Owner
Veterinarian
Managing the Vomiting Patient in Real-World Clinical Practice
Start
Haematemesis After NSAIDs: When Treatment Causes the Problem
A 9-year-old dog has been receiving an NSAID prescribed by your clinic for osteoarthritis. The dog now presents with vomiting, possible haematemesis, and dark stools consistent with melaena.
The dog appears weak and mildly dehydrated. The owner asks whether this could have been prevented and what you are going to do “right now”.
The owner is upset and implies the medication is to blame.
Next
Veterinarian
Clinical objections
Next
Veterinarian
Differentials (likelihood vs risk)
List your top 5 differentials (include iatrogenic causes), ranked by likelihood and risk if missed.
Veterinarian
Uncertainties/limitations
What are the biggest uncertainties at presentation that affect your immediate plan?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (stabilisation + GI protection + diagnostics). Justify each step in one line.
Veterinarian
Escalation triggers
Give escalation triggers (e.g., when to hospitalise, transfuse, scope, or refer).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence acknowledging concern and frustration in an owner who feels the clinic caused harm.
Owner
Value framing
Explain what you can say today about NSAID risk vs certainty, and what information you need to confirm ulceration.
Owner
Options scaled to budget & urgency
Offer 2 options scaled by cost and urgency (what we do immediately vs what can be staged safely).
Owner
If it were your pet?
Answer in 2–3 sentences focusing on safety, immediate priorities, and transparent reasoning.
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_04_Haematemesis After NSAIDs: When Treatment Causes
Improve International
Created on December 18, 2025
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Transcript
Owner
Veterinarian
Managing the Vomiting Patient in Real-World Clinical Practice
Start
Haematemesis After NSAIDs: When Treatment Causes the Problem
A 9-year-old dog has been receiving an NSAID prescribed by your clinic for osteoarthritis. The dog now presents with vomiting, possible haematemesis, and dark stools consistent with melaena.
The dog appears weak and mildly dehydrated. The owner asks whether this could have been prevented and what you are going to do “right now”.
The owner is upset and implies the medication is to blame.
Next
Veterinarian
Clinical objections
Next
Veterinarian
Differentials (likelihood vs risk)
List your top 5 differentials (include iatrogenic causes), ranked by likelihood and risk if missed.
Veterinarian
Uncertainties/limitations
What are the biggest uncertainties at presentation that affect your immediate plan?
Veterinarian
Stepwise clinical approach
Outline your next steps in order (stabilisation + GI protection + diagnostics). Justify each step in one line.
Veterinarian
Escalation triggers
Give escalation triggers (e.g., when to hospitalise, transfuse, scope, or refer).
Owner
What would you do if it were your pet?
Next
Owner
Empathy
Write one sentence acknowledging concern and frustration in an owner who feels the clinic caused harm.
Owner
Value framing
Explain what you can say today about NSAID risk vs certainty, and what information you need to confirm ulceration.
Owner
Options scaled to budget & urgency
Offer 2 options scaled by cost and urgency (what we do immediately vs what can be staged safely).
Owner
If it were your pet?
Answer in 2–3 sentences focusing on safety, immediate priorities, and transparent reasoning.
Well done
You successfully completed the challenge and addressed all of our questions, both from a professional perspective and as a pet owner