C09970845 / invoice 10000

AH call  - ate some sea snails on beach and has been vommiting4 vommits in last hourdull and a bit letheragictemp 38.4,  mm pink but sluggish CRTchest sounds okabdo palpation is ok and gut auscultation is quiet.given cerenia s.closec 20mg tablet orally and to have dissolved carafate orally in next 2 hours    Vital Signs    Weight: 27.3;       MMColour: Pink;       Temperature: 38.4;       CRT: 3+;       

Lab Report    Vital Signs    

Consulting Vet: Dr. Michael Ferguson BVSclabrador that is vomiting and not eating.Came in @ 9 pm 19.6.23labrador that is vomiting and not eating.Came in @ 9 pm 19.6.2319/6/23History of eating a shoe box and generally being a garbage guts.Vomited this morning and has not eaten since then and is very dull and lethargic.Owners in Singapore and about to fly home. Has been looked after by a friend.Clinical examination:HR 80RR 30Temperature 38.2Mucous membranes pink. Refil < 2 secondsVery lethargic.Abdomen doughy and there is gas build up in small intestines.Treated with intravenous fluids at 6mls/kg per hour.Treated with 1.5 mls noroclav SC and 1.5 mls methone SC.20/6/23Temperature 36.2HR 80RR 20MM pinkCRT 2.5 secondsFrank blood on rectal. faecal smear was negative and history of regular worming.Did PCV/TP and this was 40/65Did acivated clotting test and this was 65 seconds.Sedated with 0.5 mls ACP and 1 mls methone IM and took radiographs.There was a lot of gas in the large intestine and one area midabdomen that is suggestive of something round in the small intestine.-------------------- Fees Charged: --------------------Heska Biochemistry Extended 17 Profile Qty: 1 $175Haematology Blood Test Heska Qty: 1 $76Consultation After Hours Qty: 1 $317Vetchat After Hours Phone Consult Qty: 1 $33Xrays - Radiology Exam Qty: 1 $313.5Hospitalisation Dog - Inital Admission Qty: 1 $140Sedation- Minor Qty: 1 $68Idexx Cpl Lipase Snap Test Qty: 1 $55.3I.V Fluids Therapy -Set Up & Administration Qty: 1 $102Methadone Injection Qty: 2.5 $53.2Noroclav Antibiotic Injection  50ml Qty: 1.5 $35.4Faecal Egg Count - Fec & Microscopic Analysis Qty: 1 $62Act Blood Activated Clotting Test Qty: 1 $89.4    Vital Signs