Frankie, a two year old West Highland White Terrier, stood on the exam table shaking, head down, and looking miserable. The reason for his visit was listed as the dreaded ADR (for “Ain’t Doin’ Right”) Normally he would be racing around the room with terrier level intensity, and at the moment it was clear that ADR was a good description. He had been eating and drinking, with no vomiting, diarrhea, coughing, or sneezing, but clearly he felt rotten. His physical exam showed no fever, pain, or other abnormalities outside of fairly significant dehydration, but in spite of the lack of obvious findings it was clear that this dog was in trouble.
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