers
Give 2–3 escalation triggers (e.g., when you would move to emergency stabilisation, additional testing, or hospitalisation).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence showing empathy that fits an owner worried about cost and urgency.
Owner
Value framing
Explain what the physical exam findings and initial tests suggest, and why this is not a ‘wait and see’ situation.
Owner
Options scaled to budget & urgency
Offer options that scale with budget while keeping the patient safe (what we do now vs what can wait).
Owner
If it were your pet?
Answer the question focusing on safety and why stabilisation comes first.
Well done
You successfully completed the challenge and addressed all of our questions, both from a professional perspective and as a pet owner
SAM_UK_03_CDSC_03_The Vomiting Dog with Bradycardia: Is This Addison’s
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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
The Vomiting Dog with Bradycardia: “Is This Addison’s?”
A 4-year-old Poodle presents with vomiting, diarrhoea, weakness, and marked lethargy. On examination the dog is dehydrated and bradycardic.
The owner is concerned about cost and asks whether you can “just give an injection for vomiting and see”.
The owner reports intermittent GI signs over weeks, but “today is much worse”. Initial point-of-care testing suggests significant electrolyte disturbance.
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 biggest uncertainties or limitations in this case right now?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (stabilisation + diagnostics). Justify each step in one line.
Veterinarian
Escalation triggers
Give 2–3 escalation triggers (e.g., when you would move to emergency stabilisation, additional testing, or hospitalisation).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence showing empathy that fits an owner worried about cost and urgency.
Owner
Value framing
Explain what the physical exam findings and initial tests suggest, and why this is not a ‘wait and see’ situation.
Owner
Options scaled to budget & urgency
Offer options that scale with budget while keeping the patient safe (what we do now vs what can wait).
Owner
If it were your pet?
Answer the question focusing on safety and why stabilisation comes first.
Well done
You successfully completed the challenge and addressed all of our questions, both from a professional perspective and as a pet owner