This is the case of a 14 year old, male, neutered West Highland White Terrier who presented in emergency on a Sunday after he collapsed at home. Only 4 days before he had been seen by his vet after an episode of seizure, and he was currently on anti-epileptic drugs (Epiphen) twice a day, and on tramadol and gabapentin for his arthritis, also twice a day.
On arrival, the dog was tachycardic, his mucous membranes were very pale, and his capillary refill time very prolonged, all signs of shock. Apart from that, his breathing was heavy, body temperature was slight low, his abdominal palpation was uncomfortable, although he did not seem to be bloated, and he was unable to stand up yet. He was immediately admitted to start on aggressive fluid therapy to counteract the shock. It was hard to place an intravenous catheter, but we finally managed to get one into his vein and start the therapy.