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Companion Animal Practice
Investigation and differential diagnosis of vomiting in the dog
  1. Clive Elwood

    Clive Elwood graduated from Cambridge University in 1989 and completed an internship and residency at Liverpool and London Universities, respectively. Following a Wellcome Trust clinical research training scholarship, he obtained a Masters degree in immunology, and subsequently a PhD for studies on gluten sensitive enteropathy in Irish setter dogs. He is currently head of medicine at Davies White Veterinary Specialists in Hertfordshire, and is a diplomate of the American and European Colleges of Veterinary Internal Medicine.


VOMITING is a common presenting complaint in canine clinical practice and dogs seem particularly prone to vomiting without much encouragement. It is part of the clinician's role to determine whether vomiting is frequent enough or associated with other clinical signs that indicate a need for treatment or further investigation. Ultimately, a correct diagnosis and appropriate management depend on good clinical practice and, as discussed in this article, a logical approach to the investigation. At each stage, careful assessment is required to ensure that diagnostic tests are suitably discriminatory. Results must be critically appraised and related back to the clinical presentation of the patient at all times.

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