Labrador retriever with lethargy and anorexia

Review of Systems

  • General: Lethargic, dull appearance

  • Skin: Noncontributory

  • HEENT: Pale mucous membranes, mildly enlarged mandibular and prescapular lymph nodes

  • Pulmonary: Noncontributory

  • Cardiovascular: Capillary refill time prolonged; no murmurs or arrhythmias

  • Gastrointestinal: Nonpainful abdomen with decreased gut sounds

  • Genitourinary: Noncontributory

  • Musculoskeletal: Noncontributory

  • Neurologic: Quiet and responsive