C09970454 / invoice 10000

Case Vet: TX Vet: TX Nurse: Time: (aim 8-9am / 12pm)Subjective:  alert, responsive but sad dog. No further vomiting.  Good for handling but jumping for bloods/catheter. Settled in cage but will bark when needs to go to toilet. Weight: 4.1HR: 156RR: tremblingTemp: 36.9MM colour: pink slightly tackyCRT: 1 secPain Score:BP, ECG, SPO2: Pain Assessment >>Feeding Plan (RER calculation + record feeding) >> Offered chicken, shown no interest in eating. Urine & faeces (incl times) >> frequent bouts of haemorrhage d+ in cage through shift. Faeces collected in stool kit. toilet outside -walk 2pm -  urine and d+ produced. walk 3:30pm - nil urine. d+ produced. Treatment: Hartmanns 21mls/hr 2x Maintenance VI @3:27pm = 63mlsmaropitant (10mg/ml) 4.1ml iv @12:10pmMetronidazole 8.2ml SLOW IV @12:55pmProkolin 2ml PO @12:55Discussion with owner: PDS STO. Costs $: Plan: per PDS consult - Discharge 4pm if improved with no ongoing haemorrhagic diarrhoea. If still unwell at 04:00 PM, discuss transfer to overnight facility vs symptomatic home care.     Vital Signs    

Appointment Notes: V+ all morning, Blood in faeces, lethargicReason: Vomiting and haemorrhagic diarrhoeaHistory: 5 y/o female dog presented with acute onset vomiting and bloody diarrhoea starting this morning. Started with foamy vomit, progressed over approx 1 hour to haemorrhagic diarrhoea with mucoid component. Vomited approx 10 times. O reports possible ingestion of off turkey last night.Hx of previous mild gastric upset but never with blood in stool. Fully indoors dog, no outdoor access yesterday due to rain. No access to toxins/rat bait. Currently on ear drops for ear issues. Not eating this morning. No foreign body concerns.Subjective: BARObjective: HR/PR/Cardio: 140bpm, pulse normal and synchronous, CV normal, no audible murmurTemp: 37.8MM/CRT/Hydration: pink, moist CRT 1 sec, hydration normalRESP/RR: NAD normal rate and effortGIT/UG: abdomen feels tucked, soft and comfortable. No masses or thickenings Skin/Ears: NADM/S: NADEyes: NADDental: cleanLymph Nodes: wnlBCS: 5/9Assessment: Acute haemorrhagic gastroenteritis (HGE), likely dietary indiscretion (turkey). DDx: anaphylaxis (bee/wasp sting), Addison's disease (less likely)Discussion with owner:Recommended admit for bloods, IVFT and symptomatic management of HGEAlternatively discussed managing as outpatient however with degree of v+/d+, I recommend starting IV medicationsO consentedLaboratory:Mild polycythaemia and hyperglycaemiaRest of bloods WNL Treatment: 0.41ml Prevomax IV at 1230pm 8.2ml Metronidazole slow IV at 1pm 21ml/hour Hartmanns IVFT Plan: Discharge 4pm if improved with no ongoing haemorrhagic diarrhoea. If still unwell at 04:00 PM, discuss transfer to overnight facility vs symptomatic home care.____________________________INSURANCE HXInitial Assessment > Acute haemorrhagic gastroenteritisSuspected cause > Dietary indiscretion - ingestion of turkeyDate of first clinical signs > 01/03/2026Any other conditions / treatments > Currently ear drops for ear infection    Vital Signs    Weight: 4.1;