[Graphic][1] Aneesa Malik qualified as a veterinary nurse from Warwickshire College in 2008. Her main interests include ethics and welfare, emergency and critical care patients, end of life care, and exotics. #### The dilemma It is a busy morning in the clinic and the vet asks you, the practice nurse, to weigh a pet shop-owned Syrian hamster who, for the past two months, has been suffering from intermittent diarrhoea and conjunctivitis. The vet decides that it is best to calculate another course of antibiotics and send it back to the store. During your examination, the patient feels cold, is skin tenting, facially grimacing, reactive to abdominal palpation and her back end is stained and wet. She is bradycardic, hypothermic and has lost 13 per cent bodyweight since her last visit. You believe that the patient is sick and requires urgent attention. The vet has limited skills, interest and knowledge with exotic species, and, in addition to this, the practice is understaffed and ill-equipped for such cases. You explain to him that the … [1]: /embed/inline-graphic-1.gif