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Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 26207
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
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My 7 year old shepherd, has gone limp, and collapsed twice

Resolved Question:

my 7 year old shepherd, has gone limp, and collapsed twice just few minuets ago, she tilts head and looks dizzy just before and stumbles, after wards she acts like not seen me all day
Submitted: 9 months ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 9 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.

Expert:  Dr. Michael Salkin replied 9 months ago.

Yes, Richard, those symptoms are serious enough for an ER visit. They're consistent with either a vestibular (balance) disorder, syncope (fainting/often due to advanced heart disease), complex partial seizure, or perhaps general weakness as might be seen with severe anemia. Please check her vitals for me...

1) Check her gum and tongue color. They should be nicely pink - not whitish (anemia) or bluish/greyish (cyanosis/hypoxia/lack of oxygen to her tissues).

2) Check her respiratory rate . She should be taking less than 30 breaths/minute while asleep or at rest.

3) Take her rectal temperature. Any body thermometer will do when placed 1.5" into her rectum for 1 minute. Normal is 38-39.2C. This is a two person job!

Please let me know what you find.

Customer: replied 9 months ago.
her tongue and gum are lovely and red, her breathing is very fast at moment, about 80 per min, I have just removed 3 ticks off her neck and only got puss out of them no blood, not able to check temperature yet
Expert:  Dr. Michael Salkin replied 9 months ago.

Thank you. Her head tilt is pathognomonic (specifically indicative) of vestibular disorders. Her tongue and gum color should rule out anemia and syncope. Please clarify what you meant by "afterwards she acts like not seen me all day".

Customer: replied 9 months ago.
wants lots of cuddles and licks me lots, her breathing is now settled at 34 per minuet.
Expert:  Dr. Michael Salkin replied 9 months ago.

Ah! Thank you. Complex partial seizure (also called psychomotor seizure) is most likely. This is described as abnormal focal or asymmetric sensory or motor activity affecting any part of the body and which may be associated with autonomic signs, (salivation, vomiting, e.g.) and is associated with a change in mentation (mental status). Sleep is the most common post-ictal (post-seizure) symptom. Mark your calendar for this event and for just what you witnessed. Kelsie's vet will need all the information you can gather when deciding if Kelsie should be prescribed an anticonvulsive drug. Most of us will accept one mild (lasting less than 5 minutes, no thrashing about, no loss of consciousness) event monthly before prescribing such a drug. Should she suffer another event within 24 hours of this one clustering is diagnosed and that may presage status epilepticus - the state in which seizure activity doesn't abate unless I heavily sedate or anesthetize my patient. She would then need the attention of a vet at your earliest convenience. If she normalizes at this time, an ER visit can be avoided.

Seizures first arising between the ages of 1-5 years are usually considered idiopathic (unknown cause) epilepsy. Seizures arising after 6 years of age are often caused by brain tumor and, less commonly, adult onset epilepsy. Please respond with further questions or concerns if you wish.

Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 26207
Experience: University of California at Davis graduate veterinarian with 44 years of experience.
Dr. Michael Salkin and 3 other Dog Specialists are ready to help you
Customer: replied 9 months ago.
have spoke to a on call vet and he is happy to see her in morning as she seems ok now, thank you very much for help,
Expert:  Dr. Michael Salkin replied 9 months ago.

Sounds good. Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience.

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