C09971493 / invoice 10000

Reason: V+ Lethargic ETA 120pmAppointment Notes: is on a liver dietnormal pooAJHistory:  Has history of skin/ear issues and also ?? About if liiver function is what it should beResutls have been inconclusive so far and is currently on a liver diet and planning on getting liver biopsied when he is desexed next monthHas been generally going well but in the last 24 hours has been vomitingDoes have a history of eating things that he shouldn't and will pick up anything off the ground.Last night vomited a few times.  This morning has eaten and then vomited and then eaten a bit more and vomited againIs still drinking and urinating Was quiet at home but is bright in the clinicExamination:  MM pink, normal refillHR 116 with no murmur or arrythmiaRR 24 with normal lung soundsAbdominal palpaiton - slightly tense in middle of abdomen but owner said he is quite a reactive dog at times and can be a bit of a sook.No obvious mass/FB palpable Temp 38.9Diagnostic Imaging:  Lateral radiographs taken - could only take one without sedation - no obvious FB or stacking pattern present.Disucssed with rebecca that to take 3 x views would require sedationPlan:  PRevomax and losecBland food - boiled chickena dn rice onlyIf vomiting continues then consider sedate for bloods/imaging and potentially fluids.    Vital Signs    Weight: 5.8;