C09970725 / invoice 10000

Reason: Inappetant, HGESubjective: Today has not eaten dinner, very unusualHad d+, with blood in it this afternoonIs the sort of dog to eat FB's and abnormal things. Objective: BAR nice boy, excitable. Mm pink, CRT 1 sec, HR 124, pulses strong, T 39.2Abdo relaxed and NAD throughout, no specific FB palpated, no pain focus. Assessment: ddx gastritis/enteritis, FB, othersClient Communication: offered O investigations ($1700 ish) Vs trial meds O keen to rule out potential FB. Discussed that xrays are dynamic, and cannot ever 100% rule out FB, O happy with planDiagnostic Imaging: Domitor / methadone sedation.  - some pockets of gas, not a huge amount - some fluid opacity within GI, not a huge amount - semi-formed faeces within colon - no specific FB seenNot looking indicitive of surgical obstruction currently. Repeat rectal exam under sedation: jelly/red/mucoid faeces presentLaboratory:PCV 43 / TP 62Otherwise unremarkable throughout. Client Communication: discussed with O trial meds as outpatient as TPR good, abdo relaxed, bright. But warned can deteriorate. IV metro, oral metro from tomorrow, oral protexin, bland food. Re-ex if v+, inappetant, lethargic, profuse d+History: sent to balgownie vet    Vital Signs    Weight: 20.5;