Ariela, a 4-year-old intact female shih tzu weighing 36 kg (8 lb), was presented to the emergency hospital during the evening with pale mucous membranes, She had been normal the night before but vomited that morning and was weak during the day. She was current on vaccines, and the owners had applied fipronil a month earlier. She had recently experienced a prolonged heat cycle, which had ended the previous week. Estrus lasted for 2 weeks, with vaginal swelling for 4 weeks; her normal cycle usually lasted 2 weeks total. The owners noted that the dog likes to eat coins.
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