PATIENT SIGNALMENT: Miniature Poodle. Female Spayed. 8 years old. HISTORY / CLINICAL SIGNS: 1 week history of lethargy and decreased appetite. No reported changes in diet or medications. UTD on routine vaccines (though no recent vaccination within the past several months). On monthly HW/flea/tick prevention. 3 year unchanged Hx of mitral valve degeneration (no CHF). … Continue reading Clinical Case: adult dog with lethargy and pale gums