I happened to be in an exam room working on another patient and heard neurotic screaming etc ( i thought it was a dog coming out of anesthesia..but No it was this dog just waiting out in the lobby (no other pets around). No hx of seizures
When it presented to me it was for complaint of diarrhea. Was calm and friendly for exam with me.
tongue lavendar/pale
pulses unremarkable
the attacks to O come across my mind as that of a rattlesnake. Quick and done.
your thoughts....