C09970867 / invoice 10000

Reason: Onion ToxNo vomiting FlatulentLarge amount of onion gravy last nightHR132Dog park Normal poo this amHistory:Owner reports: Lethargy, increased flatulence and being "mopey". O put gravy containing onion last night with deer meat on top of her food.Onset/course: Acute onset this morning, lethargy has progressed over the last few hours.Current status:- EDUD: Eating/drinking not confirmed today. Urination/defaecation normal.- Diet: Kibble once daily. Last night had deer meat and gravy with onions.Examination:Vitals: HR 132, RR panting (anxious) Temp 38.7 °CMM/CRT: Pink, CRT ~1sHydration: WNLDemeanour: QAR- Oral/Dental: WNL- CVS: Tachycardic, no murmur detected, pulses normal- Resp: Clear- Abdomen: Soft, non-painful- MSK: Ambulatory x4- Neuro: Normal mentation, full neuro exam not performed- Eyes: Clear OU- Ears: NAD- Nose: NAD- Urogenital: WNL- Skin/Coat: Healthy- Lymph nodes: Peripheral WNL- Rectal: Soft faeces palpable, no diarrhoea evident.Assessment:Problems:- Lethargy- Flatulence- Tachycardia- Potential onion toxicityDifferentials:- Gastroenteritis secondary to dietary indiscretion- Onion toxicity (Heinz body anaemia)Client Communication:- Discussed: Risk of onion toxicity and delayed onset of clinical signs (12-72 hours), including potential for anaemia. Plan for baseline bloods and recheck. Dietary recommendations for gut rest.- Owner elected: To proceed with blood collection and monitoring plan.Laboratory:Haematology and biochemistry unremarkableTreatment:O to monitor Phoebe- rec bland diet for suspected gut upset- flatulence and lethargy possible dt dietary indiscretion O to come and get prokolin if d+ developsPlan:Diagnostics:- In-house haematology (CBC) performed today.- Recheck CBC recommended in 2-3 days to monitor for evidence of haemolysis.Ongoing management:- Bland diet (boiled chicken and white rice) for 3-5 days.- Gradually reintroduce normal kibble if clinical signs resolve.Follow-up / return if:- Lethargy worsens, vomiting, diarrhoea develops, or if gums become pale.    Vital Signs    Weight: 30.8;       HeartRate: 132;