What’s Your Diagnosis?

This month Dr Natalie challenges you to diagnose a four year old female Jack Russell terrier suffering from lethargy, vomiting and acute collapse. What would be your next diagnostic/therapeutic step?

Signalment: 4 year old female entire jack russell terrier.

History: 7 day history of lethargy and vomiting.  Acute collapse.


Figure 1 and Figure 2: right lateral recumbent abdomen 5 min apart.


Figure 3: VD abdomen.

Ultrasound videos: