C09972394 / invoice 10000

HistoryHad a bone on Sat afternoon- frozen bone  - lamb rib or spine bone.  Woofed it down. 2 bowel motions after - grey large normal (which is does after the bone) and second normal as well. Diarrhoea started Sunday - soft serve like (melted slighlty) with small amount of blood at the end. d+ 2x at park AM, 1 in the afternoon/evening. Sunday had breakfast no v+ and dinner had it but v+ the dinner. Called AEC midnight, told to test feed. Had some boiled rice and didn't v+. Fasted this morning. Demeanor the same as normal. Vomiting: 1x last night post dinner Diarrhea: 3x soft serve like with blood  Sunday Urination:wnlAppetite: wants to eat, had a small amount of rice at 1amWater Intake: wnlPhysical Examination:LOC: BARmm/crt: Pink 1sHR: 120RR:   panting FP: wnlT: 37.5Teeth:  1-2/4 dental dx LN: wnlMouth: wnl Eye: wnl Ears: wnl Nose: wnl Skin: wnlAbdomen: Tense/splinting, no obvious FB feltMusckeletal: wnl Hydration: wnl BCS:   5/9Rectal - formed motion felt no bone fragments  Assessment:BoneFB vs gastro  Plan:Admit for xrays - quoted $570-850 exc consult and meds -sx will need to be done at 24 hour clinic if needed as we are booked - John called wife to see if they will go there directly or xrays here. Will continue to do survey xrays here *Can do bile v+ when hungry 

History:DUDE wnl. On walks hopped on her back leg twice - think it is the back right. On stilboesterol 1/2 tab weekly - well controlled. After saying we can only dispense 6 months worth owner then çheck withed wife and said it is 1 tablet weekly - last years hx is 1/2 tablet. On nexgard spectra + tapeworm due.  Lasped few months - 2 month old at home so been a bit hectic. Vomiting: noneDiarrhea: noneUrination:wnlAppetite: wnlWater Intake: wnlPhysical Examination:LOC: BARmm/crt: Pink 1sHR:  120RR:   panting FP: wnlT: --Teeth:  1/4 dental dx LN: wnlMouth: wnl Eye: wnl Ears: wnl Nose: wnl Skin: wnlAbdomen: wnl Musckeletal: wnl - very tense but no signs of issues. Good ROMHydration: wnl BCS:   5/9 Assessment:Incontience - controlledVery mild dental dx  Plan:1) Owner very keen on dental as parents dog is old and had multiple teeth out - said her teeth are very good and probably don't really need a clean at this point in time. - has additives in the water for the teethTreatment:1) Tapeworm 2.5 tablet q3mth - annual2) Nobivac bb/pi bn 25262073) Stilboesterol 1mg 1/2-1 tablet weekly  - dose? variable?

History:DUDE wnl. No vomiting or diarhoea. Getting stilobesterol 1mg 1/2  once a week and controls it well. On nexgard spectra and tapeworm due. Vomiting: noneDiarrhea: noneUrination:wnlAppetite: wnlWater Intake: wnlPhysical Examination:LOC: BAR - anxiousmm/crt: Pink 1sHR:  108RR:   pantingFP: wnlT: --Teeth:  1-2/4 dental dx  -mild staining LN: wnlMouth: wnl Eye: wnl Ears: wnl Nose: wnl Skin: wnlAbdomen: wnl Musckeletal: wnl Hydration: wnl BCS:   5/9 Assessment:Dental dx mildBordeline weight Plan:1) Can lose a little bit of weightTreatment:1) Stilobesterol 1mg 1/2 weekly2) Nobivac bb/pi bn 24274023) Durammune adult C3 bn 52620084) Tapeworm 2.5 tab q3mth