C09971264 / invoice 10000

Reason: DiarrhoeaAppointment Notes: Paws App Details:Booking Type: Veterinary ConsultationBooking Vet: - Any -Booking Notes: Diarrhoea Owner Is your pet(s) insured?: YesHistory: Started having diarrhoea yesterday afternoon, 4x yesterday and twice this AM. Soft, yellow in colour, no blood seen. No vomiting seen. Still good energy. Has a good appetite yesterday AM, not offred any food since because of D+. No changes in diet or routine but is likely to scavenge. No seen him eat anything in particular.Examine: Bar, pink and moist mms, crt 1sEyes nadNad thoracic ausc, HR 80, RR panting, clear lung soundsSoft on abdo palp, no obvious SI thickeneing, stomach not distended, no firm faeces in colonRectal temp 38.6Faecal matter in hair around anusAssessment: GE likely dietary, cannot rule out infectious or extra GI cause (hepatophaty, pancreatitis)Plan: Trial bland diet and pro-kolin 6 ml po bid for 5 daysRecheck for bloods and possible imaging INI    Vital Signs    Weight: 36.5;       Temperature: 38.6;       

Reason: VomitingHistory: only picked up from kennel yesterday afternoon, was eating different food, few vomits and possible diarrhoea since last night.  But not behaving in unsual way, still his normal self.  Not on any meds.Examine: normal vitals, normal chest ascultation, no increased lung sound.  Abdo palpation nad.  Noticed slimy diarrhoea around the bottom.  No blood.  Assessment: suspect GI diseaseTreatment: start with maropitant inj, to feed simple chicken and rice    Vital Signs    Weight: 35;