C09970465 / invoice 10000

Reason: VomitingHistory:Has been vomiting on and off this morning, seems flatBringing up bileNo known ingestion of anythingFed different food last night (fish based kibble); previously thought to have chicken sensitivity too>O suspect reaction to change of foodSubjective: BARObjective:HR 140RR regular, pantingTemp 38.1MMpink, moist, skin tent okAbdo: moderately tender on deep palpation, no palpable masses or foreign bodiesRectal: formed faecesSkin/ears: NADAssessment:Vomiting with mild abdominal pain ddx: GE secondary to dietary change vs foreign body or other metabolic dzOwner discussion:options to do work-up (xrays and bloods, hospitalise) vs conservative tx.  O opted conservative.Treatment:Given maropitant 0.61ml scDIspensed lectade to add to waterPlan:If ongoing v+ or regurg then strongly recc return for work-upFeed bland, small meals oftenFUC 24hrs - how is he?    Vital Signs    Weight: 6.1;