Owner
Veterinarian
Managing the Vomiting Patient in Real-World Clinical Practice
Start
“Vomiting” After Meals: Regurgitation, Megaoesophagus, or Oesophagitis?
A 6-year-old dog is presented for “vomiting” shortly after eating. The owner has not always witnessed episodes.
The owner requests antiemetics and a diet change and is reluctant to pay for thoracic imaging because “this is a stomach problem”.
The dog has started losing weight and occasionally coughs after meals. On auscultation, there are slightly increased thoracic sounds.
Next
Veterinarian
Clinical objections
Next
Veterinarian
Differentials (likelihood vs risk)
List your top differentials, ranked by likelihood and by danger if missed.
Veterinarian
Uncertainties/limitations
What are the biggest uncertainties in the history/exam that could mislead your reasoning?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (including what you must confirm first). Justify each step in one line.
Veterinarian
Escalation triggers
Give escalation triggers (e.g., signs suggesting aspiration pneumonia, severe oesophageal disease, or obstruction).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence for an owner who believes this is ‘just vomiting’ and wants quick meds.
Owner
Value framing
Explain, in plain language, why distinguishing vomiting vs regurgitation changes the plan.
Owner
Options scaled to budget & urgency
Offer options that scale with budget, clearly explaining what each option rules in/out.
Owner
If it were your pet?
Answer in 2–3 sentences without overpromising; emphasise why you would (or wouldn’t) image the chest 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_02_“Vomiting” After Meals: Regurgitation,
Improve International
Created on December 18, 2025
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Transcript
Owner
Veterinarian
Managing the Vomiting Patient in Real-World Clinical Practice
Start
“Vomiting” After Meals: Regurgitation, Megaoesophagus, or Oesophagitis?
A 6-year-old dog is presented for “vomiting” shortly after eating. The owner has not always witnessed episodes.
The owner requests antiemetics and a diet change and is reluctant to pay for thoracic imaging because “this is a stomach problem”.
The dog has started losing weight and occasionally coughs after meals. On auscultation, there are slightly increased thoracic sounds.
Next
Veterinarian
Clinical objections
Next
Veterinarian
Differentials (likelihood vs risk)
List your top differentials, ranked by likelihood and by danger if missed.
Veterinarian
Uncertainties/limitations
What are the biggest uncertainties in the history/exam that could mislead your reasoning?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (including what you must confirm first). Justify each step in one line.
Veterinarian
Escalation triggers
Give escalation triggers (e.g., signs suggesting aspiration pneumonia, severe oesophageal disease, or obstruction).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence for an owner who believes this is ‘just vomiting’ and wants quick meds.
Owner
Value framing
Explain, in plain language, why distinguishing vomiting vs regurgitation changes the plan.
Owner
Options scaled to budget & urgency
Offer options that scale with budget, clearly explaining what each option rules in/out.
Owner
If it were your pet?
Answer in 2–3 sentences without overpromising; emphasise why you would (or wouldn’t) image the chest first.
Well done
You successfully completed the challenge and addressed all of our questions, both from a professional perspective and as a pet owner