• The clinical signs of ICH can vary enormously in severity.
• First clinical sign is pyrexia and this may be only clinical sign.
• At other end of the clinical spectrum, some dogs may die within 24 hours of onset of pyrexia
• Typically signs include:
• apathy
• anorexia
• increased thirst.

• Vomiting and diarrhoea and abdominal tenderness are also common.
• Sometimes conjunctivitis and photophobia.
• Often vascular endothelial damage leads to petechial haemorrhage on mucous membranes and sometimes skin.
• Possibly also jaundice.
• Can also be a cause of kennel cough .
• Rarely neurological signs due to haemorrhage in CNS.
• Blue eye, if seen, occurs 1-3 weeks after acute signs have disappeared.

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