C09970616 / invoice 10000

History: Wasabi is a 8yo MN Yorkshire X Wasabi presented to AEC @1600 on the 01/03/26 for a history of reverse sneezing. O reports that she went for a walk at 7.30 and went hardly anywhere and started reverse sneezing. Just crossed the road smelt things in the garden and monitored by the owner the whole time. Nothing that could have been inhaled according to O. Does occasionally eat grass. Demeanour was changed after walk. Started reverse sneezing bad and was shivering. No vomiting. Dry retching. No collapse at any point. EDDU normally. Gave half an antihistamine this morning (approved by RV) and meloxicam - no improvement. Had a reverse sneezing episode as a puppy which resolved. Chronic stertor. Toxins: No access to rodenticides, no human medications or plants. Preventatives: Simparica Trio UTD (8th Feb). Vaccinations and other doses with regular vet yesterday. Examination: Temp  39.4*C   MM  Pink/moist     CRT1-2s   HR  120bpm      FP  ss  BCS:   4/9                       Wt: 6.9  kg                RR: PantingPain Score (CSU):   0/4 CV:  Normal rhythm and character on cardiothoracic auscultation, sychronous with normal amplitude and tone RESP:   Normal bronchovesicular sounds over four quadrants, normal effort, no nasal discharge, transient periods of reverse sneezing GIT:   Soft and comfortable with abdominal palpation U/G:  Small bladder ona palpation Neuro:  BAR, normal mentation, normal gait M/S:  No lameness noted Integ:  Normal coat Ophth:  No discharge, no external lesions LNs: Peripheral lymph nodes palpated as normalAssessment: Reverse sneezing - flare in brachycephalic patient vs nasopharyngeal foreign body (eg grass) vs hypersensitivity reaction vs other Plan:Provided option of (1) admit for GA, nasal flush and oropharyngeal exam or (2) treatment trial. O elected option 2 and would like to try nebulisation at home. Chlorpheniramine 4mg PO TID    Vital Signs