C09970308 / invoice 10000

Reason: V+Appointment Notes: Overdue remindersConsultation Time:9:45 amHistory: Presented with 12 hours history fo vomiting Ate dinner last night normally then ate breakfast this morning slowly. Then went outside and vomited back the food. Vomitus contains food and yellow bile. Does eat pine cones.Normal faeces this morningNo prior history of gastritisNo medicationsNo toxin exposureUrine normalDrooling alot in consult.Vomited food in consultOwner has lillies in the house for fathers funeralSubjective: Bright but drooling alotObjective: Temp     38.8       MM   pink           CRT    <2         HR    120         FPstrongBCS: 5  /9                       Wt:   28.4kgPain Score (CSU): 0  /4CV:  Normal cardiac rate and rhythm, nromal BP, strong pulses      RESP:   Normal effort, normal bronchovesicular sounds           RR 20GIT:   abdomen soft and non painful, no mass effect palpable, no fluid or gas palpable. Rectal no faeces presentU/G:  NADNeuro:  NADM/S:  NADInteg:  NADOphth:  NADLNs: NADProblem List:1. Vomiting 12 hoursAssessment: Still eating and normal faeces, bright and normal vitalsSimple gastritis vs FB obstruction/ complexOptions Offered to Client:1. Admit for sedation and xrays of abdomen and supportive care2. Medical management at homeOption 2 electedTreatment:Maropitant 1 mg/kg SCPlan:Treat for acute gastritisMaropitant for vomitingFeed bland diet.If vomting continues or refusing food and water revisit is recommneded    Vital Signs    Weight: 28.4;       Temperature: 38.8;       HeartRate: 120;       BodyScore: 5;       RespirationRate: 20;       PainScore: 0;       BP: 160/110 (122);       CRT: <2;       MMColour: pink;